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CTRI Number  CTRI/2022/09/045393 [Registered on: 09/09/2022] Trial Registered Prospectively
Last Modified On: 06/09/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Effect of addition of buprenorphine or dexamethasone or dexmedetomidine to levobupivacaine on postoperative analgesia in transversus abdominis plane block in patients undergoing unilateral inguinal hernia repair 
Scientific Title of Study   “Effect of Addition of Buprenorphine or Dexamethasone or Dexmedetomidine to Levobupivacaine on Postoperative Analgesia in Ultrasound guided transversus abdominis plane block in patients undergoing unilateral Inguinal Hernia Repair: a Prospective Randomized Double Blind Controlled Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  E Lavanya 
Designation  associate professor 
Affiliation  srilakshmi narayana institute of medical sciences 
Address  department of anesthesiology

Pondicherry
PONDICHERRY
605006
India 
Phone  09629181969  
Fax    
Email  dr.lavanya08@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  E Lavanya 
Designation  associate professor 
Affiliation  srilakshmi narayana institute of medical sciences 
Address  department of anesthesiology and critical care, slims,puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  09629181969  
Fax    
Email  dr.lavanya08@gmail.com  
 
Details of Contact Person
Public Query
 
Name  E Lavanya 
Designation  associate professor 
Affiliation  srilakshmi narayana institute of medical sciences 
Address  department of anesthesiology

Pondicherry
PONDICHERRY
605006
India 
Phone  09629181969  
Fax    
Email  dr.lavanya08@gmail.com  
 
Source of Monetary or Material Support  
sri lakshmi narayana institute of medical sciences department of anesthesiology,osudu lake kudapakkam post,puducherry 
 
Primary Sponsor  
Name  srilakshmi narayana institute of medical sciences 
Address  puducherry 
Type of Sponsor  Private 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 
elavanya  srilakshmi narayana institute of medical sciences  department of anesthesiology and critical care
Pondicherry
PONDICHERRY 
09629181969

dr.lavanya08@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee(human studies)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  asa 1 and 2 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  levobupivacaine and buprinorphine  20 ml 0.25% levobupivacaine + 0.3 mg (1 ml) buprenorphine 2, 4, 6, 8, 10 12, 15, 18, 21, and 24 hr the pain rating was found by using NRS  
Comparator Agent  levobupivacaine with dexamethasone  20 ml 0.25% levobupivacaine + 4 mg (1 ml) dexamethasone, 2, 4, 6, 8, 10 12, 15, 18, 21, and 24 h. If the pain rating was found to be NRS  
Comparator Agent  levobupivacaine with dexmedetomidine  20 ml of levobupivacaine and 1ml of dexmedetomidine 2, 4, 6, 8, 10 12, 15, 18, 21, and 24 h. If the pain rating was found to be NRS  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patients willing to participate in the study
ASA I &II.
Elective surgery under general anesthesia with endotracheal intubation cases
 
 
ExclusionCriteria 
Details  ASA 3 or more
Patients with history of risk factors for perioperative aspiration of gastric contents,
history of chronic obstructive pulmonary disease, asthma,
history of recent respiratory infections,
duration of surgery more than 3 h were excluded from the study.
Pregnant and lactating mother
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
The primary outcomes of the study were the time taken for the first analgesic dose   2, 4, 6, 8, 10 12,
15, 18, 21, and 24 h. aftter tap block 
 
Secondary Outcome  
Outcome  TimePoints 
total rescue analgesic doses in the first 24 h, and the NRS score.  24 hrs postoperatively 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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)   15/09/2022 
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="5"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   yet to be published 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

Effect of addition of buprenorphine or dexamethasone or dexmedetomidine to levobupivacaine on postoperative analgesia in ultrasound guided transversus abdominis plane block in patients undergoing unilateral inguinal hernia repair: a prospective randomized double blind controlled trial is the study.  90 patients aged between 18 to 70 years with the American Society of Anesthesiologists classification (ASA) class 1 and 2 candidates for elective surgery under regional anesthesia at Sri Lakshmi Narayana Institute Of Medical Sciences with Inclusion criteria :Patients willing to participate in the  study,ASA I &II,Patient age 18-70 years of either sex and Elective  surgery under general anesthesia with endotracheal intubation cases

Exclusion criteria : has ASA 3 or more,Patients with history of risk factors for perioperative aspiration of gastric contents,history of chronic obstructive pulmonary disease, asthma,history of recent respiratory infections,duration of surgery more than 3 h were excluded from the study, Pregnant and lactating mother and with study variables include General parameters i.e. Age, Gender, weight, height and  Duration of surgery and duration of anesthesia.the time taken to request for the first analgesic,total rescue analgesic doses in the first 24 h, and the NRS score(0 = no pain, 10 = intolerable pain) just after the TAP block and at intervals of e  at intervals of 0,2,4,6,8,10,12,15,18,21and 24 hrs postoperatively.Statistical analysis were performed using the IBM Statistical Package for the Social Sciences (SPSS) for windows, version 22.0 (SPSS Inc., USA). Numerical data were analyzed by using an unpaired Students t-test. Categorical data were analyzed by the chi square test or Fisher’s exact test as appropriate. The differences among the 3 groups were analyzed by using the one-way analysis of variance (ANOVA) test.

 
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