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CTRI Number  CTRI/2014/06/004708 [Registered on: 26/06/2014] Trial Registered Retrospectively
Last Modified On: 26/06/2014
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Pain relief comparing combination of Dexmedetomidine Plus Bupivacaine And Ketamine Plus Bupivacaine for hip fracture patients  
Scientific Title of Study   A Prospective randomized control trial to compare the analgesic effect of epidural Dexmedetomidine plus Bupivacaine and epidural Ketamine plus Bupivacaine in patients with hip factures 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Nilesh Balu Sonawane 
Designation  MBBS DNB Anaesthesia Diploma in Anaesthesia 
Affiliation  Ganga Hospital  
Address  Plot No 25 Bilvapatra Torna nagar Uday colony Nashik

Nashik
MAHARASHTRA
422008
India 
Phone  9619597014  
Fax    
Email  sonawanenilesh805@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Nilesh Balu Sonawane 
Designation  MBBS DNB Anaesthesia Diploma in Anaesthesia 
Affiliation  Ganga Hospital  
Address  Plot No 25 Bilvapatra Torna nagar Uday colony Nashik

Nashik
MAHARASHTRA
422008
India 
Phone  9619597014  
Fax    
Email  sonawanenilesh805@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Nilesh Balu Sonawane 
Designation  MBBS DNB Anaesthesia Diploma in Anaesthesia 
Affiliation  Ganga Hospital  
Address  Plot No 25 Bilvapatra Torna nagar Uday colony Nashik

Nashik
MAHARASHTRA
422008
India 
Phone  9619597014  
Fax    
Email  sonawanenilesh805@gmail.com  
 
Source of Monetary or Material Support  
Ganga Hospital 
 
Primary Sponsor  
Name  Ganga Hospital 
Address  313 mettupalayam road sai baba colony Coimbatore 641043 Tamil nadu 
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 
Dr J Balavenkatasubramanian  Orthopaedic and trauma operation theatre 5th floor  Ganga Hospital 313 mettupalayam road sai baba colony
Coimbatore
TAMIL NADU 
9345645757

drbalavenkat@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Review Board  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Patients having hip fractures,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Dexmedetomidine  Initially dexmedetomidine bolus 1 microgram per kg diluted in 5ml distilled water given epidurally bolus at start of surgery. Then after 1hour of bolus dose 250ml elastomeric epidural infusion pump to be connected containing 0.125 percent bupivacaine plus 1 microgram per ml dexmedetomidine at 5ml per hour for 48 hours 
Comparator Agent  Ketamine  Initially preservative free ketamine bolus 0.5milligram per kg diluted in 5ml distilled water and given epidural bolus at start of surgery. Then after 1hour of bolus dose 250 ml elastomeric epidural infusion pump to be connected containing 0.125 percent bupivacaine plus 0.5 milligram per ml preservative free ketamine at 5ml per hour for 48 hours 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  American Society Anaesthesia (ASA) physical status
I and II patients, Both sex, Hip fracture surgeries, Elective Surgeries
 
 
ExclusionCriteria 
Details  Allergy to the drug being used, Refusal of patient to regional anaesthesia,Bleeding diasthesis, With uncontrolled hypertension, Heart rate <60 beats/minute
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
VAS score less than 3 at operative site  48 hours 
 
Secondary Outcome  
Outcome  TimePoints 
Motor blockade Swnsory blockade
Side effects 
48 hours 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/09/2012 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="9"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   A prospective randomized double blind controlled trial including 60 ASA I & II patients between age 18 – 75 yrs for elective hip fracture surgery divided into 2 groups Group K Ketamine plus Bupivacaine and Group D Dexmedetomidine plus Bupivacaine. The study compares the effects of dexmedetomidine plus bupivacaine and preservative free ketamine plus bupivacaine in hip fracture surgeries in postoperative period for 48 hrs with continuous epidural infusion and thus concluding which drug combination produces better analgesia with minimal haemodynamic alterations. 
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