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CTRI Number  CTRI/2022/07/044518 [Registered on: 29/07/2022] Trial Registered Prospectively
Last Modified On: 27/07/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Compare the analgesic effect of Ultrasound guided rhomboid intercostal block and Erector spinae plane block in pediatric patients for video-assisted thoracoscopy surgery . 
Scientific Title of Study   Analgesic efficacy of Ultrasound guided rhomboid intercostal block versus Erector spinae plane block in pediatric patients undergoing video-assisted thoracoscopy surgery: A Randomised control trial  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Poonam Kumari 
Designation  Assistant Professor 
Affiliation  All India Institute of Medical sciences-Patna 
Address  Department of Anaesthesia,Room No-506,5th floor Ot complex,B Block ,Aiims Patna

Patna
BIHAR
801507
India 
Phone  9473199126  
Fax    
Email  drpoonam1981@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Poonam Kumari 
Designation  Assistant Professor 
Affiliation  All India Institute of Medical sciences-Patna 
Address  Department of Anaesthesia,Room No-506,5th floor Ot complex,B Block ,Aiims Patna

Patna
BIHAR
801507
India 
Phone  9473199126  
Fax    
Email  drpoonam1981@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Poonam Kumari 
Designation  Assistant Professor 
Affiliation  All India Institute of Medical sciences-Patna 
Address  Department of Anaesthesia,Room No-506,5th floor Ot complex,B Block ,Aiims Patna

Patna
BIHAR
801507
India 
Phone  9473199126  
Fax    
Email  drpoonam1981@gmail.com  
 
Source of Monetary or Material Support  
Department of anaesthesiology,B Block 5th Floor OT, Aiims Patna 
 
Primary Sponsor  
Name  Department of AnaesthesiaAiims Patna 
Address  Department of Anaesthesia,Room No-506,5th floor Ot complex,B Block ,Aiims Patna 
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 
Poonam Kumari  Aiims Patna  Pediatric OT,6th floor of OT Complex,
Patna
BIHAR 
9473199126

drpoonam1981@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethical Committee AIIMS Patna  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J984||Other disorders of lung,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Erector Spinae Block  Will receive ESP Block after general anaesthesia.Erector spinae block will be performed at the T5 level of the spine using an in-plane approach.10 mL of 0.2% ropivacaine .To compare the requirement of perioperative analgesics (total dose of Fentanyl) in 24 hours  
Intervention  rhomboid intercostal block   will receive RIB Block after general anaesthesia.10 ml 0.2% ropivacaine will be administered at the T6-7 level.To compare the requirement of perioperative analgesics (total dose of Fentanyl) in 24 hours  
 
Inclusion Criteria  
Age From  7.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  1.ASA I/II

2.Age (Either Sex) – 7 to 12 years


3.Scheduled for VATS
 
 
ExclusionCriteria 
Details  1.ASA physical status > Grade III

2.Allergic to local anesthetics
3.Local infection at or near the needle insertion site
4.Severe respiratory compromise
5.Coagulopathy or medical anticoagulation
6.Mental disorder
7.Communication failure
8.Inability to understand the functionality of patient-controlled analgesia pump
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the requirement of perioperative analgesics (total dose of Fentanyl) in 24 hours .  24 hours . 
 
Secondary Outcome  
Outcome  TimePoints 
Time for 1st rescue analgesia (IV PCA fentanyl):
Total dose of fentanyl used in 24 hours:
Worst NRS score in 24 hours:
Mean NRS score of 24 hours:
 
30 min,2hr,4hr,8hr,12hr,24hr 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   01/08/2022 
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   NA 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Video-assisted thoracoscopic surgery (VATS) has become an increasingly important and common paediatric surgical procedure.This study is novel as no studies have been done earlier to compare Erector spine block vs RIB for VATS surgeries. So our study is focused on finding out which approach among them is more effective in terms of requirement of analgesics, pain scores and adverse effects. 
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