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CTRI Number  CTRI/2024/05/068061 [Registered on: 29/05/2024] Trial Registered Prospectively
Last Modified On: 24/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Role of pCO2 gap in prediction of clinical outcome of patients in septic shock. 
Scientific Title of Study   Role of central venous-arterial pCO2 difference(pCO2 gap) in prediction of clinical outcome and prognosis of patients in septic shock. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Navneet Singh 
Designation  Resident Anaesthesiology 
Affiliation  Command Hospital Air Force Bangalore 
Address  Dept of Anaesthesiology and Critical Care, Command Hospital Air Force Bangalore, HAL Old Airport Road, Agram Post, Bengaluru-560007

Bangalore
KARNATAKA
560007
India 
Phone  6302821448  
Fax    
Email  navneet.55singh@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Aditya Sapra 
Designation  Head of the Department 
Affiliation  Command Hospital Air Force Bangalore 
Address  Dept of Anaesthesiology and Critical Care, Command Hospital Air Force Bangalore, HAL Old Airport Road, Agram Post, Bengaluru-560007

Bangalore
KARNATAKA
560007
India 
Phone  8197084270  
Fax    
Email  adityasapra@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Paridhi S Gupta 
Designation  Senior Resident 
Affiliation  Command Hospital Air Force Bangalore 
Address  Dept of Anaesthesiology and Critical Care, Command Hospital Air Force Bangalore, HAL Old Airport Road, Agram Post, Bengaluru-560007

Bangalore
KARNATAKA
560007
India 
Phone  9407500837  
Fax    
Email  paridhis1@gmail.com  
 
Source of Monetary or Material Support  
Dept of Anaesthesiology and Critical Care, Command Hospital Air Force Bangalore, HAL Old Airport Road, Agram Post, Bengaluru-560007, India. 
 
Primary Sponsor  
Name  Navneet Singh 
Address  Dept of Anaesthesiology and Critical Care, Command Hospital Air Force Bangalore, HAL Old Airport Road, Agram Post, Bengaluru-560007, India. 
Type of Sponsor  Other [Self] 
 
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 Navneet Singh  Command Hospital Air Force Bangalore  Dept of Anaesthesiology and Critical Care
Bangalore
KARNATAKA 
6302821448

navneet.55singh@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC, Command Hospital Air Force Bangalore  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I999||Unspecified disorder of circulatory system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  Adult patients admitted as a case of Septic Shock with Vasopressor requirement to maintain Mean Arterial Pressure greater than 65mmHg, Serum Lactate level above 2mmol/L and without any hypovolemia. 
 
ExclusionCriteria 
Details  Pregnancy, age below 18yrs, patients with end stage neoplasms, and patients suffering from lung diseases. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
28 day mortality rate  28 days 
 
Secondary Outcome  
Outcome  TimePoints 
Length of stay in ICU, SOFA score, and Serum Lactate levels  28 days 
 
Target Sample Size   Total Sample Size="101"
Sample Size from India="101" 
Final Enrollment numbers achieved (Total)= "101"
Final Enrollment numbers achieved (India)="101" 
Phase of Trial   N/A 
Date of First Enrollment (India)   05/06/2024 
Date of Study Completion (India) 26/02/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  

A prospective observational study will be conducted in a 17 bedded ICU setup of a Multispecialty, University affiliated hospital. A written and informed consent will be taken from the patients/their next of kin(NOK), meeting the inclusion criteria of the study. ABG and VBG samples will be taken for patients diagnosed to be in septic shock, through central venous catheter and arterial catheter respectively. The samples will be taken at T= 0 Hrs and T= 6 Hrs, where T0 is the time at which the patient was started on vasopressor support.

PCO2 gap found (the worse value among T0 and T6) will be considered and correlated with 28 day mortality rates of the patients.

Similarly PCO2 values will also be correlated with : Serum Lactate levels, SOFA score and Length of stay in ICU

Positive correlation will be considered if there are higher 28 day mortality rates with 𝛥PCO2 > 6mmHg.

 
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