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CTRI Number  CTRI/2023/04/051242 [Registered on: 03/04/2023] Trial Registered Prospectively
Last Modified On: 31/03/2023
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective 
Study Design  Other 
Public Title of Study   An observational study to assess the analgesic effects of posterior transversus abdominis plane block and lateral transversus abdominis plane block.  
Scientific Title of Study   A prospective observational study to assess the analgesic effects of posterior transversus abdominis plane block and lateral transversus abdominis plane block. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  C Reshmita Gandhi  
Designation  Post Graduate 
Affiliation  Sree Balaji medical college and hospital, Chennai  
Address  Sree balaji medical college and hospital, department of anaesthesiology no.7, clc works road, chrompet chennai

Chennai
TAMIL NADU
600044.
India 
Phone  9345252242  
Fax    
Email  creshmitagandhi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Pranjali Kurhekar 
Designation  Associate Professor 
Affiliation  Sree Balaji medical college and hospital, Chennai  
Address  Sree balaji medical college and hospital, department of anaesthesiology no.7, clc works road, chrompet chennai

Chennai
TAMIL NADU
600044
India 
Phone  9486414942  
Fax    
Email  pranjalikurhekar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  C Reshmita Gandhi  
Designation  Post Graduate 
Affiliation  Sree Balaji medical college and hospital, Chennai  
Address  Sree balaji medical college and hospital, department of anaesthesiology no.7, clc works road, chrompet chennai

Chennai
TAMIL NADU
600044
India 
Phone  9345252242  
Fax    
Email  creshmitagandhi@gmail.com  
 
Source of Monetary or Material Support  
Sree balaji medical college and hospital, department of anaesthesiology no.7, clc works road, chrompet chennai-600044. 
 
Primary Sponsor  
Name  Sree Balaji medical college and hospital 
Address  No. 7, CLC works road, Chromepet, Chennai 600044.  
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 
Reshmita Gandhi   Sree Balaji medical college and hospital   Sree balaji medical college and hospital, department of anaesthesiology no.7, clc works road, chrompet chennai
Chennai
TAMIL NADU 
9345252242

creshmitagandhi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Human Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Patients coming for abdominal surgery under general anaesthesia.  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients receiving posterior tap block. Patients receiving lateral tap block. ASA I & II. elective procedures.  
 
ExclusionCriteria 
Details  History of local anaesthetic agent allergy. ASA III, IV. Skin infection in the anterior abdominal wall. Bleeding diasthesis, peripheral neuropathy, neuromuscular disease and psychiatric disorders.  
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Effectiveness of posterior TAP BLOCK is better than LATERAL TAP block.   1 year.  
 
Secondary Outcome  
Outcome  TimePoints 
time of first rescue analgesia  1 year.  
 
Target Sample Size   Total Sample Size="62"
Sample Size from India="62" 
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)   08/04/2023 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  08/04/2023 
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 Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details    
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 - Informed Consent Form

  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 [creshmitagandhi@gmail.com].

  6. For how long will this data be available start date provided 17-01-2025 and end date provided 17-01-2025?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Nil
Brief Summary  

Transversus Abdominis Plane (TAP) Block is a regional anaesthesia

technique that provides analgesia to the parietal peritoneum as well as

the skin and muscles of the anterior abdominal wall. This technique

involves injection of a local anesthetic solution into a plane between

the internal oblique muscle and transversus abdominis muscle,

targeting anterior rami of thoracolumbar nerves originating from the

T6 to L1 spinal roots, which provide sensory function to the

anterolateral abdominal wall. 

Traditionally, TAP block has been performed under ultrasound guidance using one of four different approaches, targeting different areas of the anterior abdominal wall:

subcostal TAP block provides analgesia to the anterior cutaneous

branches of the thoracolumbar nerves T6–9, oblique subcostal TAP

block delivers analgesia to anterior cutaneous branches T6-L1,

posterior TAP block targets anterior cutaneous branches T9–12, and

the lateral/mid-axillary technique blocks the anterior cutaneous

branches T10–12. The analgesic effects obtained with TAP block

extend from the anterior abdominal wall and parietal peritoneum to

the lateral cutaneous branches of T9-L1.

In this study, we will be comparing the effectiveness of posterior and lateral approaches. 

 
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