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CTRI Number  CTRI/2024/02/062635 [Registered on: 14/02/2024] Trial Registered Prospectively
Last Modified On: 13/02/2024
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 pain management techniques for surgeries of the backbone  
Scientific Title of Study   Ultrasound guided bilateral erector spinae plane block for lumbar spine surgery: a prospective randomized controlled double blinded study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shivananda 
Designation  Senior Consultant 
Affiliation  Department of Anaesthesiology, Manipal Hospital Whitefield 
Address  Department of Anaesthesiology, Manipal Hospital Whitefield, ITPL Main Rd, opposite Prestige Shantiniketan, KIADB Export Promotion Industrial Area, Whitefield, Bengaluru, Karnataka

Bangalore
KARNATAKA
560066
India 
Phone  9686585584  
Fax    
Email  shivananda.nv@manipalhospitals.com  
 
Details of Contact Person
Scientific Query
 
Name  Shivananda 
Designation  Senior Consultant 
Affiliation  Department of Anaesthesiology, Manipal Hospital Whitefield 
Address  Department of Anaesthesiology, Manipal Hospital Whitefield, ITPL Main Rd, opposite Prestige Shantiniketan, KIADB Export Promotion Industrial Area, Whitefield, Bengaluru, Karnataka


KARNATAKA
560066
India 
Phone  9686585584  
Fax    
Email  shivananda.nv@manipalhospitals.com  
 
Details of Contact Person
Public Query
 
Name  Parvathy V Namboothiri 
Designation  Student 
Affiliation  Department of Anaesthesiology, Manipal Hospital Whitefield 
Address  Department of Anaesthesiology, Manipal Hospital Whitefield, ITPL Main Rd, opposite Prestige Shantiniketan, KIADB Export Promotion Industrial Area, Whitefield, Bengaluru, Karnataka

Bangalore
KARNATAKA
560066
India 
Phone  9656263806  
Fax    
Email  parvathyvnamboothiri@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, Manipal Hospital Whitefield, ITPL Main Rd, opposite Prestige Shantiniketan, KIADB Export Promotion Industrial Area, Whitefield, Bengaluru, Karnataka 560066 
 
Primary Sponsor  
Name  Manipal Hospital Whitefield 
Address  Department of Anaesthesiology, Manipal Hospital Whitefield, ITPL Main Rd, opposite Prestige Shantiniketan, KIADB Export Promotion Industrial Area, Whitefield, Bengaluru, Karnataka 560066 
Type of Sponsor  Private hospital/clinic 
 
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 Shivananda  Manipal Hospital Whitefield  First floor, Department of Anaesthesiology, Manipal Hospital Whitefield ITPL Main Rd, opposite Prestige Shantiniketan, KIADB Export Promotion Industrial Area, Whitefield, Bengaluru, Karnataka 560066
Bangalore
KARNATAKA 
9686585584

shivananda.nv@manipalhospitals.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee of Manipal Hospitals, Bangalore  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  Erector spinae plane block  Erector spinae plane block is performed with a single injection mixture of 20 mL of 0.2% Ropivacaine with 2 ml of Fentanyl (100 micrograms) and 2 ml of Dexamethasone (8 mg). The total duration of the procedure is expected to be between 15-30 minutes. The total observation period for the patients is 24-hours from the end of surgery. 
Comparator Agent  Non Erector spinae plane block group  Patients are not given Eretor spinae plane block and are treated with standard intraoperative and postoperative opioids (intravenous Fentanyl and intravenous Tramadol)and other analgesics (intravenous Paracetamol and intravenous Ketorolac) without the use of any regional anaesthetic techniques. The total observation period for the patients is 24-hours from the end of surgery. 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  American Society of Anaesthesiologists physical status 1 - 3 
 
ExclusionCriteria 
Details  Patients who are allergic to local anaesthetics.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
24-hour postoperative pain scores using Numeric Rating Scare (NRS 0 - 10)  Baseline (0 hour in the postoperative period); 2 hours; 4 hours; 8 hours; 12 hours, 24 hours in the postoperative period 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the number of rescue analgesics needed between patients receiving and not receiving Erector spinae plane block for elective lumbar spine surgery under general anaesthesia.  24 hours after surgery 
To compare the patients pain control satisfaction between patients receiving and not receiving Erector spinae plane block for elective lumbar spine surgery under general anaesthesia.  24 hours after surgery 
 
Target Sample Size   Total Sample Size="74"
Sample Size from India="74" 
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 4 
Date of First Enrollment (India)   23/02/2024 
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 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  
This single-center, prospective, randomized, double-blinded study will be conducted at Manipal Hospital Whitefield, Bangalore. Seventy four American Society of Anesthesiologists (ASA) physical status I Iland III patients aged between 30 and 70 years undergoing lumbar spine surgery under general anaesthesia will be recruited for the study. A written informed consent will be obtained from all patients enrolled in the study. Eligible patients will be randomized into two groups: 37 patients in the Erector spinae plane (ESP) block group and 37 patients in the non-ESP block group.
 
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