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CTRI Number  CTRI/2024/12/078312 [Registered on: 18/12/2024] Trial Registered Prospectively
Last Modified On: 18/12/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Retrospective Observational study 
Study Design  Single Arm Study 
Public Title of Study   Early extubation in children undergoing living donor liver transplant  
Scientific Title of Study   FAST TRACKING IN PEDIATRIC LIVING DONOR LIVER TRANSPLANT-A road less travelled….. 
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 Amit Singhal  
Designation  Director 
Affiliation  BLK Max Superspeciality Hospital 
Address  Department of HPB and Liver Transplant Anaesthesia and critical care, BLK Max Superspeciality Hospital, Pusa road

New Delhi
DELHI
110005
India 
Phone  9891873774  
Fax    
Email  drsinghalamit@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amit Singhal  
Designation  Director 
Affiliation  BLK Max Superspeciality Hospital 
Address  Department of HPB and Liver Transplant Anaesthesia and critical care, BLK Max Superspeciality Hospital, Pusa road

New Delhi
DELHI
110005
India 
Phone  9891873774  
Fax    
Email  drsinghalamit@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Amit Singhal  
Designation  Director 
Affiliation  BLK Max Superspeciality Hospital 
Address  Department of HPB and Liver Transplant Anaesthesia and critical care, BLK Max Superspeciality Hospital, Pusa road

New Delhi
DELHI
110005
India 
Phone  9891873774  
Fax    
Email  drsinghalamit@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Dr Amit Singhal 
Address  BLK Max Superspeciality Hospital 
Type of Sponsor  Other [Non funded study] 
 
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 Amit Singhal  BLK Max Superspeciality Hospital   Department of HPB and Liver Transplant Anaesthesia and critical care, Second floor, Organ Transplant ICU
New Delhi
DELHI 
9891873774

drsinghalamit@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE DEPARTMENT OF ACADEMIC AFFAIRS RESEARCH & CONTINUING EDUCATION  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K746||Other and unspecified cirrhosis ofliver,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  3.00 Month(s)
Age To  10.00 Year(s)
Gender  Both 
Details  Paediatric patients (Aged 3 months to 10 years) who underwent living donor liver transplants from January 2022 to June 2024.
 
 
ExclusionCriteria 
Details  Patients with acute liver failure and hepatic encephalopathy grade 2 or above will be excluded from the analysis.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Our primary outcome is to evaluate the early extubation rate after liver transplant in the paediatric population and demonstrate its safety across all ages.  30 days 
 
Secondary Outcome  
Outcome  TimePoints 
Our secondary outcome is to determine predictive factors for successful early extubation in this population.  30 days 
 
Target Sample Size   Total Sample Size="28"
Sample Size from India="28" 
Final Enrollment numbers achieved (Total)= "28"
Final Enrollment numbers achieved (India)="28" 
Phase of Trial   N/A 
Date of First Enrollment (India)   31/12/2024 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 05/01/2025 
Estimated Duration of Trial   Years="0"
Months="0"
Days="30" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
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  

We will perform a retrospective observational study and analyse the data of paediatric patients (Aged 3 months -10 years) who underwent LDLT from January 2022 to June 24. Our primary outcome is to evaluate the early extubation rate after liver transplant in the paediatric population and demonstrate its safety across all ages. Our secondary outcome is to determine predictive factors for successful early extubation in this population. Graph pad PRISM version will be used to analyse the data

Paediatric patients who underwent LDLT will be enrolled in the study. They will be divided into two groups - The early extubation (EE) group (extubated on-table or ≤4 hours postoperatively) and the delayed extubation (DE) group (mechanically ventilated > 4 hours postoperatively). Patients will be compared based upon demographic characteristics, intraoperative and postoperative data.

We hypothesise that fast-tracking in paediatric patients is feasible and safe.

 
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