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CTRI Number  CTRI/2023/08/057037 [Registered on: 29/08/2023] Trial Registered Prospectively
Last Modified On: 24/08/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Diagnostic 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Study to compare pain relief between a plane block on the abdomen versus a plane block over the middle of the spine in women who have undergone operations to deliver babies 
Scientific Title of Study   Comparing the post-operative analgesic effects of Erector spinae plane block and Transversus abdominis plane block in patients undergoing Elective Cesarean section - A Randomized 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  Sruthi Shashikumar 
Designation  M.D.Anesthesia -Postgraduate 
Affiliation  Sri Venkateshwaraa Medical College Hospital and Research Centre 
Address  Department of Anesthesia,Sri Venkateshwaraa Medical College Hospital and Research Centre,No.13-A,Pondy-Villupuram Main Road, Ariyur, Puducherry.
Department of Anesthesia,Sri Venkateshwaraa Medical College Hospital and Research Centre,No.13-A,Pondy-Villupuram Main Road, Ariyur, Puducherry.
Pondicherry
PONDICHERRY
605102
India 
Phone  9446062643  
Fax    
Email  sruthi.skaygee93@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Radhakrishnan 
Designation  Professor 
Affiliation  Sri Venkateshwaraa Medical College Hospital and Research Centre 
Address  Department of Anesthesia, Sri Venkateshwaraa Medical College Hospital and Research Centre,No.13-A,Pondy-Villupuram Main Road, Ariyur, Puducherry.
Department of Anesthesia, Sri Venkateshwaraa Medical College Hospital and Research Centre,No.13-A,Pondy-Villupuram Main Road, Ariyur, Puducherry.
Pondicherry
PONDICHERRY
605102
India 
Phone  8825778958  
Fax    
Email  rkpuduvai@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Radhakrishnan 
Designation  Professor 
Affiliation  Sri Venkateshwaraa Medical College Hospital and Research Centre 
Address  Department of Anesthesia,Sri Venkateshwaraa Medical College Hospital and Research Centre,No.13-A,Pondy-Villupuram Main Road, Ariyur, Puducherry.
Department of Anesthesia,Sri Venkateshwaraa Medical College Hospital and Research Centre,No.13-A,Pondy-Villupuram Main Road, Ariyur, Puducherry.
Pondicherry
PONDICHERRY
605102
India 
Phone  8825778958  
Fax    
Email  rkpuduvai@gmail.com  
 
Source of Monetary or Material Support  
Sri Venkateswaraa Medical College Hospital and Research Centre, No 13-A, Pondy-Villupuram Main Road, Ariyur, Puducherry 
 
Primary Sponsor  
Name  Dr Sruthi Shashikumar 
Address  Sri Venkateshwaraa Medical College Hospital and Research Centre,No.13-A,Pondy-Villupuram Main Road, Ariyur, Puducherry 
Type of Sponsor  Other [PRINCIPAL INVESTIGATOR] 
 
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 Sruthi Shashikumar  Sri Venkateshwaraa Medical College Hospital and Research Centre  Department of Anesthesiology, ot complex, obstetrics division,room no.1,Pondy-Villupuram Main Road, Ariyur, Puducherry. Pondicherry PONDICHERRY
Pondicherry
PONDICHERRY 
9446062643

sruthi.skaygee93@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: O80||Encounter for full-term uncomplicated delivery,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Erector spinae plane block  0.2 percentage Ropivacaine at 0.2 ml/kg bilaterally will be givenat T9 process level to patient in the erector spinae plane to find out pain relief after cesarean section. Total duration of procedure is 15min 
Comparator Agent  Nil  Nil 
Intervention  Transversus abdominis plane block  0.2 percentage Ropivacaine at 0.2 ml/kg bilaterally will be given to patient in the transversus abdominis plane. to find out pain relief after cesarean section. Total duration of procedure is 15min 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Women aged between 18 to 40 years, undergoing elective lower segment cesarean section with normal singleton pregnancy more than 37 weeks gestational age.
American society of anaesthesiology class 2 
 
ExclusionCriteria 
Details  Localised infection. Systemic coagulopathy. Anatomical abnormalities. Allergy to study medication. Refusal to participate. Presence of major systemic illness. Body mass index more than 35 kilogram per square metre. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare duration of analgesia between transversus abdominis plane block and erector spinae plane block post elective cesarean section  To compare duration of analgesia at 0 hr, 1hr ,2hr ,4hr ,6hr ,12hr ,24hr,36hr and 48hr 
 
Secondary Outcome  
Outcome  TimePoints 
To compare post operative visual analogue score for analgesia & number of rescue analgesia required  To compare post operative analgesic pain scores & number of rescue analgesics required at 0 hr, 1hr ,2hr ,4hr ,6hr ,12hr ,24hr,36hr & 48hr 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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 1 
Date of First Enrollment (India)   14/09/2023 
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="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
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 - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [sruthi.skaygee93@gmail.com].

  6. For how long will this data be available start date provided 01-01-2024 and end date provided 15-12-2028?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Nil
Brief Summary   Post operative analgesia is a challenge in parturient women undergoing cesarean section. An ideal post operative analgesic technique must be effective in repressing maternal pain while having no side effects on the baby. While subarachnoid block is a commonly performed anaesthesia technique for cesarean sections, its actions are time limited. Most patients report moderate to severe intensity of pain affecting overall quality of life soon after the surgery.
This study aims to compare two plane blocks that will be administered for  post-operative analgesia to the patients and to understand which will act for a longer duration.
 
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