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CTRI Number  CTRI/2024/08/072996 [Registered on: 27/08/2024] Trial Registered Prospectively
Last Modified On: 24/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Comparison of effect of Nitroglycerin spray with lignocaine spray and lignocaine spray alone on haemodynamic responses to laryngoscopy and endotracheal intubation 
Scientific Title of Study   Additive effect of nitroglycerine spray with lignocaine spray lignocaine spray alone on haemodynamic responses to laryngoscopy and endotracheal intubation a comparative 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  Vasioullah Khan 
Designation  Junior Resident 
Affiliation  King Georges Medical University 
Address  Department of Anaesthesiology, King Georges Medical University, Lucknow
Department of Anaesthesiology, King Georges Medical University, Lucknow
Lucknow
UTTAR PRADESH
226003
India 
Phone  7906821058  
Fax    
Email  vasi.khan009@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Ajay Kumar Chaudhary 
Designation  Professor 
Affiliation  King Georges Medical University 
Address  Department of Anaesthesiology, King Georges Medical University, Lucknow
Department of Anaesthesiology, King Georges Medical University, Lucknow
Lucknow
UTTAR PRADESH
226003
India 
Phone  9415022374  
Fax    
Email  ajaychaudhary62@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Vasioullah Khan 
Designation  Junior Resident 
Affiliation  King Georges Medical University 
Address  Department of Anaesthesiology, King Georges Medical University, Lucknow
Department of Anaesthesiology, King Georges Medical University, Lucknow
Lucknow
UTTAR PRADESH
226003
India 
Phone  7906821058  
Fax    
Email  vasi.khan009@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, King Georges Medical University, Lucknow- 226003, India 
 
Primary Sponsor  
Name  King Georges Medical University 
Address  Department of Anaesthesiology, KGMU, Lucknow 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
Ajay Kumar Chaudhary  Department of Anaesthesiology, KGMU, Lucknow 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Vasioullah Khan  King Georges Medical University  Department Of Anesthesia, King Georges Medical University, Lucknow
Lucknow
UTTAR PRADESH 
917906821058

vasi.khan009@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KGMU, Lucknow  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Z428||Encounter for other plastic and reconstructive surgery following medical procedure or healed injury,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Lignocaine (15%)   Comparator: lignocaine 15% 2 puffs 1 minute before laryngoscopy and endotracheal intubation. Route sublingual. Time period 1 year 
Intervention  Nitroglycerine 400ug   Agent : nitroglycerine 400ug 1 puff + lignocaine 15% 2 puff 1 minute before laryngoscopy. Route sublingual 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients who were classified as ASA grade I/II, had ages ranging between 18 to 60 years, were scheduled for elective surgeries under general anesthesia with endotracheal intubation, and provided written informed consent will be included in the study. 
 
ExclusionCriteria 
Details  Patients who exhibited allergy to the study drug, anticipated difficult airways, required emergency surgical procedures, possessed a history of laryngeal or tracheal surgery or any related pathology, had pre-existing cardiac disease, hypertension, or chronic obstructive pulmonary disease (COPD), or refused to provide consent will be excluded from participation in the study.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To measure and compare the effect of Nitroglycerine 400ug with lignocaine (15%) 2 puff and Lignocaine (15%) 2 puff alone on the hemodynamic responses to laryngoscopy and endotracheal intubation.  • At intervals of 1, 3, 5, 10, and 15 minutes after laryngoscopy and tracheal intubation, the vital parameters will be monitored and compared. 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the adverse effect of the Nitroglycerine 400ug with lignocaine (15%) 2 puff & Lignocaine (15%) 2 puff alone on the hemodynamic responses to laryngoscopy & endotracheal intubation.  During & after laryngoscopy & tracheal intubation (Approximately 30 min) 
 
Target Sample Size   Total Sample Size="124"
Sample Size from India="124" 
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 
Date of First Enrollment (India)   13/09/2024 
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)   Open to Recruitment 
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 prospective randomized controlled study is comparing the effects of Nitroglycerine 400ug with lignocaine (15%) 2 puff and Lignocaine (15%) 2 puff alone on the hemodynamic responses to laryngoscopy and endotracheal intubation. A total 124 patients will be enrolled as per inclusion-exclusion criteria. Patients will be divided randomly into two groups of 62 each. In group N, Nitroglycerine 400ug with lignocaine (15%) 2 puff will be sprayed and in group L, Lignocaine (15%) 2 puff will be sprayed before laryngoscopy and tracheal intubation. During surgery, the patient’s pulse rate, blood pressure, ECG, urine output, and blood loss will be monitored continuously. After the intubation, at intervals of 1, 3, 5, 10, and 15 minutes after laryngoscopy and tracheal intubation, the vital parameters will be monitored. Adverse effects will be noted for both groups separately and compared.

 
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