| CTRI Number |
CTRI/2024/04/064948 [Registered on: 01/04/2024] Trial Registered Prospectively |
| Last Modified On: |
28/03/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Observational |
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Type of Study
|
Cohort Study |
| Study Design |
Other |
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Public Title of Study
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Can perfusion index from pulse oximetry predict incidence of fall in blood pressure following spinal anaesthesia with Levobupivacaine 0.5%(heavy) in lower segment caesarean section ? |
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Scientific Title of Study
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Perfusion index from pulse oximetry as a predictor of incidence of hypotension following spinal anaesthesia with Levobupivacaine 0.5%(heavy) in lower segment caesarean section .
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| Trial Acronym |
Nil |
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Secondary IDs if Any
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| Secondary ID |
Identifier |
| NIL |
NIL |
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Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Daleena Nelson |
| Designation |
PG Resident -MD Anaesthesiology |
| Affiliation |
Bharat Ratna Late Shri Atal Bihari Vajpayee Memorial Medical College,Rajnandgaon,Chhattisgarh |
| Address |
Room No :418,4th Floor,Department of Anaesthesiology,
Bharat Ratna Late Shri Atal Bihari Vajpayee Memorial Medical College ,Rajnandgaon
Chhattisgarh
Rajnandgaon CHHATTISGARH 491441 India |
| Phone |
9894547569 |
| Fax |
|
| Email |
daleenanelson@gmail.com |
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Details of Contact Person Scientific Query
|
| Name |
Dr Smriti Bandhu |
| Designation |
Associate Professor |
| Affiliation |
Bharat Ratna Late Shri Atal Bihari Vajpayee Memorial Medical College,Rajnandgaon,Chhattisgarh |
| Address |
Room No :418,4th Floor,Department of Anaesthesiology,
Bharat Ratna Late Shri Atal Bihari Vajpayee Memorial Medical College ,Rajnandgaon
Chhattisgarh
Rajnandgaon CHHATTISGARH 491441 India |
| Phone |
7000562486 |
| Fax |
|
| Email |
drsmriti19@gmail.com |
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Details of Contact Person Public Query
|
| Name |
Dr Smriti Bandhu |
| Designation |
Associate Professor |
| Affiliation |
Bharat Ratna Late Shri Atal Bihari Vajpayee Memorial Medical College,Rajnandgaon,Chhattisgarh |
| Address |
Room No:418,4th Floor,Department of Anaesthesiology,
Bharat Ratna Late Shri Atal Bihari Vajpayee Memorial Medical College ,Rajnandgaon
Chhattisgarh
Rajnandgaon CHHATTISGARH 491441 India |
| Phone |
7000562486 |
| Fax |
|
| Email |
drsmriti19@gmail.com |
|
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Source of Monetary or Material Support
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| Bharat Ratna Late Shri Atal Bihari Vajpayee Memorial MedicalCollege,Rajnandgaon,Chhattisgarh |
|
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Primary Sponsor
|
| Name |
Bharat Ratna Late Shri Atal Bihari Vajpayee Memorial Medical CollegeRajnandgaonChhattisgarh |
| Address |
Bharat Ratna Late Shri Atal Bihari Vajpayee Memorial Medical College,Pendri ,Rajnandgaon,Chhattisgarh
Pin -491441 |
| Type of Sponsor |
Government medical college |
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Details of Secondary Sponsor
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Countries of Recruitment
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India |
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Sites of Study
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| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Daleena Nelson |
Bharat Ratna Late Shri Atal Bihari Vajpayee Memorial Medical College,Rajnandgaon |
Room No :418,4th floor, Department of Anaesthesiology,Ratna Late Shri Atal Bihari Vajpayee Memorial Medical College,Pendri,Rajnandgaon ,Chhattisgarh
Pin-491441 Rajnandgaon CHHATTISGARH |
9894547569
daleenanelson@gmail.com |
|
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Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| BRLSABVM MEDICAL COLLEGE RAJNANDGAON |
Approved |
|
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Regulatory Clearance Status from DCGI
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Health Condition / Problems Studied
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| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O80||Encounter for full-term uncomplicated delivery, |
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Intervention / Comparator Agent
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Inclusion Criteria
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| Age From |
18.00 Year(s) |
