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CTRI Number  CTRI/2025/09/094389 [Registered on: 08/09/2025] Trial Registered Prospectively
Last Modified On: 05/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparative study of intrathecal 0.5 percentage hyperbaric bupivacaine with fentanyl versus buprenorphine in lower limb surgeries in tertiary care centre 
Scientific Title of Study   Comparative study of intrathecal hyperbaric bupivacaine 0.5 percentage with fentanyl versus buprenorphine in lower limb surgeries in tertiary care centre 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR ANNAPOORANI MANOHAR 
Designation  POSTGRADUATE 
Affiliation  ACS MEDICAL COLLEGE & HOSPITAL 
Address  DEPARTMENT OF ANAESTHESIOLOGY ACS MEDICAL COLLEGE AND hospital DR M.G.R UNIVERSITY AND RESEARCH INSTITUTE(DEEMED UNIVERSITY) MADURAVOYAL CHENNAI

Chennai
TAMIL NADU
600077
India 
Phone  8110017092  
Fax    
Email  annaprn10@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR RAMA S 
Designation  PROFESSOR 
Affiliation  ACS MEDICAL COLLEGE &HOSPITAL 
Address  DEPARTMENT OF ANAESTHESIOLOGY ACS MEDICAL COLLEGE AND hospital DR M.G.R UNIVERSITY AND RESEARCH INSTITUTE(DEEMED UNIVERSITY) MADURAVOYAL CHENNAI

Chennai
TAMIL NADU
600077
India 
Phone  9566823041  
Fax    
Email  drrama87@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR ANNAPOORANI MANOHAR 
Designation  POSTGRADUATE 
Affiliation  ACS MEDICAL COLLEGE & HOSPITAL 
Address  DEPARTMENT OF ANAESTHESIOLOGY ACS MEDICAL COLLEGE AND hospital DR M.G.R UNIVERSITY AND RESEARCH INSTITUTE(DEEMED UNIVERSITY) MADURAVOYAL CHENNAI

Chennai
TAMIL NADU
600077
India 
Phone  8110017092  
Fax    
Email  annaprn10@gmail.com  
 
Source of Monetary or Material Support  
DEPARTMENT OF ANAESTHESIOLOGY ACS MEDICAL COLLEGE AND HOSPITAL TAMIL NADU CHENNAI 600077 
 
Primary Sponsor  
Name  ACS MEDICAL COLLEGE AND HOSPITAL  
Address  DEPARTMENT OF ANAESTHESIOLOGY ACS MEDICAL COLLEGE AND HOSPITAL CHENNAI 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR ANNAPOORANI MANOHAR  ACS MEDICAL COLLEGE AND HOSPITAL   DEPARTMENT OF ANAESTHESIOLOGY ACS MEDICAL COLLEGE AND HOSPITAL
Chennai
TAMIL NADU 
8110017092

annaprn10@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSITUTIONAL HUMAN ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  lower limb surgeries 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  SPINAL ANAESTHESIA  study of intrathecal hyperbaric bupivacaine 0.5 PERCENTAGE with fentanyl in lower limb surgeries in tertiary care centre 
Comparator Agent  SPINAL ANAESTHESIA  study of intrathecal hyperbaric bupivacaine o.5 percentage with buprenorphine IN LOWER LIMB SURGERIES 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  ASA1 and ASA2 PATIENTS
ALL PATIENTS UNDERGOING ELECTIVE LOWER LIMB SURGERY UNDER SPINAL ANAESTHESIA
PATIENT BELONGING TO AGE GROUP 18-60 YEARS  
 
ExclusionCriteria 
Details  ASA PHYSICAL STATUS MORE THAN ASA3 and ASA4
HISTORY OF ALLERGY TO FENTANYL,BUPRENORPHINE AND BUPIVACAINE
PATIENTS REFUSAL
PATIENT HAVING CONTRAINDICATIONS TO SPINAL ANAESTHESIA
PATIENT WITH HISTORY OF BLEEDING DISORDERS OR PATIENTS ON ANTICOAGULANTS
PATIENTS WITH INFECTION AT THE SITE OF INJECTION
PATIENT WITH INFECTION AT THE SITE OF INJECTION
PATIENTS WITH ALLERGY TO LOCAL ANAESTHETICS
PATIENTS WITH CARDIAC DISEASE,HEART BLOCK ,DYSRHYTHMIAS , ANEMIA,SEVERE HYPOVOLEMIA,SHOCK,SEPTICEMIA,AND NEUROLOGICAL DEFECTS
PATIENTS ON BETA BLOCKERS AND ALPHA BLOCKERS
ANATOMICAL ABNORMALITY AT THE REGIONAL SITE
PREGNANT WOMEN 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
TO NOTE THE EFFECTIVENESS OF INTRATHECAL FENTANYL ,BUPRENORPHINE AND BUPIVACAINEON CHARACTERISTICS OF SUBARACHNOID BLOCK  TO NOTE THE EFFECTIVENESS OF INTRATHECAL FENTANYL ,BUPRENORPHINE AND BUPIVACAINEON CHARACTERISTICS OF SUBARACHNOID BLOCK AT THE TIME OF 1ST ONSET OF PAIN 
 
Secondary Outcome  
Outcome  TimePoints 
TO STUDY THE DURATION OF POSTOPERATIVE ANALGESIA AS TIME FOR THE FIRST ONSET OF PAIN AND TO STUDY EFFECTS OF HEMODYNAMIC PARAMETERS AND VITALS PARAMETERS  AT TIME OF 1ST ONSET OF PAIN 
 
Target Sample Size   Total Sample Size="76"
Sample Size from India="76" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   05/01/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   i randomised  patients undergoing lower limb surgeries under spinal anaesthesia into two groups so as to receive intrathecal either buprenorphine and fentanyl and bupivacaine 0.5% hyperbaric and noted study parameters in equal periods of time
benefits of participation intrathecal buprenorphine produces a more preferable prolonged sensory block and motor block than fentanyl and both groups hemodynamic stability was equal
 
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