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CTRI Number  CTRI/2019/12/022337 [Registered on: 12/12/2019] Trial Registered Prospectively
Last Modified On: 13/12/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   PAIN RELIEF AFTER SURGERY IN CHILDREN BY SPINAL AND CAUDAL ANAESTHESIA WITH BUPIVACAINE BY TWO TECHNIQUES 
Scientific Title of Study   POST OPERATIVE ANALGESIA USING TWO CONCENTRATIONS OF BUPIVACAINE(0.20% AND 0.15%) FOR CAUDAL EPIDURAL ANALGESIA (CEA) IN SEQUENTIAL CEA-SPINAL ANAESTHESIA IN CHILDREN POSTED FOR INFRA UMBILICAL SURGERIES 
Trial Acronym  SECEP-B 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Elavarasan R 
Designation  Junior Resident  
Affiliation  Vijayanagar Institute of Medical Sciences 
Address  Dept of Anaesthesiology, VIMS, Ballari

Bellary
KARNATAKA
583104
India 
Phone  9952749417  
Fax    
Email  elavarsanakash@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Bala Bhaskar S 
Designation  Professor 
Affiliation  Vijayanagar Institute of Medical Sciences 
Address  Dept of Anaesthesiology, VIMS,Cantonment, Ballari
Dept of Anaesthesiology, VIMS,Cantonment, Ballari
Bellary
KARNATAKA
583104
India 
Phone  9880012349  
Fax    
Email  sbalabhaskar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Elavarasan R 
Designation  Junior Resident  
Affiliation  Vijayanagar Institute of Medical Sciences 
Address  Dept of Anaesthesiology, VIMS, Ballari

Bellary
KARNATAKA
583104
India 
Phone  9952749417  
Fax    
Email  elavarsanakash@gmail.com  
 
Source of Monetary or Material Support  
nil 
 
Primary Sponsor  
Name  Department of Anaesthesiology 
Address  Department of Anaesthesiology VIMS Bellari 
Type of Sponsor  Government medical college 
 
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 
Elavarasan R  Vijayanagar Institute of medical sciences  Department of Anaesthesiology, Major OT complex, Cantonment, Ballari
Bellary
KARNATAKA 
9952749417

elavarsanakash@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Institutional Ethical Committee (IEC) VIMS  Approved 
Institutional Ethical Committee (IEC) VIMS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  BUPIVACAINE(0.15%) FOR CAUDAL EPIDURAL ANALGESIA (CEA) IN SEQUENTIAL CEA-SPINAL ANAESTHESIA  Inj Bupivacaine 0.15% is used for caudal analgesia followed by Spinal Anaesthesia using Bupvacaine Heavy 0.5% 
Comparator Agent  Inj Bupivacaine 0.20% is used for caudal analgesia followed by Spinal Anaesthesia using Bupvacaine Heavy 0.5%  BUPIVACAINE(0.20%) FOR CAUDAL EPIDURAL ANALGESIA (CEA) IN SEQUENTIAL CEA-SPINAL ANAESTHESIA 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  8.00 Year(s)
Gender  Both 
Details  1) Children of either sex posted for elective infra umbilical surgery
2) ASA physical status I & II
3) Age 2 to 8 years 
 
ExclusionCriteria 
Details  1) Refusal by parents for the procedure
2) Children with spinal developmental anomalies
3) Significant coagulation, cardiovascular, respiratory, central nervous system or renal system disorders
4) Preexisting musculoskeletal disorders
5) Allergy to test drugs 
 
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 
Postoperative analgesia characteristics between to groups  Assessment every 15 min for for 6 hrs, every 30 mins for 12 hrs, every 4 hrs for 24 hrs  
 
Secondary Outcome  
Outcome  TimePoints 
Use of supplements,PONV,Hemodynamic changes  every 15th minute for 3hrs, every 30 mins for 12 hrs,every 4 hrs till 24 hrs 
 
Target Sample Size   Total Sample Size="54"
Sample Size from India="54" 
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)   29/12/2019 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details
Modification(s)  
NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
Post operative analgesia in paediatric patients includes using caudal epidural analgesia. Spinal Anaesthesia is used frequently for providing surgical anaesthesia for infra umbilical surgeries. 
Combining both the techniques requires care in dosing requirements of local anaesthetic agents, to prevent toxicity.
Keeping this in mind, this trial is planned using two different doses of bupivacaine (0.15% and 0.20%) for caudal epidural along with standard dose for spinal anaesthesia.
First recruitment will start after approval by CTRI.
 
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