| CTRI Number |
CTRI/2025/04/083894 [Registered on: 02/04/2025] Trial Registered Prospectively |
| Last Modified On: |
30/03/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
Comparing Dexmedetomidine and Magnesium Sulfate for Blood Pressure Control During Spine Surgery Intubation |
|
Scientific Title of Study
|
A prospective comparative study of effects of intravenous dexmedetomidine versus intravenous magnesium sulfate in attenuating hemodynamic stress responses during laryngoscopy and endotracheal intubation in spine surgeries. |
| 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 Karnati Eshwar |
| Designation |
Resident doctor |
| Affiliation |
Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre |
| Address |
Anaesthesia Department, General Ot Complex, 2nd Floor, Dhiraj
Hospital, Smt.Bhikiben Kanjibhai Shah Medical Institute and
Research Centre, Waghodiya, Piparia ,Vadodara,GUJARAT,391760
India
Vadodara GUJARAT 391760 India |
| Phone |
9963404402 |
| Fax |
|
| Email |
Eshwar.eshwar.karnati6@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Jatin Patel |
| Designation |
Professor |
| Affiliation |
Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre |
| Address |
Anaesthesia Department, General Ot Complex, 2nd Floor, Dhiraj
Hospital, Smt.Bhikiben Kanjibhai Shah Medical Institute and
Research Centre Waghodiya, Piparia ,Vadodara,GUJARAT,391760,
India
Vadodara GUJARAT 391760 India |
| Phone |
9879368363 |
| Fax |
|
| Email |
Dr_jatinpatel@yahoo.co.in |
|
Details of Contact Person Public Query
|
| Name |
Dr Jatin Patel |
| Designation |
Professor |
| Affiliation |
Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre |
| Address |
Anaesthesia Department, General Ot Complex, 2nd Floor, Dhiraj
Hospital, Smt.Bhikiben Kanjibhai Shah Medical Institute and
Research Centre Waghodiya, Piparia ,Vadodara,GUJARAT,391760,
India
GUJARAT 391760 India |
| Phone |
9879368363 |
| Fax |
|
| Email |
Dr_jatinpatel@yahoo.co.in |
|
|
Source of Monetary or Material Support
|
| Smt Bhikiben Kanjibhai Shah Medical Institute and Research Centre, Wagodhia , Pipariya,
Vadodara, Gujarat , India Pincode-391760 |
|
|
Primary Sponsor
|
| Name |
Smt Bhikiben Kanjibhai Shah Medical Institute and Research Cen |
| Address |
Wagodhia , Pipariya,
Vadodara, Gujarat , India Pincode,391760 |
| Type of Sponsor |
Private medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Jatin Patel |
Smt Bhikiben Kanjibhai Shah Medical Institute and Research Centre |
Anaesthesia Department, General ot Complex, 2nd Floor, Dhiraj Hospital, Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre, Waghodiya, Piparia ,Vadodara,GUJARAT,391760
India Vadodara GUJARAT |
9879368363
Dr_jatinpatel@yahoo.co.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Sumandeep Vidyapeeth Institutional Ethical Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O||Medical and Surgical, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Group D receive Inj. Dexmedetomidine 1.5 mcg/kg i.v. |
Group D will receive Inj. Dexmedetomidine 1.5 mcg/kg i.v. diluted in 100ml Normal Saline over 20 minutes before induction of general anesthesia |
| Comparator Agent |
Group M will receive Inj. Magnesium sulphate 50 mg/kg i.v |
Group M will receive Inj. Magnesium sulphate 50 mg/kg i.v. diluted in 100ml Normal Saline over 20 minutes before induction of general anesthesia |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
Patients willing to sign written & informed consent.
Male or female patients between ages of 18 to 60 years.
Patients belonging to American Society of Anesthesiologists (ASA) physical status I and II.
Patients posted for elective spine surgeries under general anesthesia
|
|
| ExclusionCriteria |
| Details |
Patients unwilling to participate in the study.
Patients with cardiovascular, cerebrovascular, hepatic and renal diseases.
Patients having arrhythmias or heart block.
Psychiatric patients.
Pregnancy & lactating women.
Patients taking beta blockers.
History of allergy to the study drugs.
