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CTRI Number  CTRI/2021/06/034021 [Registered on: 07/06/2021] Trial Registered Prospectively
Last Modified On: 04/06/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical trial to study the effect of changes in the strength of pulse to predict the onset of caudal block which is a method of giving pain relief in children 
Scientific Title of Study   A Randomised controlled single blinded clinical trial to evaluate the effectiveness of Perfusion Index as a predictor of successful caudal block in children under 5 years 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DESIKA PRIYADARSHINI 
Designation  MD ANAESTHESIOLOGY 
Affiliation  MADRAS MEDICAL COLLEGE 
Address  INSTITUTE OF ANAESTHESIOLOGY AND CRITICAL CARE MADRAS MEDICAL COLLEGE CHENNAI

Chennai
TAMIL NADU
600003
India 
Phone  8072761854  
Fax    
Email  dr.desithaniga@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  N KRISHNAN 
Designation  MD ANAESTHESIOLOGY 
Affiliation  INSTITUTE OF CHILD HEALTH AND HOSPITAL FOR CHILDREN 
Address  DEPARTMENT OF PEDIATRIC ANAESTHESIOLOGY INSTITUTE OF CHILD HEALTH AND HOSPITAL FOR CHILDREN CHENNAI EGMORE

Chennai
TAMIL NADU
600008
India 
Phone  9444451194  
Fax    
Email  krishpaedanaes@gmail.com  
 
Details of Contact Person
Public Query
 
Name  N KRISHNAN 
Designation  MD ANAESTHESIOLOGY 
Affiliation  INSTITUTE OF CHILD HEALTH AND HOSPITAL FOR CHILDREN 
Address  DEPARTMENT OF PEDIATRIC ANAESTHESIOLOGY INSTITUTE OF CHILD HEALTH AND HOSPITAL FOR CHILDREN CHENNAI EGMORE

Chennai
TAMIL NADU
600008
India 
Phone  9444451194  
Fax    
Email  krishpaedanaes@gmail.com  
 
Source of Monetary or Material Support  
MADRAS MEDICAL COLLEGE, CHENNAI 
 
Primary Sponsor  
Name  Institute of Anaesthesiology and Critical care 
Address  Institute of Anaesthesiology and Critical care Madras medical college Chennai 
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 
N KRISHNAN  Institute of Child health and hospital for children  DEPARTMENT OF PEDIATRIC ANAESTHESIOLOGY INSTITUTE OF CHILD HEALTH AND HOSPITAL FOR CHILDREN CHENNAI EGMORE
Chennai
TAMIL NADU 
9444451194

krishpaedanaes@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICAL COMMITTEE MADRAS MEDICAL COLLEGE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N430||Encysted hydrocele, (2) ICD-10 Condition: N433||Hydrocele, unspecified, (3) ICD-10 Condition: O||Medical and Surgical, (4) ICD-10 Condition: N471||Phimosis, (5) ICD-10 Condition: N472||Paraphimosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Caudal block  Caudal block will be given and perfusion index monitored at T0min,T3min,T5,T10,T15,T20,T30 and hourly till 6 hours  
Comparator Agent  Nerve blocks for pain relief  Nerve blocks will be given and perfusion index monitored at T0min,T3min,T5min,T10,T15, T20, T30 and hourly till 6 hours in the recovery room 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  5.00 Year(s)
Gender  Both 
Details  Children under 5 years
Elective infraumbilical surgeries
ASA PS I 
 
ExclusionCriteria 
Details  Parents refusal
Allergic to drug
Severe cardiovascular, respiratory,renal, neurological, hepatic disease
Local infection
Bleeding diathesis
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To monitor perfusion index after caudal block at regular time intervals at T0,T3,T5,T10,T15,T20,T30  Baseline,3min,5min,10min,15min,20min,30min and hourly till 6 hours in the recovery room  
 
Secondary Outcome  
Outcome  TimePoints 
Patient Hemodynamic parameters  Perioperative period 
 
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   N/A 
Date of First Enrollment (India)   10/06/2021 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Planning to start study after getting CTRI permission 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This study is a randomised controlled single blinded clinical trial to evaluate the effectiveness of Perfusion Index as a predictor of successful caudal block in children under 5 years.Perfusion index is measured at baseline and after caudal block in one group and without caudal block in another group.More than 100% Increase in perfusion index will be considered as onset of successful caudal block 
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