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CTRI Number  CTRI/2024/05/066762 [Registered on: 03/05/2024] Trial Registered Prospectively
Last Modified On: 02/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Is 2% lidocaine spray administration prior to respiratory procedure effective in reducing pain of lidocaine local anaesthesia? 
Scientific Title of Study   Randomized controlled trial to look into effect of topical 2% lidocaine spray in reducing pain prior to intradermal lidocaine for local anaesthesia in patients undergoing respiratory procedures 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sobankumar 
Designation  Junior resident-1st year Post graduate  
Affiliation  Christian medical college and hospital  
Address  Department of Respiratory medicine. Christian medical college and hospital vellore

Vellore
TAMIL NADU
621001
India 
Phone  9159199577  
Fax    
Email  kumarsoban60@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Richa Gupta 
Designation  Professor and head of department  
Affiliation  Christian medical college and hospital  
Address  Department of Respiratory medicine. Christian medical college and hospital vellore

Vellore
TAMIL NADU
621001
India 
Phone  9600771705  
Fax    
Email  drricha21@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sobankumar 
Designation  Junior resident-1st year Post graduate  
Affiliation  Christian medical college and hospital  
Address  Department of Respiratory medicine. Christian medical college and hospital vellore

Vellore
TAMIL NADU
621001
India 
Phone  9159199577  
Fax    
Email  kumarsoban60@gmail.com  
 
Source of Monetary or Material Support  
Christian medical college ,Vellore 
 
Primary Sponsor  
Name  Christian medical college 
Address  Christian medical college and hospital vellore 
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 Sobankumar  Christian medical college ,Vellore   Department of respiratory medicine Bronhcoscopy and USG room Respiratory medicine ward
Vellore
TAMIL NADU 
9159199577

kumarsoban60@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Christian medical college ethic committee  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: 8||Other Procedures,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  2% Lignocaine   2 % topical lignocaine used as spray prior to intradermal lignocaine anaesthesia 
Comparator Agent  normal saline  0.9 % Normal saline used as spray 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  Consecutive patients undergoing respiratory diagnostic and therapeutic procedures requiring administration of intradermal ligniocaine injection and Image guided diagnostic and therapeutic pleurocentesis ,Chest drain insertion, medical Image guided closed pleural biopsy thoracoscopy during study period will be considered eligible for inclusion if they are
1.Aged above 18 years
2.Hemodynamically stable
 
 
ExclusionCriteria 
Details  1.No consent
2.Documented history of lignocaine toxicity
3.Pregnancy
 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the pain scores during intradermal lidocaine infiltration between two study groups i.e. 2%lidocaine spray vs Normal saline spray by using FACES score.  Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
1. To compare the percentage of proportion of patients in each arm who required 2nd or more additional dose of local anesthesia to complete the procedure
2.To determine pain related adverse events(vasovagal syncope ) 
baseline 
 
Target Sample Size   Total Sample Size="172"
Sample Size from India="172" 
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)   15/05/2024 
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="1"
Months="0"
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  

The aim of this study is to assess whether there is a reduction in pain perception in patients while receiving an additional skin surface lidocaine spray just prior to  intradermal lignocaine infiltration in patients undergoing respiratory procedures. Patients will be randomized into two arms (2% lidocaine spray arm and Normal saline spray arm). Pain perception in each arm following the intradermal lidocaine infiltration will be assessed with FACES pain score. Additionally, we will look into incidence of pain related adverse events like vasovagal syncope in both study groups. For this randomized controlled trial, patients will be recruited from outpatients and in patients under respiratory medicine department. Study will be conducted in bronchoscopy suite /respiratory medicine treatment room /respiratory medicine ward of CMC Vellore. It will be conducted as an Placebo controlled randomized controlled study. The main primary outcome is patient Score rated by FACES pain scale.

 
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