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CTRI Number  CTRI/2019/11/021902 [Registered on: 06/11/2019] Trial Registered Prospectively
Last Modified On: 04/11/2019
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   A clinical study to compare pain relief for block performed before and after surgery in patients having surgeries in the jaw 
Scientific Title of Study   A Randomized Control Trial to Compare Efficacy of Ultrasound - Guided Mandibular Nerve Block Performed Postoperatively with Preemptive Block in Mandibular Surgeries  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rajagopalan Venkatraman 
Designation  Professor 
Affiliation  Srm Medical College Hospital and Research Centre 
Address  Department of Anaesthesiology Srm Medical College Hospital Potheri

Kancheepuram
TAMIL NADU
603203
India 
Phone  09894581455  
Fax    
Email  drvenkat94@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Rajagopalan Venkatraman 
Designation  Professor 
Affiliation  Srm Medical College Hospital and Research Centre 
Address  Department of Anaesthesiology Srm Medical College Hospital Potheri

Kancheepuram
TAMIL NADU
603203
India 
Phone  09894581455  
Fax    
Email  drvenkat94@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Belinda Cherian 
Designation  Postgraduate 
Affiliation  Srm Medical College Hospital and Research Centre 
Address  Department of Anaesthesiology Srm Medical College Hospital Potheri

Kancheepuram
TAMIL NADU
603203
India 
Phone  8139825608  
Fax    
Email  belindacherian93@gmail.com  
 
Source of Monetary or Material Support  
SRM Institute of Science and Technology, Srm nagar, Potheri, kancheepuram District, Tamilnadu - 603203.  
 
Primary Sponsor  
Name  SRM Medical College Hospital  
Address  Room no 1, B Block, Department of Anaesthesiology Potheri Kattankulathur 603203 Kancheepuram TAMIL NADU  
Type of Sponsor  Research institution and hospital 
 
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 
Rajagopalan Venkatraman   SRM Medical College Hospital   Room no 1, B Block, Department of Anaesthesiology Srm Medical College Hospital Potheri Kattankulathur
Kancheepuram
TAMIL NADU 
9894581455

drvenkat94@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRM Medical College Hospital and Research Centre   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S02||Fracture of skull and facial bones,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Mandibular nerve block  It is a block performed using ultrasound in the perimandibular space  
Comparator Agent  pre-emptive and postoperative  The mandibular nerve block is performed either prior to surgery or in the immediate postoperative period.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patients with ASA Physical Status I and II posted for fractures of mandible 
 
ExclusionCriteria 
Details  1. All patients with ASA Physical Status III and above
2. Patients who refuse to participate in the study
3. Patients who are allergic to amide local anaesthetics
4. Patients who are pregnant
5. Patients with chronic cardiac, renal or hepatic condition
6. Patients with coagulation abnormalities 
 
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 of postoperative analgesia  within 24 hours of surgery 
 
Secondary Outcome  
Outcome  TimePoints 
Haemodynamic parameters  The heart rate,and blood pressure intraoperatively will be observed.  
Morphine consumption  The total consumption of morphine in the first 24 hours in PCA pump will be recorded 
 
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   N/A 
Date of First Enrollment (India)   18/11/2019 
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)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   Patients posted for mandibular fracture fixation surgeries will be included in the study. The patients will be randomly divided into two groups. Group A will receive mandibular nerve block after anaesthesia induction and endotracheal intubation and prior to surgical incision. Group B patients will receive mandibular nerve block at the end of surgery. Both the blocks will be performed with the aid of ultrasound and using Ropivacaine 0.5% 10ml.
The general anaesthesia will be standardized in both the groups. At the end of sugery, the patient will be put on patient controlled analgesia (PCA) using morphine with bolus of 1mg and lockout interval of 10 minutes.
The duration of postoperative analgesia, consumption of morphine in PCA and haemodynamic parameters will be obseved in both the groups and compared. Descriptive statics ( mean , standard deviation, and frequency ) will be included . to compare quantitive data , chi-square test was used . the results will be expressed in 95% confidence interval . a valve of p<0.05 will be considered to be statistically significant. 

 
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