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CTRI Number  CTRI/2023/01/048666 [Registered on: 02/01/2023] Trial Registered Prospectively
Last Modified On: 31/12/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   spinal anaesthesia in old person while under constant ultrasound view vs marking point of entry of spinal by ultrasound 
Scientific Title of Study   A Comparative Study of Real Time Ultrasound-Guided Spinal Anaesthesia With Ultrasound-Assissted Spinal Anaesthesia In Geriatric Patients: 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  Dr Swarnika Singh 
Designation  senior resident 
Affiliation  indira gandhi institute of medical sciences , Patna 
Address  Department of anaesthesiology, 1st floor, ward block, IGIMS, sheikhpura, Patna, Bihar

Patna
BIHAR
800014
India 
Phone  8420445989  
Fax    
Email  swarnika001@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Swati 
Designation  additional professor 
Affiliation  indira gandhi institute of medical sciences 
Address  Department of anaesthesiology, 1st floor, ward block, IGIMS, sheikhpura, Patna, Bihar

Patna
BIHAR
800014
India 
Phone  9113463130  
Fax    
Email  deepakswat@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Swati 
Designation  additional professor 
Affiliation  indira gandhi institute of medical sciences 
Address  Department of anaesthesiology, 1st floor, ward block, IGIMS, sheikhpura, Patna, Bihar

Patna
BIHAR
800014
India 
Phone  9113463130  
Fax    
Email  deepakswat@yahoo.com  
 
Source of Monetary or Material Support  
indira gandhi institute of medical sciences, Patna 
 
Primary Sponsor  
Name  swarnika singh 
Address  Department of anaesthesiology, 1st floor, ward block, IGIMS,Sheikhpura, Patna, Bihar 
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
nil   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
swarnika singh  INDIRA GANDHI INSTITUTE OF MEDICAL SCIENCES, PATNA  Department of anaesthesiology, 1st floor, ward block, IGIMS, Patna, Bihar
Patna
BIHAR 
8420445989

swarnika001@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
indira gandhi institute of medical sciences  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 
Intervention  real time ultrasound guided spinal anaesthesia   in real time ultrasound guided spinal anaesthesia, under ultrasound view, spinal space will be reached. the duration of intervention will be 15min. 
Comparator Agent  ultrasound assissted spinal anaesthesia  ultrasound assissted spinal anaesthesia, entry point will be marked with ultrasound and space will be reaches through this entry point.the duration of intervention will be 15minutes 
 
Inclusion Criteria  
Age From  65.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  Patients scheduled for elective surgery with spinal anesthesia
≥65 years of age
American Society of Anesthesiologists (ASA) physical status I to III
 
 
ExclusionCriteria 
Details  Patient refusal
Patients with severe cardiopulmonary diseases
Contraindications of spinal anesthesia (eg, coagulopathy, puncture site infection, or local anesthetics allergy)
Inability to communicate and cooperate were excluded
 
 
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 
First-attempt success rate of spinal anesthesia, with “first-attempt” defined as the needle achieving successful dural puncture through a single attempt.  0min,5min,10min 
 
Secondary Outcome  
Outcome  TimePoints 
Number of attempts
First-pass success rate
Number of passes
Locating time
Procedure time
Total time
Adverse reactions
Patient satisfaction score
Procedural difficulty score
 
0 hrs, 2hrs, 4hrs 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
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)   02/01/2023 
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="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   not published yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   in geriatric patients, spinal anaesthesia will be given under ultrasound guidance via 2 technique, real time ultrasound guided and ultrasound assissted. we will assess which technique is better, as spinal is difficult in this subset of population. 
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