CTRI Number |
CTRI/2018/05/013587 [Registered on: 01/05/2018] Trial Registered Retrospectively |
Last Modified On: |
22/03/2023 |
Post Graduate Thesis |
Yes |
Type of Trial |
Interventional |
Type of Study
|
Surgical/Anesthesia |
Study Design |
Randomized, Parallel Group Trial |
Public Title of Study
|
Comparison of local anaesthetic drug injection at two points in the junction of thigh and abdomen- one point above the junction and second below the junction to assess the blockade of nerves supplying the thigh. |
Scientific Title of Study
|
Comparative Evaluation Of Ultrasound Guided Supra Inguinal Versus Infra Inguinal Approach To Fascia Iliaca Compartment Block –
A Randomised Clinical Trial
|
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Abhimanyu Singh |
Designation |
Postgraduate ( MD Anaestheiology) |
Affiliation |
Mahatma Gandhi Medical College and Research Institute |
Address |
Department of Anaesthesiology
Mahatma Gandhi Medical College and Research Institute
Pillayarkuppam
Pondicherry PONDICHERRY 607402 India |
Phone |
9999636613 |
Fax |
|
Email |
dr.anniej@yahoo.com |
|
Details of Contact Person Scientific Query
|
Name |
Annie Sheeba J |
Designation |
Assistant Professor |
Affiliation |
Mahatma Gandhi Medical College and Research Institute |
Address |
Department of Anaesthesiology
Mahatma Gandhi Medical College and Research Institute
Pillayarkuppam
Pondicherry PONDICHERRY 607402 India |
Phone |
9655035791 |
Fax |
|
Email |
annie.john24@yahoo.co.in |
|
Details of Contact Person Public Query
|
Name |
Annie Sheeba J |
Designation |
Assistant Professor |
Affiliation |
Mahatma Gandhi Medical College and Research Institute |
Address |
Department of Anaesthesiology
Mahatma Gandhi Medical College and Research Institute
Pillayarkuppam
Pondicherry PONDICHERRY 607402 India |
Phone |
9655035791 |
Fax |
|
Email |
annie.john24@yahoo.co.in |
|
Source of Monetary or Material Support
|
Mahatma Gandhi Medical College and Research Institute
Pillayarkuppam
Pondicherry - 607403 |
|
Primary Sponsor
|
Name |
Mahatma Gandhi Medical College and Research Institute |
Address |
Mahatma Gandhi Medical College and Research Institute
Pillayarkuppam
Pondicherry - 607403 |
Type of Sponsor |
Private medical college |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Abhimanyu Singh |
Mahatma Gandhi Medical College and Research Institute |
Department of Anaesthesiology
Second floor, D block
Hospital complex,
Mahatma Gandhi Medical College and Research Institute
Pillayarkuppam Pondicherry PONDICHERRY |
9999636613
dr.anniej@yahoo.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
Institutional Human Ethics Committee |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
Patients posted from lower limb surgeries requiring post operative analgesia, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Comparator Agent |
Infra-inguinal Fascia Iliaca Compartment Block |
A Infra-inguinal fascia iliaca block will be given and blockade of the three nerves of the thigh will be noted- Femoral nerve, Obturator nerve, Lateral femoral cutaneous nerve. Procedure will be for 45 minutes |
Intervention |
Supra- Inguinal Fascia iliaca block |
A supra-inguinal fascia iliaca block will be given and blockade of the three nerves of the thigh will be noted- Femoral nerve, Obturator nerve, Lateral femoral cutaneous nerve. procedure will be for 45 minutes |
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
65.00 Year(s) |
Gender |
Both |
Details |
1) ASA I – II
2) All surgeries requiring FICB for analgesia
|
|
ExclusionCriteria |
Details |
1) Patient refusal
2) Lower limb fracture
3) Patients allergic to local anaesthetics
4) Patients with coagulopathy
5) Patients with neurological deficits and neuromuscular diseases
6) Patients with infection at the site of injection
7) Pregnant patients |
|
Method of Generating Random Sequence
|
Computer generated randomization |
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
Blinding/Masking
|
Outcome Assessor Blinded |
Primary Outcome
|
Outcome |
TimePoints |
Incidence of 3 nerves block -
1) sensory Blockade
2) quadriceps muscle strenght
3) adductor squeeze test |
outcome will be assessed every 15 minutes for one hour |
|
Secondary Outcome
|
Outcome |
TimePoints |
1) Time of onset of block of all three nerves
2) Distance between Supra- inguinal and Infra – inguinal injection points from inguinal ligament
|
1) Every 15 minutes after the block
2) one time before performance of the block |
|
Target Sample Size
|
Total Sample Size="60" Sample Size from India="60"
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="60" |
Phase of Trial
|
N/A |
Date of First Enrollment (India)
|
05/04/2017 |
Date of Study Completion (India) |
10/12/2018 |
Date of First Enrollment (Global) |
Date Missing |
Date of Study Completion (Global) |
Date Missing |
Estimated Duration of Trial
|
Years="2" Months="6" Days="5" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
Recruitment Status of Trial (India) |
Completed |
Publication Details
|
None yet |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
Brief Summary
|
After
obtaining approval from the institutional ethical committee and obtaining
patient consent, 60 patients schedule for lower limb surgeries ( fulfilling
inclusion criteria ) will be recruited for this study.After the initial assessment, patient will
be randomised based on the allocation number using closed envelope technique.
Patient will be prepared for the FICB procedure and the distance from supra- inguinal
and infra- inguinal injection points from the ligament will be measured using
ultrasound. Patient
will be continuously monitored and hemodynamic parameters recorded every 10 minutes.
The motor and sensory assessment after
the block, will be done by the examiner blinded to the approach used for FICB. Sensory
assessment will be done at 30, 45 and 60 minutes after block A successful 3 nerve block is considered
when the sensory assessement score for cold sensation is 0 and motor power
score for quadriceps and adductor muscles is 1-0 and 50% decrease in pressure
generated by adductor squeeze test at the end of 60 minutes after block. |