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CTRI Number  CTRI/2022/07/043668 [Registered on: 04/07/2022] Trial Registered Prospectively
Last Modified On: 28/06/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Role of ultrasound for location of epidural space for pain after surgery in children. 
Scientific Title of Study   COMPARISON OF ANALGESIC EFFICACY OF CAUDAL BLOCK WITH OR WITHOUT USING ULTRASOUND TECHNIQUE IN CHILDREN UNDERGOING INFRAUMBILICAL SURGERIES  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ruchi Gupta 
Designation  Prof and Head 
Affiliation  Sri Guru Ram Das Institute of Medical Sciences and Research 
Address  Department of Anaesthesia, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar

Amritsar
PUNJAB
143001
India 
Phone  9814320805  
Fax    
Email  drruchisgrd@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Gaganjot Kaur 
Designation  Assistant Prof 
Affiliation  SGRDIMSAR 
Address  Department of Anaesthesia, SGRDIMSAR, Amritsar

Amritsar
PUNJAB
143001
India 
Phone  8198014504  
Fax    
Email  drgaganjot@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Randeep Kaur 
Designation  Junior Resident 
Affiliation  SGRDIMSAR 
Address  Department of Anaesthesia, SGRDIMSAR, Amritsar

Amritsar
PUNJAB
143001
India 
Phone    
Fax    
Email  randeepsandhu78@gmail.com  
 
Source of Monetary or Material Support  
SGRDIMSAR Mehta Road, Vallah 
 
Primary Sponsor  
Name  SGRDIMSAR 
Address  Mehta Road, Vallah 
Type of Sponsor  Research institution and hospital 
 
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 Ruchi Gupta  Operation Theatre  Department of Anaesthesia, Sri Guru Ram Das Institute of Medical Sciences and Research Mehta Road, Vallah Amritsar
Amritsar
PUNJAB 
9814320805

drruchisgrd@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SGRD ethical committe  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 
Comparator Agent  0.25% bupivacaine (1ml/kg) with or without dexamethasone(0.1 mg/kg)  Analgesic efficacy of drugs(0.25% bupivacaine (1ml/kg) with or without dexamethasone(0.1 mg/kg))via caudal block  
Intervention  Caudal Block  Analgesic efficacy of caudal block using ultrasound and landmark technique in children undergoing infraumbilical surgeries 
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  7.00 Year(s)
Gender  Both 
Details  ASA physical status I, II
Children undergoing infra umbilical surgeries
 
 
ExclusionCriteria 
Details  1.Children with pre-existing neurological disease
2.Children with known hypersensitivity to local anaesthetic agents.
3.Children suffering from bleeding diathesis or coagulation disorders.
4.Local sepsis at the site of proposed puncture.
5.Sacral deformity or tuberculosis of spine.
6.Children being treated with anticoagulants, CNS active drugs.
7.Technical problems (persistent parasthesias, persistent bloody tap).
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the analgesic efficacy of caudal block with or without using ultrasound technique in children undergoing infraumbilical surgeries

1. To evaluate analgesic efficacy of caudal block in terms of –
a. Caudal effective score
b. Hemodynamic stability
c. Recovery profile
2. To study the complications of procedure and side effects of drug.
 
from the start of anaesthesia till 24 hours postoperatively. 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the analgesic efficacy of caudal block with Bupivacaine alone or with dexamethasone using ultrasound technique in children undergoing infraumbilical surgeries
 
from the start of anaesthesia till 24 hours postoperatively. 
 
Target Sample Size   Total Sample Size="105"
Sample Size from India="105" 
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 2/ Phase 3 
Date of First Enrollment (India)   04/07/2022 
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 Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   no 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

Caudal block is a popular and reliable technique in pediatric surgeries. Ultrasound guided caudal block is known to improve the success rate and reduce the complications noted with the landmark technique. We aimed to conduct a study to evaluate analgesic efficacy of caudal block in pediatric patients with or without ultrasound technique as primary outcome in infra umbilical surgeries. Patients will be randomly allocated according to 105 computer generated coded slips and sealed in an envelope and divided into three groups of 35 patients each.

 
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