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CTRI Number  CTRI/2024/05/067395 [Registered on: 15/05/2024] Trial Registered Prospectively
Last Modified On: 11/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Increase in respiratory rate in head injury patients admitted in trauma ICU 
Scientific Title of Study   Central neurogenic hyperventilation in isolated traumatic brain injury patient in trauma ICU ,a prospective cohort 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  Dr Ayush Anand 
Designation  Junior Resident 
Affiliation  Institute of Medical Sciences, BHU 
Address  Department of Anesthesiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi

Varanasi
UTTAR PRADESH
221005
India 
Phone  09956081879  
Fax    
Email  ayushanand9009@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ghanshyam Yadav 
Designation  Assistant Professor 
Affiliation  Institute of Medical Sciences, BHU 
Address  Department of Anesthesiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi

Varanasi
UTTAR PRADESH
221005
India 
Phone  09838894169  
Fax    
Email  ghanshyambhu1976@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ghanshyam Yadav 
Designation  Assistant Professor 
Affiliation  Institute of Medical Sciences, BHU 
Address  Department of Anesthesiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi

Varanasi
UTTAR PRADESH
221005
India 
Phone  09838894169  
Fax    
Email  ghanshyambhu1976@gmail.com  
 
Source of Monetary or Material Support  
Trauma ICU,Trauma centre,BHU,VARANASI,PIN-221005 
 
Primary Sponsor  
Name  Banaras Hindu University 
Address  Department of Anesthesiology, 1st floor, Sir Sundarlal Hospital, BHU,varansi,221005 
Type of Sponsor  Research institution and hospital 
 
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 Ayush Anand  Institute of Medical Sciences, BHU  Department of Anesthesiology offfice , 1st floor, Sir Sundarlal Hospital, BHU
Varanasi
UTTAR PRADESH 
09956081879

ayushanand9009@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Of Medical Sciences_ethics_committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S069||Unspecified intracranial injury,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Isolated Traumatic brain Injury patients with age 18-60 with either sex 
 
ExclusionCriteria 
Details  patents not giving consent and poly trauma patients 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
incidence of hyperventilation in isolated traumatic brain injury patients  From 1st day of admission in ICU till the patient is hyperventilating 
 
Secondary Outcome  
Outcome  TimePoints 
Co-relation between type of brain injury and incidence of hyperventilation in that injury  From 1st day of admission in ICU till the patient is hyperventilating 
 
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   N/A 
Date of First Enrollment (India)   25/05/2024 
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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response - Informed Consent Form

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [ayushanand9009@gmail.com].

  6. For how long will this data be available start date provided 16-07-2026 and end date provided 16-07-2028?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

  Central neurogenic hyperventilation (CNH) is defined as a syndrome comprising normal or elevated arterial oxygen tension, decreased arterial carbon dioxide tension, and respiratory alkalosis, induced by lesions in the central nervous system in absence of cardiac or pulmonary disease, stimulating compensatory hyperpnea. This condition often causes vasoconstriction in the brain, leading to reduced blood flow and a risk of cerebral ischemia. Hypocapnia, can happen intentionally as a treatment for high pressure inside the skull or unintentionally due to rapid breathing. Central neurogenic hyperventilation is quite common, especially after subarachnoid hemorrhage, but it hasn’t been extensively studied in people with different traumatic brain injuries.CO2 plays a crucial role in regulating blood vessels in the brain. When there is decreased carbon dioxide in the blood (hypocapnia), it causes the blood vessels in the brain to constrict, reducing blood flow and intracranial pressure. However, it’s essential to recognize that excessive hyperventilation can also harm the brain’s ability to use oxygen and increase the brain’s demand for oxygen, potentially making cerebral ischemia worse or triggering it. Our aim is to find the incidence and factor responsible for hyperventilation in traumatic brain injury. 

 
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