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CTRI Number  CTRI/2021/01/030835 [Registered on: 29/01/2021] Trial Registered Prospectively
Last Modified On: 28/01/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Process of Care Changes 
Study Design  Other 
Public Title of Study   Effect of anaesthetic spray in addition to local injectable anaesthesia as pain relief for scrapping the inner layer of uterus 
Scientific Title of Study   Effect of lignocaine spray in addition to paracervical block as analgesia for uterine curretage- An observational study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ramalakshmi M 
Designation  Junior resident 
Affiliation  Mahatma Gandhi Medical College and Research Institute 
Address  Department of Obstetrics and Gynecology Mahatma Gandhi Medical College and Research Institute Pondicherry 607402 India
Mahatma Gandhi Medical College and Research Institute Pondicherry- Cuddalore road, Piliyarkuppam Pondicherry-607402
Pondicherry
PONDICHERRY
607402
India 
Phone  9629162506  
Fax    
Email  padma95lakshmi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Pallavee P 
Designation  Professor 
Affiliation  Mahatma Gandhi Medical College and Research Institute 
Address  Department of Obstetrics and Gynecology Mahatma Gandhi Medical College and Research Institute Pondicherry 607402 India
Mahatma Gandhi Medical College and Research Institute Pondicherry- Cuddalore road, Piliyarkuppam Pondicherry-607402
Pondicherry
PONDICHERRY
607402
India 
Phone  9489693270  
Fax    
Email  pallaveep@mgmcri.ac.in  
 
Details of Contact Person
Public Query
 
Name  Ramalakshmi M 
Designation  Junior resident 
Affiliation  Mahatma Gandhi Medical College and Research Institute 
Address  Department of Obstetrics and Gynecology Mahatma Gandhi Medical College and Research Institute Pondicherry 607402 India
Mahatma Gandhi Medical College and Research Institute Pondicherry- Cuddalore road, Piliyarkuppam Pondicherry-607402
Pondicherry
PONDICHERRY
607402
India 
Phone  9629162506  
Fax    
Email  padma95lakshmi@gmail.com  
 
Source of Monetary or Material Support  
Mahatma Gandhi Medical College and Research Institute 
 
Primary Sponsor  
Name  Mahatma Gandhi Medical College and research Institute 
Address  Mahatma Gandhi Medical College and Research Institute Pondicherry-Cuddalore road Pillayarkuppam, Pondicherry-607402  
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 Ramalakshmi  Department of obstetrics and gynecology  Department of Obstetrics and Gynecology Mahatma Gandhi Medical College and Research Institute Pondicherry 607402 India 607402
Pondicherry
PONDICHERRY 
9629162506

padma95lakshmi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Human Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N00-N99||Diseases of the genitourinary system, (2) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  10% local lignocaine spray with 1% lignocaine paracervically   10% lignocaine spray will be directed on the vaginal vault and cervical external os. Then 1% lignocaine will be injected paracervically  
Comparator Agent  No lignocaine spray with 1% lignocaine paracervically  Patient will not be given local lignocaine spray before injecting 1% lignocaine paracervically 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Female 
Details  Patients planned for uterine curettage procedure under paracervical block 
 
ExclusionCriteria 
Details  Hypersensitivity to lignocaine
Active genital tract infection
Past history of cervical surgery
History of chronic pelvic pain 
 
Method of Generating Random Sequence   Other 
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To compare the effect of lignocaine spray plus paracervical block with paracervical block alone for pain relief by
after holding the cervix with instrument
immediately after procedure
30 minutes post procedure
1 hour post procedure 
Till 1 hour post procedure 
 
Secondary Outcome  
Outcome  TimePoints 
Side effects between the 2 groups
Compare satisfaction score between the 2 groups using 5 point likert scale 
Till 1 hour post procedure 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   30/01/2021 
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   After completing the study 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Patients fulfilling the eligibilty criteria will be included after obtaining informed  consent. Detailed history, clinical examination and routine preoperative investigation will be done and patients will be allocated into group 1 and group 2.In Group 1 patients 10ml of 1% lignocaine will be injected paracervically at 5 and 7 o’ clock at the junction of cervix and vagina for Paracervical block(PCB). In Group 2 patients,3 puffs of lignocaine spray(30mg of 10% lignocaine) will be directed on cervix and vaginal vault. After a waiting period of 2 minutes cervix will be held with  an instrument and another 3 puffs will be directed towards the cervical external os. After further waiting period of 2 minutes 10ml of lignocaine will be injected paracervically at 5 and 7 o’clock at the junction of cervix and vagina for PCB .After PCB patients will undergo uterine curettage procedures according to the institution protocol. Pain score will be qualified by numeric pain rating scale(NPRS) which will be explained to the patient before the procedure. NPRS will be used after holding the cervix, immediately after the procedure,30 minutes and 1 hour after the procedure. 
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