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CTRI Number  CTRI/2018/11/016298 [Registered on: 09/11/2018] Trial Registered Prospectively
Last Modified On: 06/11/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   use of skin numbing very small size injections to reduce bigger injection pain before surgery 
Scientific Title of Study   Use of subcutaneous infiltration with insulin syringe to decrease intravenous cannulation stress response  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  pankaj v patel 
Designation  anesthesiologist 
Affiliation  muljibhai patel urological hospital, nadiad 
Address  Muljibhai Patel Urological Hospital, Department of Anesthesia,OT complex, Ground floor, Nadiad

Kheda
GUJARAT
387001
India 
Phone  8128600624  
Fax    
Email  pankajpatel_81@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  pankaj v patel 
Designation  anesthesiologist 
Affiliation  muljibhai patel urological hospital, nadiad 
Address  Muljibhai patel Urological Hospital, OT complex, Department of Anesthesia, Ground floor, Nadiad

Kheda
GUJARAT
387001
India 
Phone  8128600624  
Fax    
Email  pankajpatel_81@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  pankaj v patel 
Designation  anesthesiologist 
Affiliation  muljibhai patel urological hospital, nadiad 
Address  Muljibhai Patel Urological Hospital, Department of Anesthesia, OT complex, Ground Floor, Nadiad.

Kheda
GUJARAT
387001
India 
Phone  8128600624  
Fax    
Email  pankajpatel_81@yahoo.co.in  
 
Source of Monetary or Material Support  
muljibhai patel urological hospital, Department Of Anesthesia,OT complex, nadiad 387001 
 
Primary Sponsor  
Name  muljibhai patel urological hospital 
Address  virendra desai road, nadiad 387001 
Type of Sponsor  Private hospital/clinic 
 
Details of Secondary Sponsor  
Name  Address 
nil   
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 pankaj patel  muljibhai patel urological hospital  Department of anesthesia , OT complex , ground floor
Kheda
GUJARAT 
8128600624

pankajpatel_81@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
MPSRNUEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N00-N99||Diseases of the genitourinary system, (2) ICD-10 Condition: N00-N99||Diseases of the genitourinary system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  lignocaine 2%  infiltration of skin with lignocaine 2% using insulin syringe 
Comparator Agent  normal saline  infiltration of skin using normal saline with insulin syringe 
 
Inclusion Criteria  
Age From  12.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  12 YEARS TILL 50 YEARS OF AGE 
 
ExclusionCriteria 
Details  Localized infection at proposed site of injection,Patients below 12 and above 50 years of age, Patients requiring cannulation other than 18 guage intravenous cannula

 
 
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 
Our primary aim is to study pain effect of the patients after subcutaneous xylocaine infitration with insulin syringe before intravenous cannulation .secondary outcome will be to study patient satisfaction scores with help of likert scale  pain score with the help of VAS score and satisfaction score with the help of likert scale immediately after injection and before start of anesthesia 
 
Secondary Outcome  
Outcome  TimePoints 
overal satisfaction scores of patients using likerts scale  after local anesthetic injection before start of anesthesia 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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 1 
Date of First Enrollment (India)   10/11/2018 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  10/11/2019 
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   EC/541/2018 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Intravenous cannulation is a mandatory process before start of every surgery whether it may be a general or regional anesthesia. The size of cannula may vary from smaller ones like 22guage to bigger ones like 16 guage , depending on type and complexity of the surgery .

Guidelines recommend that for monitored anesthesia care a secured iv cannula is a must.

Even a simple needle prick to the patient might invoke stress response and significant amount of phobia in him before the start of the procedure. Also it may lead to dreaded compilcations like vaso vagal attack leading to bradycardia and arrest.

To decrease this intravenous cannulation stress response, we infiltrated the propsed iv site with 0.5ml of subcutaneous xylocaine with a insulin syringe in 50 patients (study group), whereas the control group included 50 patients with saline infiltration .

 
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