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CTRI Number  CTRI/2024/07/071287 [Registered on: 25/07/2024] Trial Registered Prospectively
Last Modified On: 23/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A randomized study to compare the effect of low-dose Ketamine versus Fentanyl on the hemodynamic response to laryngoscopy and endotracheal intubation. 
Scientific Title of Study   A randomized study to compare the effect of low-dose Ketamine versus Fentanyl on the hemodynamic response to laryngoscopy and endotracheal intubation in Department of Anaesthesiology, SMS Medical College and Attached Hospitals, Jaipur . 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Trishala Jain 
Designation  Senior Professor 
Affiliation  SMS Medical College  
Address  Department of Anaesthesiology, Second floor, Dhanwantari building, SMS Medical College

Jaipur
RAJASTHAN
302004
India 
Phone  9414281744  
Fax    
Email  trishala.jain31@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Trishala Jain 
Designation  Senior Professor 
Affiliation  SMS Medical College  
Address  Department of Anaesthesiology, second floor, Dhanwantari building, SMS Medical College


RAJASTHAN
302019
India 
Phone  9414281744  
Fax    
Email  trishala.jain31@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Ambili TP 
Designation  Junior Resident  
Affiliation  SMS Medical College  
Address  Department of Anaesthesiology, SMS Medical College

Jaipur
RAJASTHAN
302004
India 
Phone  8939271261  
Fax    
Email  tpambili95@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, S.M.S Medical College and Attached Hospitals , Jaipur, Rajasthan, India. Pincode: 302004 
 
Primary Sponsor  
Name  SMS Medical College  
Address  Department of Anaesthesiology , SMS Medical College,JLN Marg, Adarsh Nagar, JAIPUR  
Type of Sponsor  Government medical college 
 
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 Ambili TP  SMS Medical college  Operation Theatre, Department of Anaesthesiology, SMS Medical College, JLN Marg, Adarsh Nagar
Jaipur
RAJASTHAN 
8939271261

tpambili95@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Office of Ethics committee, SMS Medical College and attached hospitals  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 3||Administration, (2) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Fentanyl   1 microgram/kg Fentanyl intravenously giving only once before 3 minutes of induction of anaesthesia  
Intervention  Ketamine   0.5 mg/kg Ketamine intravenously giving only once before 3 minutes of anaesthesia  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Elective Surgery under General Anaesthesia
Patient willing to give informed and written consent
Age group between 18-50
ASA grade 1&2 
 
ExclusionCriteria 
Details  1. History of allergy or contraindications of any study drug
2. Patients scheduled for emergency surgery
3. Hypertension - known or previously dignosed
4. Pregnancy
5. Dementia or psychiatric illness
6. Known Ischemic heart disease
7. Raised intracranial pressure or intracranial pathology where a rise in intracranial pressure would pose a risk or patients scheduled for neurosurgical procedures
8. History or indicator of or proven difficult ventilation or laryngoscopy or intubation
Intubation time more than 30 seconds or repeated attempts at intubation 9 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Hypertension  At baseline when patient comes to Operation theatre, post induction- within 1 minute of giving induction agent, during laryngoscopy, just after intubation and at 2, 4, 6, 8,10 minutes interval after intubation  
 
Secondary Outcome  
Outcome  TimePoints 
Tachycardia , post induction hypotension & any side effects   At baseline, post induction, during laryngoscopy, just after intubation & for 10 minutes at 2 minutes interval 
 
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   Phase 4 
Date of First Enrollment (India)   01/09/2024 
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="0"
Months="3"
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 study is a randomised double blinded comparative study between Low dose Ketamine  (0.5mg/kg) and  Fentanyl in attenuating hemodynamic response to laryngoscopy and endotracheal intubation in 66 patients undergoing surgeries under General Anaesthesia. The primary outcomes are systemic blood pressure,  diastolic blood pressure,  mean arterial pressure, and mean heart rate at different time points like before laryngoscopy,  during induction,  during laryngoscopy and after laryngoscopy at 2 minutes intervals for 10 minutes and nothing side effects if any.  
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