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CTRI Number  CTRI/2022/10/046876 [Registered on: 28/10/2022] Trial Registered Prospectively
Last Modified On: 27/10/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To compare the nerve block characteristics between axillary and infraclavicular approaches of nerves supplying the forearm under ultrasound guidance. 
Scientific Title of Study   Comparison of block characteristics between proximal axillary and infraclavicular approaches of brachial plexus block under ultrasound guidance for forearm surgeries 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Tharmalingam Ashwin 
Designation  Post-Graduate  
Affiliation  ESIC MEDICAL COLLEGE & PGIMSR KK NAGAR 
Address  1st year postgraduate Department of anaesthesiology ESIC PGIMSR KK Nagar Chennai

Chennai
TAMIL NADU
600078
India 
Phone  9354562442  
Fax    
Email  ashwintharmalingam08@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  ILANGO GANESAN 
Designation  Proffesor And Head Of Department 
Affiliation  ESIC MEDICAL COLLEGE AND PGIMSR KK NAGAR 
Address  DEPARTMENT OF ANAESTHESIOLOGY ESIC MEDICAL COLLEGE AND PGIMSR KK NAGAR CHENNAI

Chennai
TAMIL NADU
600078
India 
Phone  9884149429  
Fax    
Email  gilang@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  ILANGO GANESAN 
Designation  Proffesor And Head Of Department  
Affiliation  ESIC MEDICAL COLLEGE AND PGIMSR KK NAGAR 
Address  DEPARTMENT OF ANAESTHESIOLOGY ESIC MEDICAL COLLEGE AND PGIMSR KK NAGAR CHENNAI

Chennai
TAMIL NADU
600078
India 
Phone  9884149429  
Fax    
Email  gilang@rediffmail.com  
 
Source of Monetary or Material Support  
ESIC MEDICAL COLLEGE AND PGIMSR KK NAGAR CHENNAI 600078 
 
Primary Sponsor  
Name  ESIC MEDICAL COLLEGE AND PGIMSR  
Address  ESIC MEDICAL COLLEGE AND PGIMSR KK NAGAR CHENNAI 600078 
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 
THARMALINGAM ASHWIN   ESIC MEDICAL COLLEGE AND PGIMSR   DEPARTMENT OF ANAESTHESIOLOGY ESIC MEDICAL COLLEGE AND PGIMSR KK NAGAR
Chennai
TAMIL NADU 
9354562442

ashwintharmalingam08@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE  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  Infraclavicular Brachial Plexus Block  Infraclavicular approach of brachial plexus block under ultrasound guidance for forearm surgeries with Inj.Ropivacaine 0.5% 29ml + Inj.Dexmedetomidene 1ml Block performance time 10- 15 mins 
Intervention  Proximal Axillary Brachial Plexus Block  Proximal axillary approach of brachial plexus block under ultrasound guidance for forearm surgeries with Inj.Ropivacaine 0.5% 29ml + Inj.Dexmedetomidine 1ml Block performance time 8- 10 mins 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.ASA grade I&II
2.Male and Female gender.
3.Age 18- 60years,
4.Posted for forearm surgery
5. Patients weighing in the range of 45 - 65kg.
6. Patient consent
 
 
ExclusionCriteria 
Details  1.Patient refusal
2.ASA grade III or above
3.Patient with thoracic skeletal abnormalities
4.Upper limb skeletal abnormalities
5.Allergic to amide local anaesthetic
6.Patients with chest injuries and hemopneumothorax
7.Pregnancy
8.Clavicle fracture
9.Local site infection
10.Bleeding disorders
11.Pre-existing sensory and motor neuropathy
12.Known case of seizure disorder
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
ONSET OF SENSORY AND MOTOR BLOCKADE AND BLOCK PERFORMANCE TIME   15mins, 30mins, 1hr, 2hr,4hr,6hr,8hr,10hr, 12hr, 24 hr  
 
Secondary Outcome  
Outcome  TimePoints 
The duration of block ( time taken for first rescue analgesic dose following block), shortfalls like sparing of dermatomes and complications  15mins, 30mins, 1hr, 2hr, 4hr, 6hr, 8hr, 10hr, 12hr, 24 hr for time taken for sparring of sensory and motor blockade 
 
Target Sample Size   Total Sample Size="56"
Sample Size from India="56" 
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)   01/11/2022 
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="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   To compare the block characteristics between proximal axillary and infraclavicular approach of brachial plexus block under ultrasound guidance in patients admitted for forearm surgeries with Inj.Ropivacaine and Inj.Dexmedetomidine and will assess the onset of sensory and motor blockade , block performance following the respective approaches of brachial plexus block. 
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