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CTRI Number  CTRI/2024/02/063084 [Registered on: 23/02/2024] Trial Registered Prospectively
Last Modified On: 22/02/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   ketamine with bupivacaine vs bupivacaine analgesia in breast surgeries  
Scientific Title of Study   A Randomized Prospective study to see the Efficacy and Safety of KETAMINE added to BUPIVACAINE 0.25% in USG guided Modified Pectoral Block for management of postoperative pain in patients undergoing Modified Radical Mastectomy  
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 VEENA PATODI 
Designation  Senior Professor  
Affiliation  Jawahar Lal Nehru medical college  
Address  Department of Anaesthesiology Nee OT,1st floor Jawahar Lal Nehru Medical College and Hospitals

Ajmer
RAJASTHAN
305001
India 
Phone  9414008276  
Fax    
Email  veenapatodi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr VEENA PATODI 
Designation  Senior Professor 
Affiliation  Jawahar Lal Nehru Medical College  
Address  Department of Anaesthesiology New OT 1st floor Jawaharlal Nehru Medical College and Hospitals

Ajmer
RAJASTHAN
305001
India 
Phone  9414008276  
Fax    
Email  veenapatodi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr VEENA PATODI 
Designation  Senior Professor 
Affiliation  Jawahar Lal Nehru medical college  
Address  Department of Anaesthesiology New OT 1st floor Jawahar Lal Nehru Medical College and Hospitals

Ajmer
RAJASTHAN
305001
India 
Phone  9414008276  
Fax    
Email  veenapatodi@gmail.com  
 
Source of Monetary or Material Support  
Department of anaesthesiology Jawahar lal nehru medical college ajmer 
 
Primary Sponsor  
Name  Jawahar Lal Nehru Medical College  
Address  Department of Anaesthesia,New OT 1st floor Jawahar Lal Nehru Medical College and hospital building kalabagh Ajmer 305001 
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 
DrKIRAN  Jawahar Lal Nehru Medical College  Department Of Anaesthesiology ,New OT 1st floor Jawahar Lal Nehru Medical College hospital building kalabagh Ajmer
Ajmer
RAJASTHAN 
8281740024

kiranmohanakumar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee Jawahar Lal Nehru Medical College and Hospitals Ajmer  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C509||Malignant neoplasm of breast of unspecified site,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Bupivacaine  efore surgical resection patients will be receiving the study drugs according to group allocated. Patients will be randomly allocated to group BK using table of randomisation. will be receiving Inj.Bupivacaine 0.25% 30 ml as USG guided infiltration in to pectoral space as single time infiltration. Patients will be followed for duration of analgesia and haemodynamic effects till first complain of pain sensation or 1st demand of rescue analgesia in postoperative period.  
Intervention  ketamine with bupivacaine  Before surgical resection patients will be receiving the study drugs according to group allocated. Patients will be randomly allocated to group BK using table of randomisation. will be receiving Inj.Bupivacaine 0.25% 29 ml + Inj.Ketamine 50mg (1ml) as USG guided infiltration in to pectoral space as single time infiltration. Patients will be followed for duration of analgesia and haemodynamic effects till first complain of pain sensation or 1st demand for analgesia in postoperative period. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Female 
Details  1.females undergoing breast
cancer surgery.
2.ASA grade I and II. 
 
ExclusionCriteria 
Details  1.Patient refusal.
2.Deranged coagulation profile.
3.History of opioid use or addiction.
4.Obesity
5.Pregnancy. 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
duration of analgesia  immediate post operation baseline, 30mnts,1hr,2hr,4hr,6hr,12hr,24hr 
 
Secondary Outcome  
Outcome  TimePoints 
1.Total postoperative analgesic consumption.
2.Haemodynamic variable and side effects 
immediate post operation baseline, 30mnts,1hr,2hr,4hr,6hr,12hr,24hr 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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 3/ Phase 4 
Date of First Enrollment (India)   08/03/2024 
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   With due approval from institutional ethical committee study will be conducted on 80 female breast carcinoma patients undergoing Modified Radical Mastectomy under General Anaesthesia. A written informed consent will be taken prior to procedure. Participants will be alotted into two groups, Group B will be receiving USG guided infiltration of inj Bupivacaine 0.25% 30ml as Pectoral  Block  and Group BK will be receiving  USG guided infiltration of inj Bupivacaine 0.25% 29ml with inj Ketamine 50mg(1ml) as Pectoral  block  prior to surgery. Participants will be followed in postoperative period for the duration of analgesia, total analegesia  consumption, haemodynamic side effects till patients first complain of pain or demands for analgesia . Data will be recorded and analysed using standard qualitative and quantitative tests , the p value of less than 0.05 will be considered significant. 
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