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CTRI Number  CTRI/2024/03/064739 [Registered on: 26/03/2024] Trial Registered Prospectively
Last Modified On: 25/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Comparison of local anaesthetic volume requirement for paediatric caudal block when given based on armitage formula and under ultrasound guided assessment. 
Scientific Title of Study   To study the difference in the volume of local anaesthetic required for cranial spread during caudal block in children using ultrasound guided assessment as compared to a precalculated volume. 
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 Mikhila Lizbet  
Designation  Resident 
Affiliation  Aster CMI Hospital, Banglore  
Address  Second floor,Department of Anaesthesia,Aster CMI Hospital,Hebbal,Bangalore, Karnataka

Bangalore
KARNATAKA
560092
India 
Phone  9400418140  
Fax    
Email  mikhilla@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr.Gaurang J Kothari 
Designation  Consultant 
Affiliation  Aster CMI Hospital, Banglore  
Address  Department of Anaesthesia, Aster CMI Hospital, Benguluru, 560092

Bangalore
KARNATAKA
560092
India 
Phone    
Fax    
Email  gaurangkothari29@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shyamala 
Designation  DNB coordinator 
Affiliation  Aster CMI Hospital, Banglore  
Address  Aster CMI Hospital, Benguluru, 560092

Bangalore
KARNATAKA
560092
India 
Phone    
Fax    
Email  academics.blr@asterhospital.com  
 
Source of Monetary or Material Support  
Aster CMI Hospital Hebbal, Bangalore 560092 
 
Primary Sponsor  
Name  NA 
Address  NA 
Type of Sponsor  Other [NA] 
 
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 Gaurang J Kothari  ASTER CMI HOSPITAL  Department of Anaesthesia,Second Floor. Benguluru BANGLORE , 560092
Bangalore
KARNATAKA 
8105885778

gaurangkothari29@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Aster CMI Institutional Ethics 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 
Intervention  Ultrasound guided caudal block.  Ultrasound guided injection of 0.2% Ropivacaine into caudal space/epidural space from a syringe loaded with precalculated volume of local anesthetic based on Armitage formula that is 0.5ml/kg for sacral level,1ml/kg for lumbar level and 1.25ml/kg for lower thoracic postoperative pain is assessed for 8 hours after surgery. 
Comparator Agent  Volume of local anaesthetic agent  Comparison of volume of local anesthetic agent required under ultrasound guided caudal block and Armitage formula based precalculated volume and the postoperative pain is assessed for 8 hours after surgery. 
 
Inclusion Criteria  
Age From  0.00 Day(s)
Age To  6.00 Year(s)
Gender  Both 
Details  Children between the age group of neonates to 6 years under ASA I-II undergoing abdominal, perineal and lower limb surgeries. 
 
ExclusionCriteria 
Details  PARENTAL REFUSAL
COAGULATION DISORDER
LOCAL SITE INFECTION
ANATOMICAL ABNORMALITIES 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1.Comparison of Local anaesthetic volume requirement as per Armitage formula and Ultrasound guided caudal block.  Comparison of local anaesthetic volume is done during the procedure and the pain assessment is done after one hour, three hours and lastly after 8 hours after the surgery. 
 
Secondary Outcome  
Outcome  TimePoints 
Postoperative pain assessment using FLACC score & Heartrate  First hour Third hour & Sixth hour after surgery. 
 
Target Sample Size   Total Sample Size="65"
Sample Size from India="65" 
Final Enrollment numbers achieved (Total)= "65"
Final Enrollment numbers achieved (India)="65" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   30/03/2024 
Date of Study Completion (India) 30/04/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 30/04/2025 
Estimated Duration of Trial   Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
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   This study is a comparison of difference in the volume of local anaesthetic required for caudal block in paediatric population under ultrasound guidance and Armitage formula based precalculated volume. Thereby reducing the complications assosciated with local anesthetic , same time ensuring adequate postop analgesia. 
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