| Age To |
40.00 Year(s) |
| Gender |
Female |
| Details |
Inclusion criteria includes :
1.18 - 40years age
2.Term pregnant patients
3.ASA II
4.Elective cases
5.Height :150-160cm |
|
| ExclusionCriteria |
| Details |
1.Emergency cases
2.Antepartum haemorrhage
3.Postpartum haemorrhage
4.Endocrine diseases including GDM and thyroid disorders
5.Gestational hypertension/ PIH/ Preeclampsia
6.Cardiovascular or cerebrovascular disease
7.Morbid obesity with a BMI more than40
8.Gestational age less than 37 or more than 40 weeks
9.Contraindications to spinal anesthesia
10.Foetus with known congenital anomalie |
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Method of Generating Random Sequence
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Not Applicable |
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Method of Concealment
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Not Applicable |
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Blinding/Masking
|
Participant and Investigator Blinded |
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Primary Outcome
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| Outcome |
TimePoints |
| Baseline PI and its correlation with intraoperative SBP,DBP and MAP |
SBP,DBP,MAP,Respiratory rate,SpO2,PI are noted at 0,2,3,5,7 ,10minutes and then every 5minutes till the end of surgery |
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Secondary Outcome
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| Outcome |
TimePoints |
| Incidence of other side effects |
Till the end of surgery |
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Target Sample Size
|
Total Sample Size="120" Sample Size from India="120"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
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Phase of Trial
|
N/A |
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Date of First Enrollment (India)
|
10/04/2024 |
| 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 |
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Estimated Duration of Trial
|
Years="0" Months="3" Days="0" |
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Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
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Publication Details
|
N/A |
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Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
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Brief Summary
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STUDY TITLE: Perfusion index from pulseoximetry as a predictor of hypotension following spinal anaesthesia with levobupivacaine 0.5%(Heavy) in lower segment Caesarean section.
RATIONALE: Can perfusion index(PI) be used as a factor for predicting intraoperative hypotension in Caesarean section patients? AIM: To predict hypotension in patients induced with 0.5% levobupivacaine (heavy) based on their baseline perfusion index (PI) values measured preoperatively . OBJECTIVES: Prediction of hypotension in caesarean section under spinal anaesthesia using perfusion index. SETTING: B.R.L.S.A.B.V.M Medical College, Rajnandgaon.
STUDY DESIGN : Prospective observational study TIME FRAME : 3 months , Prospective Study starting from 01/04/2024 to 30/06/24 POPULATION/ PARTICIPANTS :Patients scheduled for elective Caesarean section at B.R.L.S.A.B.V.M. Medical College, Rajnandgaon. SAMPLE SIZE: 120 METHODS: Studies have shown that baseline PI > 3.5 has high predictability for intraoperative hypotension in parturients undergoing elective caesarean section under spinal anesthesia with Bupivacaine 0.5% (Heavy) . Hence we are doing this study with Levobupivacaine 0.5 %(Heavy) to see correlation between baseline PI values and intraoperative hypotension in patients undergoing elective LSCS . Parturients undergoing elective caesarean delivery under spinal anaesthesia with hyperbaric Levobupivacaine (0.5%) will be enrolled in the study . The correlation between baseline PI and degree of hypotension during LSCS under spinal anaesthesia will be observed . Predictability of spinal anaesthesia induced hypotension during Caesarean delivery by baseline PI will be evaluated . OUTCOME MEASURES: Outcome :Baseline PI and its correlation with intraoperative SBP,DBP and MAP
STATISTICS Descriptive statistics will be analysed with SPSS version 20.0 software .continuous variables will be presented as mean +-SD. â—Categorical variables will be expressed as frequencies and percentages.
â—The Pearson’s chi square test or the chi square test of association will be used to determine if there isa relationship between 2 categorical variables.Spearman/Pearson correlation will be used to determine correlation in case of continuous variables.A p value less than 0.5. Will be considered statistically significant.
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