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CTRI Number  CTRI/2024/01/061787 [Registered on: 24/01/2024] Trial Registered Prospectively
Last Modified On: 22/01/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A Comparative study of ultrasound guided brachial plexus blocks with supraclavicular and infraclavicular approaches in upper limb orthopedic surgeries to find the ease of giving and effects and find out which one is more good for patients 
Scientific Title of Study   A COMPARATIVE STUDY OF ULTRASOUND GUIDED SUPRACLAVICULAR AND INFRACLAVICULAR BRACHIAL PLEXUS BLOCK FOR UPPER LIMB ORTHOPEDIC SURGERY  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pooja Mathur 
Designation  Professor 
Affiliation  Jawaharlal Nehru Medical College,Ajmer 
Address  Anaesthetic Consultant room , orthopedic operation theatre, orthopedic department,jawahar lal nehru hospital,ajmer

Ajmer
RAJASTHAN
305001
India 
Phone  9414003933  
Fax    
Email  drpoojarawat@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pooja Mathur 
Designation  Professor 
Affiliation  Jawaharlal Nehru Medical College,Ajmer 
Address  Anaesthetic Consultant room , orthopedic operation theatre, orthopedic department,jawahar lal nehru hospital,ajmer

Ajmer
RAJASTHAN
305001
India 
Phone  9414003933  
Fax    
Email  drpoojarawat@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Monica Gupta 
Designation  Resident doctor 
Affiliation  Jawaharlal Nehru medical College and hospital ajmer  
Address  Room no 16,New operation theatre, anesthesia department, Jawaharlal nehru hospital,ajmer

Ajmer
RAJASTHAN
305001
India 
Phone  9079226324  
Fax    
Email  monicaguptadoc10@gmail.com  
 
Source of Monetary or Material Support  
New operation theatre, anaesthesia department,jawaharlal nehru medical college and hospitals,ajmer 
 
Primary Sponsor  
Name  jawaharlal nehru medical college ajmer 
Address  jawaharlal nehru medical college ajmer 
Type of Sponsor  Government 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 Pooja mathur  Jawaharlal nehru medical hospital  Orthopedic Modular and Emergency operation theatre, orthopedic department,jawaharlal nehru hospital, ajmer
Ajmer
RAJASTHAN 
9414003933

drpoojarawat@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institutional ethical 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,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  A COMPARATIVE STUDY OF ULTRASOUND GUIDED SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK FOR UPPER LIMB ORTHOPEDIC SURGERY  With due approval from institutional ethical committee, a prospective, hospital based, single blinded, randomized controlled study has been planned on adult patients of either sex for one year. Study participants will be the patients coming to the orthopedic department planned for upper limb surgeries and listed in the operation theatre in the Department of Anaesthesiology, Jawaharlal Nehru Medical College, Ajmer. A written informed consent will be obtained from all the patients for performance of block after complete explanation about the study protocol, anaesthetic technique, merits and demerits of the procedure and perioperative course of anaesthesia. Total duration of intervention is one year. 
Intervention  A COMPARATIVE STUDY OF ULTRASOUND GUIDED INFRACLAVICULAR BRACHIAL PLEXUS BLOCK FOR UPPER LIMB ORTHOPEDIC SURGERY  With due approval from institutional ethical committee, a prospective, hospital based, single blinded, randomized controlled study has been planned on adult patients of either sex for one year. Study participants will be the patients coming to the orthopedic department planned for upper limb surgeries and listed in the operation theatre in the Department of Anaesthesiology, Jawaharlal Nehru Medical College, Ajmer. A written informed consent will be obtained from all the patients for performance of block after complete explanation about the study protocol, anaesthetic technique, merits and demerits of the procedure and perioperative course of anaesthesia.Total duration of intervention is one year. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  1 Age group above 18 years.

2 Patients belonging to ASA (American Society of Anaesthesiologists) class-I and II.
 
 
ExclusionCriteria 
Details  1 Patients not willing to participate in the study and not giving consent.

2 Uncooperative patients.

3 Patient with chronic pain or on long-term analgesics.

4 Any known hypersensitivity or contraindication to bupivacaine or any other local anesthetic.

5 Local pathology at the site of injection or disability limiting the performance of block.

6 Patients with coagulopathies and bleeding diathesis

7 Neurological diseases or pre existing nerve palsies

8 Inadequate block necessitating institution of general anaesthesia for continuation of surgical procedure.

 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
1. Sensory block onset time   to be assesed by grading points using 3 point scale by pinprick test just after giving the drug in intervals of half min till effect comes 
 
Secondary Outcome  
Outcome  TimePoints 
1) Time to perform the block

2) Number of needle attempts

3) Motor block onset time

4) Motor block duration

5)Sensory block duration

6)First analgesic requirements

7)Adverse effects
 
according to grading point scale for motor & sensory blocks & vas score at 2 min intervals from the time of giving block till 10 min followed by 5 min till 30 min,15 min intervals till 2hrs ,2 hrs interval till 6 hrs & then 6 hrs interval till 24 hrs of giving the block 
 
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   Phase 2/ Phase 3 
Date of First Enrollment (India)   01/02/2024 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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  

With due approval from institutional ethical committee, a prospective, hospital based, single blinded, randomized controlled study has been planned on  adult patients of either sex.

Study participants will be the patients coming to the orthopedic department planned for upper limb surgeries and listed in the operation theatre in the Department of Anaesthesiology, Jawaharlal Nehru Medical College, Ajmer. A written informed consent will be obtained from all the patients for performance of block after complete explanation about the study protocol, anaesthetic technique, merits and demerits of the procedure and perioperative course of anaesthesia.A comparative study of ultrasound guided supraclavicular and infraclavicular approach of brachial plexus block will be done and sensory block onset will be compared in both the approaches along with other outcome measurements as mentioned in above texts. 
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