Anticipated difficult airway.
BMI greater than 30
Patient having Neuromuscular disease
Serum magnesium level greater than 2.5mEq per L
|
|
|
Method of Generating Random Sequence
|
Coin toss, Lottery, toss of dice, shuffling cards etc |
|
Method of Concealment
|
Alternation |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| This prospective and observational study will help us to compare the efficacy of intravenous Dexmedetomidine versus intravenous Magnesium sulphate for attenuation of the pressor response to larngoscopy and endotracheal intubation and will enable us to know which of the two drugs is most beneficial in providing better attenuation of the hemodynamic response to larngoscopy and endotracheal intubation. |
Monitoring of parameters i.e. HR, SBP, DBP, MAP, SPO2 will be noted at baseline, after administration of test drug, after induction, during laryngoscopy and intubation and at 1,3,5 minutes after intubation. |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
To study sedation score after extubation or any
side effects. |
Ramsay sedation score (RSS) will be recorded at 1 minutes for 30 minutes 60 minutes and 90 minutes. |
|
|
Target Sample Size
|
Total Sample Size="52" Sample Size from India="52"
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)
|
14/04/2025 |
| 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="0" Months="6" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| 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 - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report Response - Analytic Code
- Who will be able to view these files?
Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.
- For what types of analyses will this data be available?
Response - For individual participant data meta-analysis.
- By what mechanism will data be made available?
Response (Others) - dr_jatinpatel@yahoo.co.in
- For how long will this data be available start date provided 18-12-2025 and end date provided 15-12-2028?
Response - Beginning 9 months and ending 36 months following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - nil
|
|
Brief Summary
|
A PROSPECTIVE COMPARATIVE STUDY OF EFFECTS OF INTRAVENOUS DEXMEDETOMIDINE VERSUS INTRAVENOUS MAGNESIUM SULFATE IN ATTENUATING HEMODYNAMIC STRESS RESPONSES DURING LARYNGOSCOPY AND ENDOTRACHEAL INTUBATION IN SPINE SURGERIES
Objective: To compare the efficacy of intravenous Dexmedetomidine versus Magnesium sulfate in attenuating heart rate during laryngoscopy and endotracheal intubation in patients undergoing surgeries under general anasethesia. To compare the efficacy of intravenous Dexmedetomidine versus Magnesium sulfate in attenuating blood pressure during laryngoscopy and endotracheal intubation in patients undergoing surgeries under general anasethesia.
INCLUSION CRITERIA Patients willing to sign written & informed consent. Male or female patients between ages of 18 to 60 years. Patients belonging to American Society of Anesthesiologists (ASA) physical status I and II. Patients posted for elective spine surgeries under general anesthesia
EXCLUSION CRITERIA Patients unwilling to participate in the study. Patients with cardiovascular, cerebrovascular, hepatic and renal diseases. Patients having arrhythmias or heart block. Psychiatric patients. Pregnancy & lactating women. Patients taking beta blockers. History of allergy to the study drugs. Anticipated difficult airway. BMI greater than 30 Patient having Neuromuscular disease Serum magnesium level greater than 2.5mEq per L
Site of Study: Department of Anesthesiology, Dhiraj Hospital, S.B.K.S. Medical Institute and Research Centre, Piparia, Waghodia, Vadodara, Gujarat.
Study Design- Prospective comperative study
Study Duration- The study will be initiated after obtaining the permission from institutional ethics committee till the achievement of the sample size or 18 months whichever is earlier.
Data will be collected & tabulated. Numerical variables will be presented as mean & standard deviation (SD) while categorical variables will be presented as frequency and percentage. As regard to numerical variables; tests like unpaired student–t test and/or ANNOVA will be used whenever appropriate for between-groups comparisons, while for categorical variables; chi–square test will be used. p value <0.05 will be considered statistically significant.
LIKELY OUTCOME This prospective and observational study will help us to compare the efficacy of intravenous Dexmedetomidine versus intravenous Magnesium sulphate for attenuation of the pressor response to larngoscopy and endotracheal intubation and will enable us to know which of the two drugs is most beneficial in providing better attenuation of the hemodynamic response to larngoscopy and endotracheal intubation.
|