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CTRI Number  CTRI/2024/09/073654 [Registered on: 09/09/2024] Trial Registered Prospectively
Last Modified On: 12/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Temperature measurement in the emergency cesarean section undergoing mothers under spinal anaesthesia  
Scientific Title of Study   Temperature monitoring with Zeroflux Probe in Parturient undergoing Emergency Cesarean Section under Spinal Anaesthesia – An 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  Dr Sivakaran R 
Designation  Junior Resident 
Affiliation  Jawaharlal institute of postgraduate medical education and research  
Address  Department of Anesthesiology and critical care,2nd floor institute block, JIPMER campus, Pondicherry.

Pondicherry
PONDICHERRY
605006
India 
Phone  7010785851  
Fax    
Email  1998sankarravi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Priya rudingwa 
Designation  Additional professor  
Affiliation  Jawaharlal institute of postgraduate medical education and research  
Address  Department of Anesthesiology and critical care, Ipd block 2nd floor, JIPMER.

Pondicherry
PONDICHERRY
605006
India 
Phone  8903468132  
Fax    
Email  priyaab8@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sivakaran R 
Designation  Junior Resident  
Affiliation  Jawaharlal institute of medical education and research  
Address  Department of Anesthesiology and critical care, 2nd floor institute block, JIPMER campus, Pondicherry.

Pondicherry
PONDICHERRY
605006
India 
Phone  7010785851  
Fax    
Email  1998sankarravi@gmail.com  
 
Source of Monetary or Material Support  
Jawaharlal institute of post graduate medical education and research ( Intramural fund ) pondicherry  
 
Primary Sponsor  
Name  Jawaharlal institute of postgraduate medical education and research  
Address  JIPMER campus road,Gorimedu, Dhanvantri nagar, Pondicherry 605006 
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 Sivakaran R   Jawaharlal institute of post graduate medical education and research   Department of Anesthesiology and critical care office, Second floor institute block, JIPMER, Gorimedu, Pondicherry.
Pondicherry
PONDICHERRY 
7010785851

1998sankarravi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute ethics committee Jipmer   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O94||Sequelae of complication of pregnancy, childbirth, and the puerperium,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil since its an observational study   Nil since its an observational study  
Intervention  Nil since its an observational study   Nil since its an observational study  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Emergency cesarean section under spinal anaesthesia  
 
ExclusionCriteria 
Details  1. Patients planned for the section under GA
2. Failed or inadequate neuraxial technique, converted to GA
3. Patients with preexisting fever or sepsis.
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To observe the incidence of hypothermia in patients undergoing emergency cesarean section under spinal anesthesia  5 minutes after they shifted to PACU  
 
Secondary Outcome  
Outcome  TimePoints 
a)To determine the association of maternal hypothermia with the following,
1.Baseline maternal temperature
2.Maternal temperature during delivery
3.Duration of surgery
4.Amount of IV fluids administered
b)To measure the usage of warm IV fluids (37-41ºC),warming blankets and forced air warmers in emergency cesarean section.
 
During surgery and in PACU 
 
Target Sample Size   Total Sample Size="230"
Sample Size from India="230" 
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)   20/12/2024 
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
Modification(s)  
Parturient scheduled for emergency cesarean section under spinal anaesthesia will be recruited after getting informed and written consent.Ambient room temperature of the operation theatre will be recorded.After shifting into the operating room along with standard ASA monitors, zero flux temperature probe will be attached to the patient’s forehead.Then the patient will be positioned for spinal anaesthesia,0.5% hyperbaric bupivacaine 1.8-2ml will be given.Patients will be turned supine with wedge under right hip.Level of the sensory block will be assessed by pinprick test, incision will be given once the level of T4-T6 is achieved.Baseline temperature will be recorded and the temperature will be measured every 10 minutes using the zero flux temperature probe .The usage of warm fluids, forced air warmers, blankets will be recorded.Total Blood loss will also be recorded..Episodes of shivering and usage of rescue drug pethidine will be noted.The temperature monitoring will be continued till the patient is in PACU for 1 hour.Temperature measured using the zero flux temperature probe after 5 minutes of shifting the patient to PACU will be considered as a exact point to define hypothermia.Thermal comfort score also be recorded at immediately after shifting to operating room, immediately after spinal,30 mins after spinal, before shifting to PACU in operating room, 5 minutes after shifting to PACU, 30 minutes after shifting to PACU

 
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