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CTRI Number  CTRI/2022/05/042898 [Registered on: 30/05/2022] Trial Registered Prospectively
Last Modified On: 29/05/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study to compare the characteristics of two durgs (hyperbaric (0.5%) Bupivacaine and hyperbaric (0.75%) Ropivacaine ) which is used for loss of pain sensation over lower half of body by giving injection in lower vertebral canal in Cesarean Section.  
Scientific Title of Study   Block characteristics of hyperbaric (0.5%) Bupivacaine versus hyperbaric (0.75%) Ropivacaine for spinal anaesthesia in Lower Segment Cesarean Section: A randomized experimental 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 Mohammed Firoz Sheikh 
Designation  pg student  
Affiliation  pt . j. n. m. medical college raipur chhattisgarh. 
Address  Department of Anesthesiology and Pain management Pt JNM Medical college Raipur

Raipur
CHHATTISGARH
492001
India 
Phone  8319824046  
Fax    
Email  firozsheikh78@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pratibha Jain Shah 
Designation  Professor and HOD 
Affiliation  pt . j. n. m. medical college raipur chhattisgarh. 
Address  Department of Anesthesiology and pain management Pt JNM Medical college Raipur

Raipur
CHHATTISGARH
492001
India 
Phone  9827276620  
Fax    
Email  prati_jain@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pratibha Jain Shah 
Designation  Professor and HOD 
Affiliation  pt . j. n. m. medical college raipur chhattisgarh 
Address  Department of Anesthesiology and pain management Pt JNM Medical college Raipur

Raipur
CHHATTISGARH
492001
India 
Phone  9827276620  
Fax    
Email  prati_jain@rediffmail.com  
 
Source of Monetary or Material Support  
Department of anaesthesiology and pain management,,Dr Bhim Rao Ambedkar Memorial hospital , Raipur, chhattisgarh 492001 
 
Primary Sponsor  
Name  DR PRATIBHA JAIN SHAH 
Address  Department of Anesthesiology and critical care Pt JNM Medical college Raipur 
Type of Sponsor  Other [] 
 
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 Mohammed Firoz Sheikh  Dr Bhim Rao Ambedkar Memorial Hospital ,Raipur  Department of Anaesthesiology , Pt JNM Medical College ,Raipur,Chhattisgarh , 492001.
Raipur
CHHATTISGARH 
8319824046

firozsheikh78@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: O00-O9A||Pregnancy, childbirth and the puerperium,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  hyperbaric (0.5%) Bupivacaine  hyperbaric (0.5%) Bupivacaine for spinal anaesthesia in Lower Segment Cesarean Section. spinal anaesthesia will be given within 30 min after arrival of patient in operation theater and surgery will be completed within 2 hours . 
Comparator Agent  hyperbaric (0.75%) Ropivacaine   hyperbaric (0.75%) ropivacaine for spinal anaesthesia in Lower Segment Cesarean Section. spinal anaesthesia will be given within 30 min after arrival of patient in operation theater and surgery will be completed within 2 hours . 
Intervention  spinal anaesthesia for lower segment cesarean section  hyperbaric (0.75%) ropivacaine for spinal anaesthesia in Lower Segment Cesarean Section. spinal anaesthesia will be given within 30 min after arrival of patient in operation theater and surgery will be completed within 2 hours . 
Intervention  spinal anaesthesia for lower segment cesarean section  hyperbaric (0.5%) Bupivacaine for spinal anaesthesia in Lower Segment Cesarean Section. spinal anaesthesia will be given within 30 min after arrival of patient in operation theater , and surgery will be completed within 2 hours . 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  1 ASA grade
2 Age between 18 to 40 yrs .
3 BMI <30 KG/M2
4 Height 150-170 cm.
5 Elective cesarean section under spinal anaesthesia. 
 
ExclusionCriteria 
Details  1 Refusal.
2 Any neurological condition like demylinating lesions,increased intracranial tension, and head injuries .
3 Diabetes mellitus,hypertension,renal,hepatic ,pulmonary or pre-existing cardiac diseases(severe mitral stenosis or severe aortic stenosis).
4 Contraindication to spinal anaesthesia.
5 Chronic pain medication.
6 bleeding or coagulation disorders and those on
anticoagulant therapy.
7 History to allergy of study drug.
8 Partial or failed Spinal anaesthesia . 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
1 Onset of sensory block at the T10 level  WITHIN 30 MIN after spinal anaesthesia for LSCS. 
 
Secondary Outcome  
Outcome  TimePoints 
1 Onset of motor block.
2 Duration of sensory & motor block.
3 Grade of sensory & motor block.
4 Duration of analgesia .
5 Hemodynamic changes( BP ,HR ,RR, SpO2)
6 Side effects and complications(nausea, vomiting, hypotension, shivering ,respiratory distress )
 
JUST AFTER SPINAL ANAESTHESIA TILL 24-48 HOURS 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   31/05/2022 
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="9"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details    
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

  3. Who will be able to view these files?
    Response - Anyone

  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 (Others) - 

  6. For how long will this data be available start date provided 11-05-2022 and end date provided 11-12-2024?
    Response - Beginning 9 months and ending 36 months following article publication.

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

In this study we give one of the our study drug to pregnant  patients for lscs in spinal anaesthesia.We use double blind technique .in which patient and investigator will be blind to study drug which will be given to patient .The drug will be prepared by an anaesthesiologist other than the principal investigator, who will be blinded to the study protocol and will not be involved in further data collection and assessment of patient . All patients will be informed and explained about the procedure .the multipara monitor will be attached to patients in supine position and baseline vital parameters such as BP, HR , RR and SpO2 will be recorded. An intravenous line will be established with 18 g cannula to preload the patient with ringer lactate solution at 10 ml /kg before the initiation of spinal block. Then premedication will be done with inj ondansetron 4mg iv .spinal anaesthesia will be given at sitting position at the L3-L4 level identified by land mark technique . with a 25-g Quincke’s spinal needle .our primary outcome is onset of sensory block at the t10 level and secondary outcome are onset  of motor block, duration  of sensory & motor block.grade of sensory & motor block,duration of analgesia ,hemodynamic changes( BP ,HR ,RR, SpO2). side effects and complications(nausea, vomiting, hypotension, shivering ,respiratory distress ) .

 
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