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CTRI Number  CTRI/2020/05/025464 [Registered on: 29/05/2020] Trial Registered Prospectively
Last Modified On: 08/11/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [postoperative pain relief]  
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Role of transcutaneous nerve stimulation at external ear for pain relief and haemodynamic stability of heart surgery patient 
Scientific Title of Study   A prospective observational study to assess the efficacy of auricular TENS in pain relief and haemodynamics in post sternotomy cardiac surgery patients 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Prabhat Tewari 
Designation  Professor 
Affiliation  SGPGIMS Lucknow 
Address  Department of Anaesthesiology SGPGIMS Raibarely road Lucknow

Lucknow
UTTAR PRADESH
226014
India 
Phone  09794393344  
Fax    
Email  ptewari@sgpgi.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Prabhat Tewari 
Designation  Professor 
Affiliation  SGPGIMS Lucknow 
Address  Department of Anaesthesiology SGPGIMS Raibarely road Lucknow


UTTAR PRADESH
226014
India 
Phone  09794393344  
Fax    
Email  ptewari@sgpgi.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dr Prabhat Tewari 
Designation  Professor 
Affiliation  SGPGIMS Lucknow 
Address  Department of Anaesthesiology SGPGIMS Raibarely road Lucknow


UTTAR PRADESH
226014
India 
Phone  09794393344  
Fax    
Email  ptewari@sgpgi.ac.in  
 
Source of Monetary or Material Support  
no monetary support 
 
Primary Sponsor  
Name  SGPGIMS Lucknow 
Address  Raibarely Road Lucknow 
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 
Dr Prabhat Tewari  SGPGIMS  Raibarely road Lucknow
Lucknow
UTTAR PRADESH 
09794393344

ptewari@sgpgi.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics committee SGPGIMS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I089||Rheumatic multiple valve disease,unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  TENS stimulation  TENS electrode stimulation on the vagus area of the external ear of the patient 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Post sternotomy cardiac surgery patients divided in three groups for pain relief.One group will act as control and pain management will be done as per institutional protocol. Second group will have two arms. one active arm will be given auricular TENS therapy and the placebo arm will have sham TENS therapy. The Pain will be evaluated with established pain scoring systems and the pain relief medications will be given on the patient responce as per protocol. The haemodynamic effects will be noted in all the three groups 
 
ExclusionCriteria 
Details  Ejection Fraction less than 50 percent
diabetes
hypertension
any pain syndrome
refusal to take part in study
ear infection or deformation 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain relief assessed every day
Need of pain medications and dose as per patient requirement
Haemodynamic assessment and incidence of arrythmia 
three time per day 
 
Secondary Outcome  
Outcome  TimePoints 
Type of arrhythmia
duration of arrhythmia
management of arrhythmia
response to management
patient tolerance to therapy 
three times per day 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/06/2020 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="2"
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   This clinical trial will evaluate the effect of transcutaneous nerve stimulation of the Vagus nerve at the site of External auricle of human subjects in lessening th epostoperative sternotomy pain in cardiac surgical patients and its role in lessenign the requirement of the opioids.
Second this trial will also look into the incidence of arrythmias in postoperative cardiac patients and the effect of auricular TENS in lessening the magnitude of these arrythmias.

 
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