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CTRI Number  CTRI/2024/02/062540 [Registered on: 12/02/2024] Trial Registered Prospectively
Last Modified On: 25/01/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia
Process of Care Changes 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of two approaches of brachial plexus block in wrist and hand surgeries - a randomized controlled study 
Scientific Title of Study   A comparative study of ultrasound guided costoclavicular approach of brachial plexus block with axillary approach of brachial plexus block in wrist and hand surgeries - A randomized clinical 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 Utkalika Baral 
Designation  Post Graduate  
Affiliation  AARUPADAI VEEDU MEDICAL COLLEGE AND HOSPITAL  
Address  A BLOCK First floor Department of Anaesthesiology AARUPADAI VEEDU MEDICAL COLLEGE AND HOSPITAL Kirumampakkam

Pondicherry
PONDICHERRY
607402
India 
Phone  7008283656  
Fax    
Email  arjunutkalika@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr V.Ezhilrajan 
Designation  Professor and HOD department of anaesthesiology  
Affiliation  AARUPADAI VEEDU MEDICAL COLLEGE AND HOSPITAL  
Address  A BLOCK First Floor Department of anaesthesiology AARUPADAI VEEDU MEDICAL COLLEGE AND HOSPITAL Kirumampakkam

Pondicherry
PONDICHERRY
607402
India 
Phone  9843030074  
Fax    
Email  Ezhilrajan96@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr E.Shanmugavalli  
Designation  Associate Professor Department of Anaesthesiology  
Affiliation  AARUPADAI VEEDU MEDICAL COLLEGE AND HOSPITAL  
Address  A BLOCK First Floor Department of anaesthesiology AARUPADAI VEEDU MEDICAL COLLEGE AND HOSPITAL Kirumampakkam

Pondicherry
PONDICHERRY
607402
India 
Phone  9940882722  
Fax    
Email  vallijegan@gmail.com  
 
Source of Monetary or Material Support  
Aarupadai Veedu Medical College And Hospital Kirumampakkam Pondicherry, 607402 
 
Primary Sponsor  
Name  Aarupadai Veedu Medical College And Hospital  
Address  Aarupadai Veedu MedicalCollege And Hospital Kirumampakkam Pondicherry Cuddalore Highway 607402 
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 
Dr Utkalika Baral   Aarupadai Veedu Medical College And Hospital   A BLOCK First Floor Department of anaesthesiology AARUPADAI VEEDU MEDICAL COLLEGE AND HOSPITAL Kirumampakkam
Pondicherry
PONDICHERRY 
7008283656

arjunutkalika@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional human ethical committee aarupadai veedu medical college and hospital  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, (2) ICD-10 Condition: S629||Unspecified fracture of wrist andhand,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Ultrasound guided axillary block  Patient undergoing arm and hand surgeries are given Ultrasound guided axillary block with 30ml of 0.75% Ropivacaine to assess the duration of block performance and assess the sensory and motor blockade for 30 minutes 
Intervention  Ultrasound guided costoclavicular block   Patient undergoing arm and hand surgeries are given Ultrasound guided costoclavicular block with 30ml of 0.75% Ropivacaine to assess the duration of block performance and assess the sensory and motor blockade for 30 minutes 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patient of age 18-60 years posted for elective forearm and wrist surgeries. 
 
ExclusionCriteria 
Details  1. Patient refusal.
2. History of hypersensitivity to local Anaesthesia.
3. Hemodynamic instability.
4. Local infection.
5. Coagulopathies 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare block performance time and effectiveness of Usg guided costoclavicular block with USG guided axillary block   30 minutes  
 
Secondary Outcome  
Outcome  TimePoints 
Onset of action
Motor Blockade
Sensory blockade
Complications  
30 minutes  
 
Target Sample Size   Total Sample Size="72"
Sample Size from India="72" 
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)   19/02/2024 
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 Applicable 
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 - NO
Brief Summary   Brachial plexus block is a great substitute for general anaesthesia for upper limb surgeries. USG guided axillary block result in anaesthesia of the upper limb from the mid arm down including hand. For adequate spread of drug in the plexus two or three needle pass are required. While Costoclavicular approach due to compact arrangement of plexus around the axillary artery aids in single needle pass.
Through this study we aim to compare the performance and effectiveness of both these blocks.
 
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