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CTRI Number  CTRI/2020/03/024261 [Registered on: 25/03/2020] Trial Registered Prospectively
Last Modified On: 25/03/2020
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   prospective 
Study Design  Other 
Public Title of Study   Determination of Accuracy of IVS Examination by Palpation Using Ultrasound 
Scientific Title of Study   Accuracy Level of Inter-vertebral Space Estimation by Palpation:The Ultrasonic Revelation 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  AMMU S 
Designation  POSTGRADUATE 
Affiliation  PSG Institute Of Medical Sciences and Rsearch (PSGIMSR) 
Address  NEWLADIES HOSTEL room 630 DEPARTMENT of ANAESTHESIOLOGY PSG INSTITUTE OF MEDICAL SCIENCES AND RESEARCH COIMBATORE TAMIL NADU
DEPARTMENT of ANAESTHESIOLOGY PSG INSTITUTE OF MEDICAL SCIENCES AND RESEARCH COIMBATORE TAMIL NADU
Coimbatore
TAMIL NADU
641004
India 
Phone  9048704104  
Fax    
Email  ammus6750@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  AMMU S 
Designation  POSTGRADUATE 
Affiliation  PSG Institute Of Medical Sciences and Rsearch (PSGIMSR) 
Address  DEPARTMENT of ANAESTHESIOLOGY PSG INSTITUTE OF MEDICAL SCIENCES AND RESEARCH COIMBATORE TAMIL NADU
DEPARTMENT of ANAESTHESIOLOGY PSG INSTITUTE OF MEDICAL SCIENCES AND RESEARCH COIMBATORE TAMIL NADU
Coimbatore
TAMIL NADU
641004
India 
Phone  9048704104  
Fax    
Email  ammus6750@gmail.com  
 
Details of Contact Person
Public Query
 
Name  AMMU S 
Designation  POSTGRADUATE 
Affiliation  PSG Institute Of Medical Sciences and Rsearch (PSGIMSR) 
Address  DEPARTMENT of ANAESTHESIOLOGY PSG INSTITUTE OF MEDICAL SCIENCES AND RESEARCH COIMBATORE TAMIL NADU
DEPARTMENT Of ANAESTHESIOLOGY PSG INSTITUTE OF MEDICAL SCIENCES AND RESEARCH COIMBATORE TAMIL NADU
Coimbatore
TAMIL NADU
641004
India 
Phone  9048704104  
Fax    
Email  ammus6750@gmail.com  
 
Source of Monetary or Material Support  
SELF FUNDED 
 
Primary Sponsor  
Name  DEPARTMENT of ANAESTHESIOLOGY  
Address  DEPARTMENT of ANAESTHESIOLOGY PSGIMSR PEELMEDU COIMBATORE 641004 
Type of Sponsor  Other [] 
 
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 
silvy anna varugese  psg institute of medical sciences and research  Department of Anesthesiology level 2 OR complex PSGIMSR PEELMEDU COIMBATORE 641004
Coimbatore
TAMIL NADU 
7012193690

drsilvyann@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institutional human ethics committee, PSG INSTITUTE OF MEDICAL SCIENCES AND RESEARCH  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: 1||Obstetrics,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  19.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  ASA 1-3
PREGNANT AND NON PREGNANT 
 
ExclusionCriteria 
Details  PATIENT REFUSAL TO PARTICIPATE IN STUDY
DRUG ALLERGY
ANY CONTRAINDICATION TO NEURAXIAL BLOCKADE 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To compare the accuracy of identification of IVS with palpation using USG.
 
2 MONTHS
 
 
Secondary Outcome  
Outcome  TimePoints 
to assess the effect of demographic parameters, patient positioning and anaesthesiologist experience on the accuracy.   2 months 
 
Target Sample Size   Total Sample Size="170"
Sample Size from India="170" 
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)   27/03/2020 
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="2"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   Ideal space for spinal anethesia is below connus medullaris to avaoid trauma to the cord. The intercristal line or tuffier’s line is the line joining the superior iliac crests which crosses the L4 vertebra or L4-L5 space. Adult conus medullaris ends at lower border of L1 bur it is variable. So selecting lower most space is crucial for safe neuraxial anesthesia. The most common method for selecting IVS is palpation based on Tuffier’s line , but its accuracy is less. USG is a less tome consuming , simple, non invasive and easy to learn technology , which can accurately identify the IVS.. Hence in this study ultrasound is used to evaluate the accuracy of palpation method to estimate the level of IVS. In addition the effect of demographic parameters , patient positioning and anersthesiologist experience in determining the accuracy will also be assessed. 
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