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CTRI Number  CTRI/2020/05/025409 [Registered on: 28/05/2020] Trial Registered Prospectively
Last Modified On: 12/05/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Randomized comparison of Magnesium and Dexmedetomodine as adjuvant to Ropivacaine in pediatric caudal block 
Scientific Title of Study   Comparative evaluation of Magnesium and Dexmedetomidine as adjuvant to Ropivacaine in caudal block in children- A Randomized control trial. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Megha gandotra 
Designation  PG anaesthesia 
Affiliation  Govt. Medical college jammu 
Address  Department of anesthesia Floor no 2 Govt medical college Bakshi nagar, jammu

Jammu
JAMMU & KASHMIR
180005
India 
Phone  9469163365  
Fax    
Email  megha.gandotra89@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Naine bhadrala 
Designation  Assistant professor Anaesthesia 
Affiliation  Govt. Medical college jammu 
Address  Department of Anaesthesia 2nd floor Govt. Medical college Bakshi nagar,Jammu

Jammu
JAMMU & KASHMIR
180005
India 
Phone  9419781087  
Fax    
Email  naine1978@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Megha gandotra 
Designation  PG anaesthesia 
Affiliation  Govt. Medical college jammu 
Address  Department of anesthesia Floor no 2 Govt medical college Bakshi nagar, jammu

Jammu
JAMMU & KASHMIR
180005
India 
Phone  9469163365  
Fax    
Email  megha.gandotra89@gmail.com  
 
Source of Monetary or Material Support  
Department of anesthesia floor no 2 Government medical college bakshinagar jammu 
 
Primary Sponsor  
Name  Government medical college jammu 
Address  Bakshi nagar chowk Jammu Jammu and kashmir 180005 
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 
Dr Megha Gandotra  Government medical college jammu  Department of Anaesthesia 2nd Floor Govt medical college jammu Bakshinnagar
Jammu
JAMMU & KASHMIR 
9469163365

megha.gandotra89@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC Govt medical college Jammu  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Y998||Other external cause status,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Caudal block in pediatric age group  Child is placed in lateral position and sacral hiatus identified. After sterile skin preparation, small sterile 22 guage bevelled needle is advanced at 45 degree angle till a pop is felt by piercing of sacrococcygeal ligament. Needle is flattened and advanced and aspiration for blood and csf performed. If negative, jnjection is given slowly. Child is put jn supjne position for surgery to proceed 
Comparator Agent  Dexmedetomodine and magnesium as adjuvant to ropivacaine in caudal block  Comparator agent in 1st group is Dexmedetomidine 1mcg/kg in 1ml normal saline. Comparator agent in 2nd group is Magnesium 50 mg in 1 ml normal saline Control group has 1 ml normal saline as placebo 
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  10.00 Year(s)
Gender  Both 
Details  ASA group I or II in age group of 1-10 years, of either sex, , undergoing elective lower abdominal surgeries under general anaesthesia with caudal block supplementation 
 
ExclusionCriteria 
Details  ASA III or more, consent refusal, known allergy to study drugs, any coagulation abnormalities,prolonged surgery (>90min),any intensive need for preop sedation or analgesia, any contraindication to neuraxial blockade (infection,anatomic or neurological abnormality,heart disease,any muscular disorder), use of any medication that affect neurological system 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Duration of analgesia and need for rescue analgesia  At baseline, at end of surgery , 1 hour after surgery 4 hours after surgery up to next 24 hrs 
 
Secondary Outcome  
Outcome  TimePoints 
Sedation score and adverse effects if any  At baseline, at end of surgery , 1 hour after surgery 4 hours after surgery up to next 24 hrs 
 
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   Phase 3 
Date of First Enrollment (India)   01/06/2020 
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="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   After preanesthetic checkup, the children shall be randomly allocated in 3 groups of 20 patients each receiving 0.2% Ropivacaine 0.75ml/kg caudally with following adjuvants:
Group C (control), Group MG (magnesium), Group D (dexmedetomidine)
Parameters to be observed are Post op duration of analgesia , sedation score and any adverse effects if any.

 
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