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CTRI Number  CTRI/2024/09/074267 [Registered on: 24/09/2024] Trial Registered Prospectively
Last Modified On: 18/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Predicting low blood pressure with blood flow readings after Propofol injection 
Scientific Title of Study   Prognostic power of Perfusion index(PI) in predicting hypotension following Propofol induction 
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 Arnab Kundu 
Designation  Junior Resident 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Anaesthesiology Kasturba Medical College Manipal Udupi

Udupi
KARNATAKA
576104
India 
Phone  8787571174  
Fax    
Email  arnab96.kundu@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vijayakumara 
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Anaesthesiology KMC Manipal

Udupi
KARNATAKA
576104
India 
Phone  8970213332  
Fax    
Email  vijaya.kumara@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Vijayakumara 
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Anaesthesiology KMC Manipal

Udupi
KARNATAKA
576104
India 
Phone  8970213332  
Fax    
Email  vijaya.kumara@manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Medical College and Kasturba Hospital Manipal Udupi Karnataka Pin 576104 
 
Primary Sponsor  
Name  Kasturba Medical College, Manipal 
Address  Department of Anaesthesiology Kasturba Medical College Manipal Udupi, Karnataka Pin 576104 
Type of Sponsor  Private medical college 
 
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 Vijayakumara  Kasturba Hospital and Kasturba Medical College Manipal  Department of Anaesthesiology Kasturba Medical College Manipal Udupi Karnataka
Udupi
KARNATAKA 
8970213332

vijaya.kumara@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee - 2 (Student Research)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K87||Disorders of gallbladder, biliarytract and pancreas in diseases classified elsewhere, (2) ICD-10 Condition: C509||Malignant neoplasm of breast of unspecified site, (3) ICD-10 Condition: H664||Suppurative otitis media, unspecified, (4) ICD-10 Condition: D249||Benign neoplasm of unspecified breast, (5) ICD-10 Condition: C269||Malignant neoplasm of ill-definedsites within the digestive system, (6) ICD-10 Condition: N29||Other disorders of kidney and ureter in diseases classified elsewhere, (7) ICD-10 Condition: N359||Urethral stricture, unspecified, (8) ICD-10 Condition: N809||Endometriosis, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  American Society of Anesthesiologists Physical Status 1 and 2 patients undergoing elective surgery under general anaesthesia 
 
ExclusionCriteria 
Details  Patients unwilling to participate in the study, Emergency surgeries, Patients
with hypertension, patients with arrythmias, patients on vasoactive medications,
based on WHO criteria), patients with BMI more than 30 kg/m2, patients with peripheral vascular diseases and
long-standing diabetes and pregnant patients. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To use perfusion index as a tool to predict hypotension following propofol induction  For every 1 minute for 5 minutes from completion of induction and every 1 minute till 10 minutes post intubation 
 
Secondary Outcome  
Outcome  TimePoints 
Baseline perfusion index and its correlation with heart rate, systolic blood pressure and diastolic blood pressure  For every 1 minute for 5 minutes from completion of induction and every 1 minute till 10 minutes post intubation 
 
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)   21/10/2024 
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="6"
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  
  • The study aims to determine if the baseline Perfusion Index (PI) can effectively predict hypotension following propofol induction in patients classified as American Society of Anesthesiologists (ASA) Physical Status 1 and 2 starting from post induction every 1minute for 5minutes and every 1 minute for 10 minutes post intubation.This is crucial for enhancing patient safety during anesthesia by establishing a reliable method for monitoring hemodynamic changes.The hypothesis posits that a baseline PI value of less than 1.05 can serve as a reliable predictor for hypotension after propofol induction. The study also seeks to identify new cutoff values for PI and explore its correlation with systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR).This research is significant as it addresses the limitations of traditional noninvasive blood pressure monitoring, which may not capture beat-to-beat variations in perfusion dynamics .

 
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