| CTRI Number |
CTRI/2025/01/079818 [Registered on: 31/01/2025] Trial Registered Prospectively |
| Last Modified On: |
29/01/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
A comparison of Hemodynamic changes in patients undergoing cesarean section when pre loaded with Crystalloid and Colloid. |
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Scientific Title of Study
|
A Study to Compare the Hemodynamic Changes in Patients Undergoing Cesarean Section under Spinal Anaesthesia When Pre-Loaded With Crystalloid vs. Colloid.
|
| 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 Vishwa Shah |
| 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 |
9427477688 |
| Fax |
|
| Email |
shahvishwa1711@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Priya Kishnani |
| Designation |
Associate 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 |
9898076139 |
| Fax |
|
| Email |
drpriya0809@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Priya Kishnani |
| Designation |
Associate 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 |
9898076139 |
| Fax |
|
| Email |
drpriya0809@gmail.com |
|
|
Source of Monetary or Material Support
|
| Smt Bhikiben Kanjibhai Shah Medical Institute and Research Center,wagodhia,pipariya,vadodara,india pincode-391760 |
|
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Primary Sponsor
|
| Name |
Smt Bhikiben Kanjibhai Shah Medical Institute and Research Center |
| Address |
Wagodhia , Pipariya, Vadodara, Gujarat , India Pincode- 391760 |
| Type of Sponsor |
Private medical college |
|
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Details of Secondary Sponsor
|
|
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Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Priya Kishnani |
Smt Bhikiben Kanjibhai Shah Medical Institute and Research Centre |
2nd Floor,General ot
complex,Anesthesia
Department,Dhiraj
hospital,Smt.Bhikiben
Kanjibhai Shah Medical
Institute and Research
Centre ,Sumandeep
vidyapeeth Wagodhia ,
Pipariya, Vadodara
Wagodhia ,Pipariya,
Vadodara,
GUJARAT 391760
India
Vadodara GUJARAT |
9898076139
drpriya0809@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Sumandeep Vidyapeeth Institutional Ethical Committee |
Approved |
|
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Regulatory Clearance Status from DCGI
|
|
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Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O94-O9A||Other obstetric conditions, not elsewhere classified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Inj. Hydroxyethyl Starch intravenously at the rate of 10ml/kg |
Patient will be preloaded with 10ml/kg HES solution over a period of 20 minutes just prior to the administration of final anaesthesia. |
| Intervention |
Inj. RL intravenously at the rate of 10ml/kg. |
Patient will be preloaded with 10ml/kg of ringer lactate solution over a period of 20 minutes just prior to the administration of final anaesthesia. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
35.00 Year(s) |
| Gender |
Female |
| Details |
1)The patients belonging to ASA-I and ASA-II.
2)Age Group from 18 to 35 years.
3)Patients undergoing LSCS.
4)Duration of surgery from 2 to 2.5 hours.
|
|
| ExclusionCriteria |
| Details |
A)All contraindications for spinal anaesthesia like:
Patients refusal
Local infections
Spinal deformities
Bleeding disorders
Increased intracranial tension
Systolic blood pressure less than 100mmHg.
B)Age less than 18 years or more than 60 years.
C)Concomitant diseases – diabetes mellitus,
hypertension, heart diseases, obesity.
D)Patients other than ASA-I and ASA-II.
|
|
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Method of Generating Random Sequence
|
Other |
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Method of Concealment
|
Pre-numbered or coded identical Containers |
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Blinding/Masking
|
Participant and Investigator Blinded |
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Primary Outcome
|
| Outcome |
TimePoints |
| This study will help us to know that which out of two intravenous solutions Colloid or Crystalloid is a better preloading solution to achieve the stable hemodynamics during cesarean section |
Heart rate ,Systolic and diastolic blood pressure and mean arterial pressure will be monitored every 2 minutes for the first 10 minutes and then every 5 minutes till the next hour and then every 15 minutes till the end of surgery |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Requirement of vasopressor.Incidence of nausea and vomiting.Incidence if allergic reactions
|
monitored every 2 minutes for the first 10 minutes and then every 5 minutes till the next hour and then every 15 minutes till the end of surgery |
|
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Target Sample Size
|
Total Sample Size="70" Sample Size from India="70"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
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Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
13/02/2025 |
| 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 |
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Estimated Duration of Trial
|
Years="0" Months="6" Days="0" |
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Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
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Publication Details
|
N/A |
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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) - drpriya0809@gmail.com
- For how long will this data be available start date provided 18-12-2025 and end date provided 18-12-2028?
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
|
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Brief Summary
|
A study to compare the hemodynamic changes in patients undergoing cesarean section under spinal anaesthesia when pre-loaded with crystalloid vs colloid OBJECTIVES 1. To compare the efficacy of ringer lactate vs. HES (Hydroxyethyl Starch) as pre-loading agents in terms of hemodynamic response to spinal anaesthesia To 2. compare complications or side effects if any of both the fluids used for pre-loading. Inclusion Criteria: The patients belonging to ASA-I and ASA-II. Age Group from 18 to 35 years. Patients undergoing LSCS. Duration of surgery from 2 to 2.5 hours Exclusion Criteria: All contraindications for spinal anaesthesia like: Patients refusal Local infections Spinal deformities Bleeding disorder Increased intracranial tension Systolic blood pressure less than 100mmHg. Age less than 18 years or more than 60 years. Concomitant diseases like diabetes mellitus, hypertension, heart diseases, obesity. Patients other than ASA I and ASA II. Study Site: Dhiraj Hospital, S.B.K.S M.I.R.C. Piparia, Waghodia, Vadodara, Gujarat. Study Design: Randomized, Prospective, Observational Study Group A 35 patients receiving Inj. RL intravenously at the rate of 10ml/kg. Group B 35 patients receiving Inj. Hydroxyethyl Starch intravenously at the rate of 10ml/kg.
Heart rate Systolic and diastolic blood pressure and mean arterial pressure will be monitored every 2 minutes for the first 10 minutes and then every 5 minutes till the next hour and then every 15 minutes till the end of surgery STATASTICAL ANALYSIS: We will find mean and standard deviation of all quantitative data and we will use parametric test like student T test (paired or unpaired), ANOVA (one way or repeated measure) to find statistical mean difference between variables. P value less than 0.05 will be considered as significance level. Percentage will be used for qualitative data and non-parametric tests like chi square, Wilcoxon Rank test, Friedman test will be used to find significance level between variables and p value less than 0.05 will be considered as significance level LIKELY OUTCOMES/ BENEFITS OF STUDY This study will help us to know that which out of two intravenous solutions - Colloid or Crystalloid is a better preloading solution to achieve the stable hemodynamics during cesarean section.
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