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CTRI Number  CTRI/2018/11/016429 [Registered on: 27/11/2018] Trial Registered Prospectively
Last Modified On: 26/11/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Study to compare two drugs: fentanyl and dexmedetomidine used to numb the wind pipe to do endoscopy. 
Scientific Title of Study   Comparison between fentanyl and dexmedetomidine nebulization as adjuvant to lignocaine during awake flexible fiberoptic bronchoscopy 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Poonam Kumari 
Designation  Assistant Professor 
Affiliation  AIIMS,Patna 
Address  Department of Anaesthesia, Faculty Room, 3rd Floor, Ayush PMR Building, AIIMS,Patna

Patna
BIHAR
801507
India 
Phone    
Fax    
Email  drpoonam1981@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Poonam Kumari 
Designation  Assistant Professor 
Affiliation  AIIMS,Patna 
Address  Department of Anaesthesia, Faculty Room, 3rd Floor, Ayush PMR Building, AIIMS,Patna

Patna
BIHAR
801507
India 
Phone    
Fax    
Email  drpoonam1981@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Poonam Kumari 
Designation  Assistant Professor 
Affiliation  AIIMS,Patna 
Address  Department of Anaesthesia, Faculty Room, 3rd Floor, Ayush PMR Building, AIIMS,Patna

Patna
BIHAR
801507
India 
Phone    
Fax    
Email  drpoonam1981@gmail.com  
 
Source of Monetary or Material Support  
AIIMS,Patna 
 
Primary Sponsor  
Name  AIIMSPatna 
Address  Phulwarisharif, Patna, Bihar 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Poonam Kumari  All India Institute of Medical Sciences, Patna  OT complex, Recovery area, PACU, HDU, ICU of All India Institute of Medical Sciences, Patna Patna BIHAR
Patna
BIHAR 
916122451070

drpoonam1981@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee, AIIMS,Patna  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J00-J99||Diseases of the respiratory system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Dexmedetomidine 1µg/kg to lignocaine 4 ml 4%   dose: Dexmedetomidine 1µg/kg to 4 ml of 4% lignocaine route: nebulisation frequency: once duration: 20 minutes 
Comparator Agent  Fentanyl 2µg/kg added to 4 ml of 4% lignocaine  dose:Fentanyl 2µg/kg added to 4 ml of 4% lignocaine route: nebulisation frequency: once duration: 20 minutes  
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  ASA I/II patients Scheduled for elective bronchoscopy diagnostic procedure
 
 
ExclusionCriteria 
Details  1. Unconscious and uncooperative patients
2. Intubated patient on ventilator, patient need general anaesthesia,
3. Patient on oxygen
4. Allergic to LA, fentanyl, dexmedetomidine
5. Asthmatics
6. Epileptics
7. Coagulation abnormalities
8. Haemodynamic instability, bradyarrhythmias
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1.no. of cough reflex
2. no of additional lignocaine sprays required 
1. 60 minutes
2. 60 minutes 
 
Secondary Outcome  
Outcome  TimePoints 
1. patient satisfaction score
2. additional sedative doses
3. heart rate and mean arterial pressure 
1. after 2 hours
2. 60 minutes
3. 60 minutes 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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   N/A 
Date of First Enrollment (India)   29/11/2018 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   2. Bartfield JM, Flint RD, McErlean M, Broderick J. Nebulized fentanyl for relief of abdominal pain. AcadEmerg Med. 2003; 10:215–8. 3. Worsley MH, MacLeod AD, Brodie MJ, Asbury AJ, Clark C. Inhaled fentanyl as a method of analgesia. Anaesthesia. 1990; 45:449–51.  
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   Awake fiberoptic aided diagnostic procedures requires an anaesthetised airway to facilitate smooth introduction of the scope and prevent cough or gag reflex. Various techniques include nebulisation of the airway using local anaesthetic. Lately fentanyl and dexmedetomidine have also been used through nebulisation. Hence we aimed to compare both of these drugs as an adjuvant to lignocaine and see whether they facilitate the process of bronchoscopy. 
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