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CTRI Number  CTRI/2022/03/041052 [Registered on: 14/03/2022] Trial Registered Prospectively
Last Modified On: 10/03/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   It is a study to see effectiveness of ultrasound guided sacral erector spinae block for postoperative analgesia in paediatric patients undergoing hypospadias repair. 
Scientific Title of Study   A study to compare ultrasound guided erector spinae block for post-operative analgesia in paediatric patients undergoing hypospadias repair. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  TEENA BANSAL 
Designation  Professor 
Affiliation  Pt. BDS PGIMS, Rohtak 
Address  Department of anesthesiology and critical care PGIMS ROHTAK
19/6 J, Medical Campus, PGIMS Rohtak
Rohtak
HARYANA
124001
India 
Phone  09034239374  
Fax    
Email  aggarwalteenu@rediffmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Niharika 
Designation  Junior Resident 
Affiliation  Pt. BDS PGIMS , Rohtak 
Address  Department of Anaesthesiology and critical care , 2nd floor modular ot complex ,PGIMS, Rohtak

Rohtak
HARYANA
124001
India 
Phone  8053933690  
Fax    
Email  nihurao5353@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Niharika 
Designation  Junior Resident 
Affiliation  Pt. BDS PGIMS , Rohtak 
Address  Department of Anaesthesiology and critical care , 2nd floor modular ot complex ,PGIMS, Rohtak

Rohtak
HARYANA
124001
India 
Phone  8053933690  
Fax    
Email  nihurao5353@gmail.com  
 
Source of Monetary or Material Support  
Department of anaesthesiology Pt. BD Sharma PGIMS Rohtak 
 
Primary Sponsor  
Name  Department of Anaesthesiology 
Address  Pt. BDS Pgims Rohtak 
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 
Niharika   Pt. BDS Pgims Rohtak  Department of Anaesthesiology, 2nd floor new modular icu cum ot complex, PGIMS Rohtak
Rohtak
HARYANA 
8053933690

nihurao5353@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics commttee Pt. BDS Pgims, Rohtak  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , , (1) ICD-10 Condition: N99-N99||Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Ultrasound guided erector spinae block  Ultrasound guided erector spinae plane block for paediatric patients undergoing hypospadias repair. 
Intervention  Ultrasound guided erector spinae plane block   Ultrasound guided erector spinae plane block in paediatric patients undergoing hypospadias repair.  
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  7.00 Year(s)
Gender  Male 
Details  patients with ASA Physical status I or II scheduled to undergo surgery for hypospadias repair 
 
ExclusionCriteria 
Details  Patients with hstory of developmental delay, allergic reactions to local anaesthetic, infection at the puncture site and parental refusal 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
post operative analgesic consumption in 24 hrs.  post operative analgesic consumption in 24 hrs. 
 
Secondary Outcome  
Outcome  TimePoints 
1. Post operative pain score using FLACC scale
2. Time to first rescue analgesic
3. Total intraoperative fentanyl consumption.
4. Complications, if any 
1 FLACC score at every 15 minutes upto 1 hour every 30 min upto 2 hrs every 2 hrs upto 12 hrs and ecery 6 hrs upto 24 hrs.
2.Duration of analgesia
3. Number of times analgesia required.
4. Yes/No 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   20/03/2022 
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   Nil 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Pain is defined as unpleasant sensory and emotional experience associated with actual or potential tissue damage or descibed in terms of such damage. post operative pain can lead to delayed postoperative recovery of normal physiological functions. Caudal block is a most frequently used regional technique in children undergoing hypospadias repair for post operative pain management since it is simple, safe and has a higher success rate. Erector spinae plane block is a paraspinal plane block frst described to relieve thoracic pain. The sacral erector spinae plane block was first performed to provide analgesia to sacral dermatomes for pilonidal sinus surgery. Erector spinae plane block at sacral level can potentially block the pudendal nerve(S2-S4). Ultrasound assisted blocks help to visualise needle trajectory depth , injection site and spread of drug that reduces the number of attempts and improved patient comfort. Bupivacaine is long acting amide local anesthetic drug that is widely used for peripheral nerve block. So the present study is conducted to evaluate the effectiveness of sacral erector spinae plane block for post operative analgesia in paediatric patients undergoing hypospadias repair. 
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