| CTRI Number |
CTRI/2019/02/017382 [Registered on: 01/02/2019] Trial Registered Prospectively |
| Last Modified On: |
16/05/2020 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug Surgical/Anesthesia Preventive |
| Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
|
Public Title of Study
|
A clinical trial to compare the effects of nebulisation with Lignocaine and Ketamine in reducing rise in blood pressure and heart rate during intubation and in reducing incidence of sore throat in post operative period |
|
Scientific Title of Study
|
COMPARISON OF NEBULIZED LIGNOCAINE AND NEBULIZED KETAMINE AS AN ADJUVANT TO GENERAL ANAESTHESIA IN ATTENUATING STRESS RESPONSE TO INTUBATION AND IN REDUCING THE INCIDENCE OF POSTOPERATIVE SORE THROAT |
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Viji S Pillai |
| Designation |
Associate Professor |
| Affiliation |
Regional Cancer Centre, Thiruvananthapuram |
| Address |
PKRA 74, Midhunam parottukonam, Pattom, Thiruvanathapuram
Thiruvananthapuram KERALA 695004 India |
| Phone |
9447304631 |
| Fax |
|
| Email |
vijipillai6@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Viji S Pillai |
| Designation |
Associate Professor |
| Affiliation |
Regional Cancer Centre, Thiruvananthapuram |
| Address |
PKRA 74, Midhunam parottukonam, Pattom, Thiruvanathapuram
Thiruvananthapuram KERALA 695004 India |
| Phone |
9447304631 |
| Fax |
|
| Email |
vijipillai6@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Anila V B |
| Designation |
Junior Resident |
| Affiliation |
Regional Cancer Centre, Trivandrum |
| Address |
Doctors Hostel, Regional Cancer Centre, Medical college campus, Trivandrum Anila Nivas, Thekkethara, Pazhayannur, Thrissur Thiruvananthapuram KERALA 695011 India |
| Phone |
7034044192 |
| Fax |
|
| Email |
anilavaliyakath123@gmail.com |
|
|
Source of Monetary or Material Support
|
| Regional Cancer Centre, Trivandrum |
|
|
Primary Sponsor
|
| Name |
Dr VIJI S PILLAI |
| Address |
PKRA 74, MIDHUNAM PAROTTUKONUM,
PATTOM,TRIVANDRUM |
| Type of Sponsor |
Other [Self] |
|
|
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 Viji S Pillai |
Regional Cancer Centre, Thiruvananthapuram |
Department of Anaesthesiology, oncosurgery division, Regional cancer center, Medical College Campus, Thiruvananthapuram Thiruvananthapuram KERALA |
9447304631
vijipillai6@gmail.com |
|
Details of Ethics Committee
Modification(s)
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Human Ethic Committee, RCC Thiruvananthapuram |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Ketamine |
An anaesthetic agent which can be given in nebulised form to suppress airway reflexes
Dose: 1 mg/kg upto a maximum of 50 mg |
| Intervention |
Lignocaine |
A local anaesthetic agent which can be given in nebulised form to suppress airway reflexes
Dose: 3 mg/kg 60 minutes prior to induction |
| Comparator Agent |
Normal saline |
Intravenous fluid which can humidify the airway |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Both |
| Details |
ASA physical status 1 and 2
Elective surgeries
Surgeries requiring General Anaesthesia with endotracheal intubation
Surgeries in supine position
|
|
| ExclusionCriteria |
| Details |
Surgeries lasting for more than 4 hours
Known allergy to Lignocaine or Ketamine
Recent history of cough or sore throat
Nasal or oral surgeries
Anticipated difficult airway
Pregnancy
Obesity, BMI>30
Uncontrolled hypertension |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
An Open list of random numbers |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| To compare the efficiency of Lignocaine airway nebulisation and Ketamine nebulisation in attenuating stress response to intubation |
To compare the efficiency of Lignocaine airway nebulisation and Ketamine nebulisation in attenuating stress response to intubation |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| To compare the reduction in incidence of postoperative sore throat with use of Lignocaine and Ketamine nebulisation |
24 hours after surgery |
|
|
Target Sample Size
|
Total Sample Size="164" Sample Size from India="164"
Final Enrollment numbers achieved (Total)= "162"
Final Enrollment numbers achieved (India)="162" |
Phase of Trial
Modification(s)
|
Phase 3/ Phase 4 |
|
Date of First Enrollment (India)
|
01/02/2019 |
| Date of Study Completion (India) |
20/09/2019 |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Date Missing |
|
Estimated Duration of Trial
|
Years="0" Months="6" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Completed |
Publication Details
Modification(s)
|
None yet |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
Brief Summary
Modification(s)
|
A randomized clinical trial to compare the efficacy of Lignocaine(3 mg/kg) nebulisation and Ketamine nebulisation(1 mg/kg) in reducing stress response to intubation and post operative sore throat in patients requiring General Anaesthesia with endotracheal intubation. Sample size was 162 (54 in each group). From the study we concluded that nebulization with ketamine and lignocaine are equally effective in reducing hemodynamic stress response and post operative sore throat following endotracheal intubation. There was marked rise in hemodynamic parameters and incidence of postoperative sorethroat in control group (normal saline nebulisation). |