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CTRI Number  CTRI/2023/04/051896 [Registered on: 24/04/2023] Trial Registered Prospectively
Last Modified On: 21/04/2023
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Ultrasound guided block versus standard care amongst robotic donor hepatectomy patients 
Scientific Title of Study   Comparison of postoperative analgesia with bilateral erector spinae plane block versus standard care in patients undergoing robotic donor hepatectomy 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Lakshmi Kumar 
Designation  Professor and Head 
Affiliation  Amrita Institute of Medical Sciences 
Address  17, Noel Heritage,Kizekkekara Road,
Trikakkara PO,
Ernakulam
KERALA
682021
India 
Phone  09496211333  
Fax    
Email  lakshmi.k.238@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amaldev A 
Designation  Fellow, Hepatobiliary and solid organ transplant Anaesthesia 
Affiliation  Amrita Institute of Medical Sciences 
Address  tower 6 Floor 1 Department of Anaesthesia AIMS Kochi
Edapally Kochi 682041
Ernakulam
KERALA
682041
India 
Phone  8281458782  
Fax  912852020  
Email  amaldev184@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Amaldev A 
Designation  Fellow, Hepatobiliary and solid organ transplant Anaesthesia 
Affiliation  Amrita Institute of Medical Sciences 
Address  tower 6 Floor 1 Department of Anaesthesia AIMS Kochi
Edapally Kochi 682041
Ernakulam
KERALA
682041
India 
Phone  8281458782  
Fax  912852020  
Email  amaldev184@gmail.com  
 
Source of Monetary or Material Support  
Amrita Institute Of Medical Sciences 
 
Primary Sponsor  
Name  Amrita Institute of Medical Sciences 
Address  Department of Anaesthesia Tower 6 Floor 1 Edapally 
Type of Sponsor  Research institution and hospital 
 
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 
Lakshmi Kumar  Amrita Institute of Medical Sciences  Tower 6 Floor 1 Department of Anaesthesia and critical Care
Ernakulam
KERALA 
9496211333
912852020
lakshmi.k.238@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Amrita Institute Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K768||Other specified diseases of liver,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Analgesia for hepatectomy  Opioid infusions and multimodal analgesia intra and postoperatively as per protocol 
Intervention  Erector spinae block bilateral  Bilateral ES catheters placed after anaesthesia and boluses of 0.2% ropivacaine given at timed intervals 8th hrly on either side 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  ASA I ands II donors for right lobe robot assisted laparoscopic hepatectomy 
 
ExclusionCriteria 
Details  Obesity BMI >35
Infections on the back
allergic reaction to drugs used for ES block 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Post-operative analgesic requirement  Postoperative 24 h after surgery 
 
Secondary Outcome  
Outcome  TimePoints 
1. Heart rate
2. Mean arterial Pressure
3. Pain assessed by NRS
4.Compliance to DVT prophylaxis
5. length of ICU stay 
1. Time of shifting T s
2. T 6: 6h in ICU
3. T 12: 12 H ICU
4. T 18 : 18 h ICU
5. T 24: 24 h ICU
6. Tic: Incentive spirometry
7. Ta: Ambulation
Intraoperative time points
T0: baseline
Tp: Port insertion
T p10: 10 mins of pneumoperitoneum
T Pf : Pfannelstiel incision
Tg : Graft retrieval
Tc :Closure
Te: End of surgery
 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   08/05/2023 
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 applicable 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   We plan to assess the analgesic response of erector spinae catheters on post operative analgesic consumption amongst patients undergoing robotic donor hepatectomy. We belive that this will have an opioid sparing effect and may reduce the post operative ICU stay and improve analgesic quality amongst these patients 
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