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CTRI Number  CTRI/2021/03/031677 [Registered on: 03/03/2021] Trial Registered Prospectively
Last Modified On: 02/02/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Other 
Public Title of Study   A study to compare the efficacy of IV fentanyl versus femoral nerve block for positioning prior to subarachnoid block in patients undergoing fracture femur surgeries. 
Scientific Title of Study   A prospective comparative study on efficacy of IV fentanyl versus femoral nerve block for positioning prior to subarachnoid block in patients undergoing fracture femur surgeries. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Thanuja N Umesh 
Designation  Post graduate medical student  
Affiliation  Bangalore Medical College and Research Institute 
Address  Department of Anaesthesiology, Bangalore Medical College and Research Institute, Krishna Rajendra road, Bengaluru
Department of Anaesthesiology, Bangalore Medical College and Research Institute, Krishna Rajendra road, Bengaluru, Karnataka
Bangalore
KARNATAKA
560002
India 
Phone  9686754702  
Fax    
Email  thanujaumesh@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Soumya Rohit 
Designation  Assistant professor  
Affiliation  Bangalore Medical College and Research Institute 
Address  Department of Anaesthesiology, Bangalore Medical College and Research Institute, Krishna Rajendra road, Bengaluru
Department of Anaesthesiology, Bangalore Medical College and Research Institute, Krishna Rajendra road, Bengaluru, Karnataka
Bangalore
KARNATAKA
560002
India 
Phone  9611106641  
Fax    
Email  dr.soumyarohit@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Soumya Rohit 
Designation  Assistant professor  
Affiliation  Bangalore Medical College and Research Institute 
Address  Department of Anaesthesiology, Bangalore Medical College and Research Institute, Krishna Rajendra road, Bengaluru
Department of Anaesthesiology, Bangalore Medical College and Research Institute, Krishna Rajendra road, Bengaluru, Karnataka
Bangalore
KARNATAKA
560002
India 
Phone  9611106641  
Fax    
Email  dr.soumyarohit@gmail.com  
 
Source of Monetary or Material Support  
Bangalore Medical College and Research Institute, Krishna Rajendra road, Bengaluru-560002, Karnataka  
 
Primary Sponsor  
Name  Dr Thanuja N Umesh 
Address  Department of Anaesthesiology, Bangalore Medical College and Research Institute, Krishna Rajendra road, Bengaluru, Karnataka,pin-560002 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
DrSoumya Rohit  Department of Anaesthesiology, Bangalore Medical College and Research Institute, Krishna Rajendra road, Bengaluru, Karnataka,pin-560002 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrThanuja N Umesh  Bangalore Medical College and Research Institute   Department of Anaesthesiology, Bangalore Medical College and Research Institute, Krishna Rajendra road, Bengaluru, Karnataka,pin-560002
Bangalore
KARNATAKA 
9686754702

thanujaumesh@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
BMCRI ethics committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S729||Unspecified fracture of femur,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Femoral nerve block   Femoral nerve block with 0.2% ropivacaine 15 ml prior to subarachnoid block in patients undergoing fracture femur surgeries  
Comparator Agent  IV fentanyl   1mcg/kg IV fentanyl prior to subarachnoid block in patients undergoing fracture femur surgeries  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Adult patients(18 – 65yrs) of both genders will be included after receiving informed written consent
2. Patients belonging to American Society of Anesthesiologist class 1&2
3. Patients with painful femoral fractures planned for open reduction and internal fixation.
 
 
ExclusionCriteria 
Details  1. Patient does not have pain
2. Patient refusing to participate in study
3. Patient with allergy to local anaesthetics
4. Patient with peripheral neuropathy, bleeding diathesis, previous femoral bypass surgery, inguinal hernia, inflammation or infection over injection site, morbid obesity, spine abnormality.
5. Patient with psychiatric disorders and poly trauma / communited fractures.
6. Use of analgesics for premedication.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment    
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Preoperative pain relief and patient comfort before shifting into OT and while positioning for spinal anesthesia   Preoperative period 
 
Secondary Outcome  
Outcome  TimePoints 
Duration of sensory and motor block  Intra and post operative period 
Time for requirement of first rescue analgesia  Post operative period 
VAS score assessed at 0hr, 4hr, 8hr, 12hr, 24hr  Post operative period 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   02/02/2021 
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="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This is a prospective randomised clinical study comparing the efficacy of 1mcg/kg IV fentanyl versus femoral nerve block with 0.2% ropivacaine 15ml for positioning prior to subarachnoid block in patients undergoing fracture femur surgeries. It will be conducted in a total of 70 patients, 35 in each group, in all the hospitals attached to Bangalore Medical College and Research Institute. The primary outcome is to compare preoperative pain relief and patient comfort before shifting into OT and while positioning for spinal anesthesia. Secondary outcome is to observe other effects of femoral nerve blockade when used in combination with regional anesthesia techniques in first 24 hours. 
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