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CTRI Number  CTRI/2022/04/041666 [Registered on: 05/04/2022] Trial Registered Prospectively
Last Modified On: 04/04/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study to compare the duration of pain free period after surgery when Butorphanol and Tramadol given with Levobupivacaine in brachial plexus block 
Scientific Title of Study   Efficacy of Butorphanol and Tramadol as adjuvant to Levobupivacaine for postoperative analgesia in brachial plexus block- A randomized double blind study  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ravi Chaudhari  
Designation  PG Student 
Affiliation  Pt JNM Medical College Raipur 
Address  Department of Anaesthesiology Pt JNM Medical College Raipur

Raipur
CHHATTISGARH
492001
India 
Phone  8308422897  
Fax    
Email  ravichaudharicc@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jaya Lalwani 
Designation  Professor 
Affiliation  Pt JNM Medical College Raipur 
Address  Department of Anaesthesiology Pt JNM Medical College Raipur

Raipur
CHHATTISGARH
492001
India 
Phone  9300224989  
Fax    
Email  jayalalwani2020@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Jaya Lalwani 
Designation  Professor 
Affiliation  Pt JNM Medical College Raipur 
Address  Department of Anaesthesiology Pt JNM Medical College Raipur


CHHATTISGARH
492001
India 
Phone  9300224989  
Fax    
Email  jayalalwani2020@gmail.com  
 
Source of Monetary or Material Support  
Dr Bhimrao Ambedkar memorial hospital Raipur  
 
Primary Sponsor  
Name  Dr Jaya Lalwani 
Address  Department of Anaesthesiology Pt JNM Medical College Raipur 
Type of Sponsor  Other [Self] 
 
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 Ravi Chaudhari  Dr Bhimrao Ambedkar Memorial Hospital RaipurPt  Department of Anaesthesiology Pt. JNM Medical College, Jail Road, Raipur
Raipur
CHHATTISGARH 
8308422897

ravichaudharicc@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Pt. JNM Medical College Raipur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S529||Unspecified fracture of forearm,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Inj Butorphanaol  Butorphanol 2mg with 20 ml of 0.5% Levobupivacaine in brachial plexus block 
Intervention  Inj Tramadol  Tramadol 100 mgwith 20 ml of 0.5% Levobupivacaine in brachial plexus block 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. ASA grade I to III
2. Patients undergoing elective below elbow upper limb surgery under ultra sound guided supraclavicular brachial plexus block 
 
ExclusionCriteria 
Details  1. Patient refusal
2. Local infection at injection site
3. Failure of block
4. Any bleeding disorder and patient on anticoagulants
5. Allergy to study drugs
6. Severe respiratory, renal and liver disorder
7. Glucose intolerance and diabetic patient
8. Neurological deficit involving brachial plexus
9. Morbidly obese
10. Pregnant women
11. Drug abuse 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Duration of postoperative analgesia

 
First 24 hours of postoperative period

 
 
Secondary Outcome  
Outcome  TimePoints 
⮚ Assessment of pain using VAS


⮚ Onset of sensory and motor blockade


⮚ Duration of sensory and motor blockade


⮚ Adverse effects– CNS toxicity [convulsion, coma], CVS toxicity [tachycardia, arrhythmias], respiratory depression, nausea, vomiting, allergic reactions, pneumothorax, Horners syndrome and recurrent laryngeal nerve block.
 
First 24 hours of postoperative period

 
 
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)   11/04/2022 
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="9"
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   This is a prospective observational study to see the duration of postoperative analgesia when Butorphanol and Tramadol given with Levobupivacaine for brachial plexus block in patients undergoing below elbow upper limb surgery aged 18 to 65 years with ASA grade I to III. It will be conducted at single centre in India. The primary outcome will be duration of postoperative analgesia and secondary outcomes will be assessment of pain using VAS, onset and duration of sensory and motor blockade and monitoring associated symptoms like allergic reactions, nausea, vomiting, pneumothorax, Horner’s syndrome.  
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