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CTRI Number  CTRI/2024/11/077245 [Registered on: 25/11/2024] Trial Registered Prospectively
Last Modified On: 14/11/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective longitudinal 
Study Design  Other 
Public Title of Study   Measurement of power of heart by echocardiography in adult patients undergoing heart bypass surgery at different time points around surgery 
Scientific Title of Study   Serial changes of echocardiography derived cardiac power output over the perioperative period in adult patients undergoing CABG: a prospective, observational study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sahithya K 
Designation  Junior Resident 
Affiliation  PGIMER, Chandigarh 
Address  Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  8056744760  
Fax    
Email  sahithya7597@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Indranil Biswas 
Designation  Assistant Professor 
Affiliation  PGIMER, Chandigarh 
Address  Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  7710449858  
Fax    
Email  hreesheekombartta@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Indranil Biswas 
Designation  Assistant Professor 
Affiliation  PGIMER, Chandigarh 
Address  Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  7710449858  
Fax    
Email  hreesheekombartta@gmail.com  
 
Source of Monetary or Material Support  
Cardiac centre, PGIMER, sector 12, Chandigarh 
 
Primary Sponsor  
Name  Post Graduate Institute of Medical Education and Research, Chandigarh 
Address  Department of Anaesthesia and Intensive Care, 4th floor, Block A, Nehru hospital, Post Graduate Institute of Medical Education and Research, Chandigarh 160012 
Type of Sponsor  Research institution and hospital 
 
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 
Sahithya K  PGIMER, Chandigarh  Room 4016, 4th floor, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, sector 12, Chandigarh
Chandigarh
CHANDIGARH 
8056744760

sahithya7597@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Postgraduate Institute of Medical Education and Research, Chandigarh Institutional Ethics Committee (Intramural)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I251||Atherosclerotic heart disease of native coronary artery,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Adult patients of either gender and between 20 and 60 years of age undergoing more than or equal to two grafts coronary artery bypass grafting surgery 
 
ExclusionCriteria 
Details  1. Declined consent
2. Concomitant moderate/severe valvular heart disease
3. Patients not with sinus rhythm at the time of performing TEE/TTE.
4. Patients on Pacemaker.
5. Contraindications to transesophageal echocardiography
6. Patients with poor TTE window
7. Re-operative/emergency surgery
8. Significant non-cardiac organ disease
9. Inotropic/mechanical support prior to induction of anaesthesia

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
• Measurement of echocardiography derived cardiac power output (CPO) serially at different time-points of perioperative period and compare in between the time-points in patients undergoing coronary artery bypass grafting  Before induction of anaesthesia and after induction of anaesthesia; immediately after surgery and postoperative day 7 
 
Secondary Outcome  
Outcome  TimePoints 
• Measurement of echocardiography derived cardiac power index (CPI) and stroke output serially at different time-points of perioperative period and compare in between the time-points (Before induction of anaesthesia and after induction of anaesthesia; immediately after surgery and postoperative day 7) in patients undergoing coronary artery bypass grafting
• To assess relation between the changes in CPO, CPI and stroke output values from before induction to after induction of anaesthesia time points and that from immediately after surgery to postoperative day 7 time points with the age, EuroScore, pre-induction ejection fraction (LVEF) and pre-induction peak LV global longitudinal strain of the patients undergoing coronary artery bypass grafting
 
Before induction of anaesthesia and after induction of anaesthesia; immediately after surgery and postoperative day 7 
 
Target Sample Size   Total Sample Size="54"
Sample Size from India="54" 
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)   02/12/2024 
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="0"
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 - NO
Brief Summary   This is a prospective, observational study. The primary objective of the study is to serially measure echocardiography derived cardiac power output during various time points in patients undergoing elective coronary artery bypass graft surgery. Patients are screened for inclusion criteria during preop evaluation and if they meet the criteria of inclusion and exclusion, they are explained about the study and its risk- benefits. Written informed consent is obtained. In the OT, echocardiography is used to obtain cardiac power output before and after induction of anaesthesia, before shifting the patient to ICU and on POD 7. A total of 54 patients are considered to be taken up for the study and conclusion will be drawn after statistical analysis. 
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