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CTRI Number  CTRI/2024/04/065634 [Registered on: 15/04/2024] Trial Registered Prospectively
Last Modified On: 10/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia
Preventive 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of postive pressure inside lung during no ventilation during heart surgery in children 
Scientific Title of Study   Continuous positive airway pressure during cardio pulmonary bypass and postoperative pulmonary complications among children undergoing congenital heart surgery:A randomized clinical trial 
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.Jemima Tamilmalar.S 
Designation  Junior resident 
Affiliation  Jawaharlal Institute of Postgraduate Medical education and Research 
Address  Department of Anesthesiology and Critical Care, 2nd Floor, Main Hospital Block, Jawaharlal Institute of Postgraduate Medical Education and Research, puducherry, INDIA, 605006

Pondicherry
PONDICHERRY
605006
India 
Phone  09868477642  
Fax    
Email  jemiponraj@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrSandeep Kumar Mishra 
Designation  Professor  
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research  
Address  Department of Anaesthesiology and Critical care,Jawaharlal Institute of Postgraduate Medical education and Research,Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  9344668104  
Fax    
Email  jipmermishra@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DrSandeep Kumar Mishra 
Designation  Professor  
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research  
Address  Department of Anaesthesiology and Critical care,Jawaharlal Institute of Postgraduate Medical education and Research,Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  9344668104  
Fax    
Email  jipmermishra@gmail.com  
 
Source of Monetary or Material Support  
Jawaharlal Institute of Postgraduate Medical Education and Research  
 
Primary Sponsor  
Name  Nil 
Address  NA 
Type of Sponsor  Other [Nil] 
 
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 
DrJemima TamilmalarS  Jawaharlal Institute of Medical Education and Research   Department of Anesthesiology and Critical Care, 2nd Floor, Main Hospital Block, Jawaharlal Institute of Postgraduate Medical Education and Research, puducherry, INDIA, 605006
Pondicherry
PONDICHERRY 
9486548131

jemiponraj@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Jawaharlal Institute of Postgraduate Medical Education and Research ethics committee   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  Giving continuous positive airway pressure during cardiopulmonary bypass in children undergoing Congenital heart surgery   Children less than one year will receive continuous positive airway pressure of 2 cm H2o,children between one to two years will receive 3 cmH2o continuous airway pressure , children between two to four years will receive continously positive airway pressure of 4 cm H2O, children more than five years will receive continuous positive airway pressure of five cmH2o throughout the period of cardiopulmonary bypass which is usually one to three hours  
Comparator Agent  Proceeding with cardiopulmonary bypass during heart surgery in children without age specific continuous positive airway pressure   Lung will remain deflated throughout the period of cardiopulmonary bypass which usually lasts for one to three hours 
 
Inclusion Criteria  
Age From  0.00 Day(s)
Age To  12.00 Year(s)
Gender  Both 
Details  Children till 12 years of age undergoing congenital heart surgery under cardiopulmonary bypass 
 
ExclusionCriteria 
Details  1.Known respiratory disease
2.Already receiving invasive or noninvasive mechanical ventil
3.Chestwall deformity  
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate the effect of continuous positive airway pressure on postoperative pulmonary complications in children undergoing congenital heart surgery   Everyday starting from postoperative day one till the day of discharge  
 
Secondary Outcome  
Outcome  TimePoints 
1.To evaluate the effect of continuous positive airway pressure during cardiopulmonary bypass on duration of mechanical ventilation
2. To evaluate the effect of continuous positive airway pressure during cardiopulmonary bypass on extubation time
3. To evaluate the effect of continuous positive airway pressure during cardiopulmonary bypass on percent of patient not requiring oxygen support on seventh postoperative day
4. To evaluate the effect of continuous positive airway pressure during cardiopulmonary bypass on duration of intensive care unit and hospital stay
5. To evaluate the effect of continuous positive airway pressure during cardiopulmonary bypass on mortality rate 
Every day starting from postoperative day one till the day of discharge  
 
Target Sample Size   Total Sample Size="110"
Sample Size from India="110" 
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)   30/04/2024 
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="2"
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 - NO
Brief Summary   This study is conducted in children born with heart diseases undergoing heart surgery. We are providing continuous positive airway pressure to these patients at the time cardiopulmonary bypass during surgery and we will be analysing its effects on postoperative pulmonary problems. 
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