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CTRI Number  CTRI/2020/02/023157 [Registered on: 06/02/2020] Trial Registered Prospectively
Last Modified On: 01/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of two methods of pain relief in pediatric laparoscopic surgeries 
Scientific Title of Study   Randomised double blinded comparative study of the effects of Intravenous lignocaine infusion and Caudal Bupivacaine in pediatric laparoscopic surgeries.  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  P GAYATHRI 
Designation  FELLOW IN PEDIATRIC ANESTHESIA 
Affiliation  RAINBOW CHILDRENS HOSPITAL 
Address  AXON ANAESTHESIA 4TH FLOOR OT COMPLEX RAINBOW HOSPITAL ROAD NO 2 BANJARA HILLS

Hyderabad
TELANGANA
500034
India 
Phone  9848638850  
Fax    
Email  drgayathrip@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  K SAILAJA 
Designation  CONSULTANT  
Affiliation  RAINBOW CHILDRENS HOSPITAL 
Address  AXON ANAESTHESIA 4TH FLOOR OT COMPLEX RAINBOW HOSPITAL ROAD NO 2 BANJARA HILLS

Hyderabad
TELANGANA
500034
India 
Phone  7093322303  
Fax    
Email  sailuk78@gmail.com  
 
Details of Contact Person
Public Query
 
Name  K SAILAJA 
Designation  CONSULTANT  
Affiliation  RAINBOW CHILDRENS HOSPITAL 
Address  AXON ANAESTHESIA 4TH FLOOR OT COMPLEX RAINBOW HOSPITAL ROAD NO 2 BANJARA HILLS

Hyderabad
TELANGANA
500034
India 
Phone  7093322303  
Fax    
Email  sailuk78@gmail.com  
 
Source of Monetary or Material Support  
NOT APPLICABLE 
 
Primary Sponsor  
Name  RAINBOW CHILDRENS HOSPITAL 
Address  ROAD NO 2 BANJARA HILLS HYDERABAD TELANGANA 500034 
Type of Sponsor  Other [ACADEMIC STUDY] 
 
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 
P GAYATHRI  RAINBOW CHILDRENS HOSPITAL  ROAD NO 2 BANJARA HILLS HYDERABAD TELANGANA PIN CODE-500034
Hyderabad
TELANGANA 
9848638850

drgayathrip@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE RAINBOW HOSPITAL  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 
Comparator Agent  CAUDAL BUPIVACAINE  1.2 ML/KG OF BUPIVACAINE GIVEN THROUGH CAUDAL 
Intervention  INTRAVENOUS LIGNOCAINE   1.5 MG/KG OF LIGNOCAINE AS BOLUS OVER 5 MINUTES FOLLOWED BY 1.5 MG/KG/HOUR OF LIGNOCAINE INFUSION INTRAOPERATIVELY 
 
Inclusion Criteria  
Age From  6.00 Month(s)
Age To  6.00 Year(s)
Gender  Both 
Details  AMERICAN SOCIETY OF ANAESTHESIOLOGISTS GRADE 1 AND 2 CHILDREN
LAPAROSCOPIC ABDOMINAL SURGERIES
WEIGHING 10- 20 KILOGRAMS 
 
ExclusionCriteria 
Details  HISTORY OF ALLERGY TO LOCAL ANAESTHETICS
HISTORY OF SEIZURES
HISTORY OF CARDIAC DISEASES 
 
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 
Total fentanyl requirement intraoperatively and postoperatively and time to first rescue analgesia from the time of extubation
 
T Extubation-at extubation total fentanyl used
T postoperative 2 hours- total fentanyl used postoperatively in 2 hours
T rescue- Time from extubation to first rescue analgesia
 
 
Secondary Outcome  
Outcome  TimePoints 
Heart rate, Systolic blood pressure and Diastolic blood pressure   T0 (baseline), T1 (at the time of port insertion), Tpeak (maximum reading during the procedure), T2 (at extubation), T3(postoperative- 0 min), T4(postoperative- 5 min), T5(postoperative-15 min), T6(postoperative- 30 min), T7( postoperative- 1 hour), T8(postoperative- 2 hour) 
Pediatric anaesthesia Emergence delirium score and Face,Legs,Activity,Cry Consolability FLACC pain scale  At awakening,At postoperative 30 minutes, 1 hour and 2 hour 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "100"
Final Enrollment numbers achieved (India)="100" 
Phase of Trial   N/A 
Date of First Enrollment (India)   12/02/2020 
Date of Study Completion (India) 30/09/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   The study aims to compare the efficacy of intravenous lignocaine  given as 1.5 mg/kg bolus over 5 minutes followed by 1.5 mg/kg/hour infusion, with caudal bupivacaine 2.5 mg/kg prepared to 1.2 ml/kg, in 100 pediatric patients in the age group of 6 months to 6 years, undergoing laparoscopic abdominal surgeries with 50 patients in each group allocated randomly. The total intravenous fentanyl requirement both intraoperatively and postoperatively, time to first rescue analgesia after extubation, heart rate, systolic and diastolic blood pressure at various time points, pediatric anaesthesia emergence delirium score and FLACC Pain score in the postoperative period will be noted to compare the effects. 
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