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CTRI Number  CTRI/2024/11/076898 [Registered on: 18/11/2024] Trial Registered Prospectively
Last Modified On: 11/11/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Comparison of two methods,i.e LVOT VTI and SVV, to predict response to fluid in cardiac surgery in children in post operative period 
Scientific Title of Study   Comparison of the diagnostic accuracy of velocity time integral of left ventricular outflow tract and stroke volume variation in predicting fluid responsiveness in paediatric cardiac surgery patients in post operative ICU care 
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 Manoj Kamal 
Designation  Additional Professor  
Affiliation  AIIMS Jodhpur 
Address  All India Institute of Medical Sciences, Jodhpur Cardiothoracic and Vascular Surgery OT sixth floor D&T Block

Jodhpur
RAJASTHAN
342005
India 
Phone  9414084584  
Fax    
Email  geethamanoj007@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manoj Kamal 
Designation  Additional Professor  
Affiliation  AIIMS Jodhpur 
Address  All India Institute of Medical Sciences, Jodhpur Cardiothoracic and Vascular Surgery OT sixth floor D&T Block

Jodhpur
RAJASTHAN
342005
India 
Phone  9414084584  
Fax    
Email  geethamanoj007@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Swasti Jain 
Designation  Junior Resident  
Affiliation  AIIMS Jodhpur 
Address  AICU Department of Anaesthesia and Critical Care 3rd floor D&T block AIIMS Jodhpur

Jodhpur
RAJASTHAN
342005
India 
Phone  9763200811  
Fax    
Email  swastij20199@gmail.com  
 
Source of Monetary or Material Support  
AIIMS Jodhpur, Rajasthan India PIN code-342004 
 
Primary Sponsor  
Name  All India Institute of Medical Sciences  
Address  AIIMS Jodhpur Rajasthan 342005 
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 
Dr Manoj Kamal  All India institute of Medical Sciences Jodhpur  601 cardiothoracic and vascular surgery OT 6th floor D and T block AIIMS Jodhpur
Jodhpur
RAJASTHAN 
9414084584

geetamanoj007@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee AIIMS Jodhpur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I999||Unspecified disorder of circulatory system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  18.00 Year(s)
Gender  Both 
Details  1)Patients undergoing elective cardiac surgery.
2) Age – 1 to 18 years old. 
 
ExclusionCriteria 
Details  1) patients with open chest, arrhythmias and shunts
2) patients with weight less than 3 kg 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To find sensitivity, specificity, positive predictive and negative predictive value of LVOT VTI in prediction fluid responsiveness.  Baseline, post operative day 0 
 
Secondary Outcome  
Outcome  TimePoints 
1. To compare the correlation of VTI-LVOT variability with stroke volume variation (SVV) from arterial pulse pressure recording analytical method (PRAM) for prediction of fluid responsiveness in paediatric patients undergoing cardiac surgery
2. To find the sensitivity, specificity, positive & negative predictive value of LVOT-VTI variability in predicting fluid responsiveness.
3. Note amount of fluid administered & inotrope requirement.
 
Baseline, post operative day 0 
 
Target Sample Size   Total Sample Size="66"
Sample Size from India="66" 
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)   25/11/2024 
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 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   All patients who will undergo elective cardiac surgery between the ages of 1 and 18years are to be enrolled in the study. Patients with open chest, arrhythmias and shunts are to be excluded. In all patients arterial line to be inserted, either femoral or radial, and will be connected to the MostCare Up monitor for SVV and BP monitoring. SVV and LVOT VTI variability to be measured once at arrival in post operative ICU care. Based on the cut off values of 10% and 12 %, respectively for SVV and LVOT VTS variability, patients to be divided into fluid responsive and non responders. If responsive, a fluid challenge of of 10ml/kg of crystalloids to be given over 20 minutes and values to be recorded again. If patient is still responsive another bonus is to be given.  
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