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CTRI Number  CTRI/2019/04/018538 [Registered on: 10/04/2019] Trial Registered Prospectively
Last Modified On: 11/04/2019
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of effect of 2 doses of dexamethasone as addition to bupivacaine for brachial plexus block in patients undergoing upper limb surgery.  
Scientific Title of Study
Modification(s)  
Comparison of Dexamethasone 4mg and 8mg as an Adjuvant to 0.5% Bupivacaine in Supraclavicular Brachial Plexus Block for Upper Limb Surgeries-A Randomised Clinical Study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Arjun BK 
Designation  Senior Resident 
Affiliation  KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES 
Address  DEPARTMENT OF ANAESTHESIOLOGY,KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES,VV PURAM ,KR ROAD ,BENGALURU .

Bangalore
KARNATAKA
560004
India 
Phone  9972802569  
Fax    
Email  arjun.bg88@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Arjun BK 
Designation  Senior Resident 
Affiliation  KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES 
Address  DEPARTMENT OF ANAESTHESIOLOGY,KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES,VV PURAM ,KR ROAD ,BENGALURU .

Bangalore
KARNATAKA
560004
India 
Phone  9972802569  
Fax    
Email  arjun.bg88@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Arjun BK 
Designation  Senior Resident 
Affiliation  KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES 
Address  DEPARTMENT OF ANAESTHESIOLOGY,KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES,VV PURAM ,KR ROAD ,BENGALURU .

Bangalore
KARNATAKA
560004
India 
Phone  9972802569  
Fax    
Email  arjun.bg88@gmail.com  
 
Source of Monetary or Material Support  
DR.LAVANYA CHETAN,POST GRADUATE ,KIMS, BANGALORE 
 
Primary Sponsor  
Name  Dr LAVANYA CHETAN 
Address  POST GRADUATE KIMS BANGALORE 
Type of Sponsor  Other [SELF] 
 
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 
DRLAVANYA CHETAN  KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES  OPERATION ROOM,A BLOCK 4TH FLOOR,DEPARTMENT OF ANAESTHESIOLOGY,VV PURAM,KR ROAD,BENGALURU KARNATAKA
Bangalore
KARNATAKA 
9663544224

doclavanyachetan@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KIMS INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: W011||Fall on same level from slipping,tripping and stumbling with subsequent striking against object,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  GROUP 1   1.DEXAMETHASONE 4 mg AS AN ADJUVANT TO 0.5% BUPIVACAINE IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK.  
Comparator Agent  GROUP 2  DEXAMETHASONE 8mg AS AN ADJUVANT TO 0.5% BUPIVACAINE IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  AMERICAN SOCIETY OF ANAESTHESIOLOGISTS(ASA) 1AND 2.
PATIENT UNDERGOING ELECTIVE UPPER LIMB SURGERIES UNDER SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK. 
 
ExclusionCriteria 
Details  AMERICAN SOCIETY OF ANAESTHESIOLOGISTS(ASA) 3 AND MORE.
PATIENT WITH RENAL AND HEPATIC FAILURE,NEUROMUSCULAR AND CARDIOVASCULAR DISEASE.
PATIENT WITH PREGNANCY AND HYPERSENSITIVITY TO STUDY DRUG 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
DURATION FOR REQUEST OF FIRST RESCUE ANALGESIA  number of doses of analgesia required 
 
Secondary Outcome  
Outcome  TimePoints 
PATIENT SATISFACTION
TOTAL ANALGESIC REQUIREMENT IN FIRST 24 HOURS 
UP TO 24 HOURS 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)
Modification(s)  
15/04/2019 
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)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   1.K. C. Cummings, D. E. Napierkowski, I. Parra-Sanchez, A. Kurz, J. E. Dalton, J. J. Brems, D. I. Sessler; Effect of dexamethasone on the duration of interscalene nerve blocks with ropivacaine or bupivacaine, BJA: British Journal of Anaesthesia, Volume 107, Issue 3, 1 September 2011, Pages 446–453, https://doi.org/10.1093/bja/aer159.2.Biradar PA, Kaimar P, Gopalakrishna K. Effect of dexamethasone added to lidocaine in supraclavicular brachial plexus block: A prospective, randomised, double-blind study. Indian J Anaesth. 2013;57(2):180-4. 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Local anesthetics alone for Supraclavicular brachial plexus block provide good operative conditions but have shorter duration of postoperative analgesia.  Dexamethasone is a very potent and highly selective glucocorticoid. Various studies have been done using dexamethasone as an adjuvant to local anesthetics mixture in brachial plexus block resulting in variable effects on onset but prolonged duration of analgesia and motor block.        This study attempts to compare the two doses of dexamethasone for onset time and duration of sensory and motor block.

 
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