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CTRI Number  CTRI/2022/04/042132 [Registered on: 25/04/2022] Trial Registered Prospectively
Last Modified On: 20/04/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   study of effect of dexmedetomidine nebulization on anxiety of childern posted for surgery 
Scientific Title of Study   study of effect of dexmedetomidine nebulization on parental separation and mask acceptance in paediatric patients 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR Jutooru Shreehari 
Designation  Post Graduate 
Affiliation  Bangalore Medical College and Research Institute  
Address  SHARAVATHY,BMCRI MENS PG HOSTEL, RAYAN CIRCLE ,CHAMRAJPET ,BANGALORE
SHARAVATHY MENS PG HOSTEL, ROYAN CIRCLE ,CHAMRAJPET ,BANGALORE
Bangalore
KARNATAKA
560018
India 
Phone  9945420011  
Fax    
Email  srihari.jutoor@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Tulsi 
Designation  Assitant Professor 
Affiliation  Bangalore Medical College and Research Institute  
Address  Assistant Professor, Department of Anaesthesia, Bangalore Medical College, Chamrajpet , Bangalore

Bangalore
KARNATAKA
560018
India 
Phone  9483188870  
Fax    
Email  drtulsikeshav1@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Jutooru Shreehari 
Designation  Post Graduate 
Affiliation  Bangalore Medical College and Research Institute  
Address  SHARAVATHY,BMCRI MENS PG HOSTEL, RAYAN CIRCLE ,CHAMRAJPET ,BANGALORE
SHARAVATHY MENS PG HOSTEL, ROYAN CIRCLE ,CHAMRAJPET ,BANGALORE
Bangalore
KARNATAKA
560018
India 
Phone  9945420011  
Fax    
Email  srihari.jutoor@gmail.com  
 
Source of Monetary or Material Support  
Bangalore Medical College And Research Institute, Bangalore 
 
Primary Sponsor  
Name  Bangalore Medical College and Research Institute  
Address  Bangalore medical college Chamrajpet , Bangalore 
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 
jutooru shreehari  Bangalore Medical College and Research Institute   Department of anaesthesia,BMCRI chamrajpet , Bangalore
Bangalore
KARNATAKA 
9945420011

srihari.jutoor@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics committee of Bangalore Medical College and Research Institute   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  dexmedetomidine nebulization  dexmedetomidine nebulization at 2mics/kg diluted to 3 ml wih normal saline for 15mins 
Comparator Agent  normal saline   normal saline nebulisation 3ml for 15 mins 
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  10.00 Year(s)
Gender  Both 
Details  Inclusion Criteria:
1)Patients giving informed written consent.
2)Patients scheduled for elective surgery under general anaesthesia with endotracheal intubation.
3)Patients age between 1 to 10 years
4)Patients belonging to ASA I, II

 
 
ExclusionCriteria 
Details  Exclusion Criteria:
1)Patients who refused to give informed written consent.
2)Patients known to have allergy or hypersensitivity to dexmedetomidine
3)Any patient with nasal ulcers, polyps, nasal septum deviation
4)Patients with previous history of heart diseases
5)Patients with heart rate of <70 beats per minute
6)A second- or third-degree atrioventricular block
7)Patients with Asthma
8)Patients with organ dysfunction
9)Patients with mental illness

 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
parental separation
mask acceptance 
Before shifting to operation theatre  
 
Secondary Outcome  
Outcome  TimePoints 
mask acceptance  30mins 
 
Target Sample Size   Total Sample Size="92"
Sample Size from India="92" 
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)   26/04/2022 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Not yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [srihari.jutoor@gmail.com].

  6. For how long will this data be available start date provided 15-04-2022 and end date provided 01-01-2025?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - na
Brief Summary  

        Preoperative anxiety is seen in 50%-70% of the paediatric patients posted for surgery. Fear of parent separation, fear of strange hospital environment and painful procedures contribute to preoperative anxiety.1Children with high preoperative anxiety have high incidence of postoperative pain, emergence delirium, delayed discharge and maladaptive and behavioural changes that can last for weeks in the postoperative period.2

        Various pharmacological and non-pharmacological methods are in practice with variable success rate. Drugs, such as midazolam and ketamine, have been tried for this  via oral, nasal and parenteral routes, but each one has its limitations.3

        Inhalation of nebulised drug is an easy alternative for preoperative sedation in children as it avoids needle puncture necessary for intravenous (IV) or intramuscular (IM) route. Dexmedetomidine, which is a selective alpha-2 agonist with central sedative and anxiolytic properties,4 has been tried for preoperative anxiolysis in children via nasal and inhalational routes.5 Previous study has suggested that nebulised dexmedetomidine can provide a clinically relevant, non-invasive alternative to the invasive IV or IM route of administration.6Those studies have used dexmedetomidine in the doses of 2 μg kg−1 and found that it was effective in achieving calm parental separation in approximately 60%-70% of children.7,8Dexmedetomidine in a dose of 3 µg kg−1 via parenteral route has produced satisfactory procedural sedation without any haemodynamic adverse events.9,10

 
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