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CTRI Number  CTRI/2022/04/042039 [Registered on: 21/04/2022] Trial Registered Prospectively
Last Modified On: 14/04/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of Intrathecal Injection of same dose of Fentanyl at Different Rates in Patients undergoing Elective LSCS 
Scientific Title of Study   A prospective randomized controlled double blinded interventional study to compare postoperative analgesia using sequential intrathecal injection of fentanyl at different rates with hyperbaric bupivacaine in lower segment caesarean sections at SMS Medical College, Jaipur during 2021-2023 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Harpreet Kaur 
Designation  Senior Professor 
Affiliation  Sawai Man Singh Medical College and Attached Hospitals 
Address  Department of Anaesthesiology, Second Floor, Dhanwantari Complex, SMS Medical College, Jaipur
Department of Anaesthesiology, Second Floor, Dhanwantari Complex, SMS Medical College, Jaipur
Jaipur
RAJASTHAN
302004
India 
Phone  9899785993  
Fax    
Email  rupihar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Harpreet Kaur 
Designation  Senior Professor 
Affiliation  Sawai Man Singh Medical College and Attached Hospitals 
Address  Department of Anaesthesiology, Second Floor, Dhanwantari Complex, SMS Medical College, Jaipur
Department of Anaesthesiology, Second Floor, Dhanwantari Complex, SMS Medical College, Jaipur

RAJASTHAN
302004
India 
Phone  9899785993  
Fax    
Email  rupihar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nelwin Jerald Sabu 
Designation  Junior Resident 
Affiliation  Sawai Man Singh Medical College and Attached Hospitals 
Address  Department of Anaesthesiology, Second Floor, Dhanwantari Complex, SMS Medical College, Jaipur
Department of Anaesthesiology, Second Floor, Dhanwantari Complex, SMS Medical College, Jaipur
Jaipur
RAJASTHAN
302004
India 
Phone  9539173820  
Fax    
Email  nelwinjerald@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, Second Floor, Dhanwantari Complex, SMS Medical College,JLN Marg, Jaipur, 302004 
 
Primary Sponsor  
Name  Sawai Man Singh Medical College and Hospitals 
Address  Department of Anaesthesiology, Second Floor, Dhanwantari Complex, SMS Medical College, Jaipur,302004 
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 Harpreet Kaur  Sawai Man Singh Medical College and Attached Hospitals  Department of Anaesthesiology,SMS Medical College,Jaipur
Jaipur
RAJASTHAN 
9899785993

rupihar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sawai Man Singh Medical College ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  inj fentanyl  Rapid intrathecal injection(1-2sec) of Fentanyl 0.5ml with an insulin syringefollowed by slow injection of 2ml of hyperbaric bupivacaine with a 5ml syringe 
Comparator Agent  injection Fentanyl  Slow intrathecal injection(4-5sec) of 0.5ml fentanyl with an insulin syringe followed by 2ml of Hyperbaric Bupivacaine with a 5ml syringe 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  Patients undergoing Elective LSCS under spinal anaesthesia 
 
ExclusionCriteria 
Details  1)ASA Grade 3&4,2)Parturients with complicated pregnancies such as those with pre-eclampsia,pregnancy induced hypertension,gestational diabetes,abnormal placenta(placenta previa),multiple gestation,BMI>35 or<22, major systemic diseases(cardiac, renal, liver)
3)Parturients with a need for emergency CS.
4)Parturientswho are allergic to drugs used in this study
5)Parturients contraindicated for spinal anaesthesia
6)Parturients who refused spinal anaesthesia. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Total duration of post operative analgesia  until 6hrs postoperatively 
 
Secondary Outcome  
Outcome  TimePoints 
Haemodynamic Parameters (systolic BP,Diastolic BP, Mean arterial pressure, Heart Rate,spo2)  baseline,2min,4min,6min,8min ,10 min,15min, 20 min and then every 10 min till 60 min 
Intra operative Hypotension  intraoperatively 
onset of sensory block and highest level of sensory block  after 10 min 
onset of motor block   time taken to achieve a Bromage score of 3 
duration of motor block  time taken to return to a bromage score of 0 
Dose of rescue analgesia used  postoperatively every 30 min until 6hrs 
Intensity of Post operative Pain assesesd by VAS Score  postoperatively every 30 min until 6 hrs 
Spinal anaesthesia related complications  intraoperatively 
 
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 4 
Date of First Enrollment (India)   01/05/2022 
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="3"
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   In this Study we will check the duration of Postoperative Pain relief by injecting the same dose of fentanyl intrathecally at different rates in lower segment cesarean sections using VAS Score 
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