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CTRI Number  CTRI/2024/07/069887 [Registered on: 04/07/2024] Trial Registered Prospectively
Last Modified On: 30/06/2024
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 scientific study to compare the two methods of ultrasound guided quadratus lumborum block for post-operative pain reduction in patients coming for unilateral inguinal hernia surgeries.  
Scientific Title of Study   A comparative study between two approaches of Ultrasound-guided posterior quadratus lumborum block and ultrasound guided transmuscular quadratus lumborum block for postoperative pain control in patients undergoing unilateral inguinal hernia surgeries  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Titiksha Hombanna  
Designation  Pg student, Anesthesiology  
Affiliation  Mysore medical College and Research institute  
Address  Mysore medical college and research institute Department of anaesthesia,1st floor,room no.1, new stone building, Kr hospital, Irwin road,Mysore KARNATAKA 570001 India

Mysore
KARNATAKA
570001
India 
Phone  9980487703  
Fax    
Email  titikshahombanna@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  V Y Srinivas  
Designation  Professor and HOD, Department of anesthesiology  
Affiliation  Mysore medical College and Research institute  
Address  Mysore Medical College and Research Institute,Irwin Road Mysore KARNATAKA 570001 India

Mysore
KARNATAKA
570001
India 
Phone  9353837014  
Fax    
Email  drsrinivasvy@gmail.com  
 
Details of Contact Person
Public Query
 
Name  V Y Srinivas  
Designation  Professor and HOD, Department of anesthesiology  
Affiliation  Mysore medical College and Research institute  
Address  Mysore Medical College and Research Institute,Irwin Road Mysore KARNATAKA 570001 India

Mysore
KARNATAKA
570001
India 
Phone  9353837014  
Fax    
Email  drsrinivasvy@gmail.com  
 
Source of Monetary or Material Support  
Mysore medical College and Research institute, Irwin road,next to railway station, Mysore,570001 
 
Primary Sponsor  
Name  Mysore medical College and Research institute  
Address  Irwin road, next to railway station, Mysore 570001 Karnataka India  
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 Titiksha Hombanna  Krishna rajendra hospital  Mysore medical college and research institute, department of anesthesia, 1st floor, room no 1, new stone building, KR hospital, mysore. Irwin road, mysore,
Mysore
KARNATAKA 
9980487703

titikshahombanna@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Mysore Medical college and Research Institute and associated hospitals, mysore  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  Post-operative ultrasound-guided QLB-2 block  Ultrasound-guided QLB-2 block will be given postoperatively once, with 20ml of Inj 0.25%bupivacaine + 8mg of dexamethasone using 20G spinal needle in the intermucular plane between quadratus lumborum and latissimus dorsi and followed up for 24 hours for assessing post-operative pain control.  
Comparator Agent  Post-operative ultrasound-guided QLB-3 block  Ultrasound-guided QLB-3 block will be given postoperatively once, with 20mlmof Inj. 0.25%bupivacaine + 8mg of dexamethasone using 20G spinal needle in the intermuscular plane between quadratus lumborum and pectoralis major and followed up for 24 hours for assessing post-operative pain control.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  All ASA I and II patients undergoing unilateral inguinal hernia surgeries  
 
ExclusionCriteria 
Details  All ASA III and IV patients.
Patients with comorbid conditions like diabetes, hypertension, cardiovascular, respiratory and neurological disorders, cerebrovascular insufficiency, coagulation abnormalities, renal or hepatic insufficiency.
Obesity.
Drug allergy and allergy to local anesthetics.
Patient refusal for consent.
Infection at the injection site.
Pregnant and lactating women. 
 
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 
To compare the time taken for first rescue analgesia between 2 approaches of USG guided quadratus lumborum block in patients undergoing unilateral inguinal hernia surgeries   24 hours 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the duration of technique and level of sensory block achieved and total analgesics consumption between 2 approaches of USG guided quadratus lumborum block   24 hours 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   12/07/2024 
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="6"
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   This is a prospective randomized comparative study between ultrasound guided posterior quadratus lumborum block and transmuscular quadratus lumborum block for postoperative pain control in patients undergoing unilateral inguinal hernia surgeries in K R Hospital ,in which time for first rescue analgesia and duration of technique of both the approaches. 
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