| CTRI Number |
CTRI/2024/12/078351 [Registered on: 19/12/2024] Trial Registered Prospectively |
| Last Modified On: |
14/12/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Observational |
|
Type of Study
|
Cohort Study |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Comparison the effect of dexmedetomidine and magnesium sulphate in controlled hypotension during functional endoscopic sinus surgery |
|
Scientific Title of Study
|
Comparison the effect of dexmedetomidine and magnesium sulphate in controlled hypotension during functional endoscopic sinus surgery |
| 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 Sandeep Kumar Dwivedi |
| Designation |
PG Resident |
| Affiliation |
Gajra Raja Medical College, Gwalior |
| Address |
Department of Anaesthesiology Gajra Raja Medical college
Gwalior MADHYA PRADESH 474009 India |
| Phone |
9713601680 |
| Fax |
|
| Email |
sandeepdwivedi1993@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Satendra Singh Yadav |
| Designation |
Associate Professor |
| Affiliation |
Gajra Raja Medical college |
| Address |
Department of Anaesthesiology, GRMC, Gwalior, Madhya Pradesh 474009
Gwalior MADHYA PRADESH 474409 India |
| Phone |
9826284553 |
| Fax |
|
| Email |
drssy_17@yahoo.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Sandeep Kumar Dwivedi |
| Designation |
PG Resident |
| Affiliation |
Gajra Raja Medical College, Gwalior |
| Address |
Department of Anaesthesiology, GRMC, Gwalior, Madhya Pradesh 474009
Gwalior MADHYA PRADESH 474009 India |
| Phone |
9713601680 |
| Fax |
|
| Email |
sandeepdwivedi1993@gmail.com |
|
|
Source of Monetary or Material Support
|
| DepartmentofAnaesthesiology,GRMC, Gwalior,Madhya Pradesh |
|
|
Primary Sponsor
|
| Name |
Dr Sandeep Kumar Dwivedi |
| Address |
Department of Anaesthesiology, GRMC, Gwalior, Madhya Pradesh 474009 |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Sandeep Kumar Dwivedi |
Department of anaesthesiology |
Gajra raja medical college Gwalior MADHYA PRADESH |
9713601680
Sandeepdwivedi1993@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee, Gajra Raja Medical College, Gwalior |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: PCS||, (2) ICD-10 Condition: O||Medical and Surgical, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Dexmedetomidine |
"Administer a loading dose of 1 mcg/kg of dexmedetomidine over 10 minutes, followed by a continuous infusion at a rate of 0.5 mcg/kg per hour until the end of the surgery." |
| Comparator Agent |
Magnesium sulphate |
Administer a loading dose of magnesium sulfate at 40 mg/kg over 10 minutes, followed by a continuous infusion at a rate of 10-15 mg/kg per hour until the end of surgery." |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
1.Age group between 18-60 years
2.ASA grade I and II
3.Patients will be scheduled to undergo FEES under GA |
|
| ExclusionCriteria |
|
|
Method of Generating Random Sequence
|
Coin toss, Lottery, toss of dice, shuffling cards etc |
|
Method of Concealment
|
Alternation |
|
Blinding/Masking
|
Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
Effect of Study Drugs on Hemodynamic Parameters
Metric: Change in mean arterial pressure (MAP) and heart rate from baseline. |
Effect of Study Drugs on Hemodynamic Parameters
Metric: Change in mean arterial pressure (MAP) and heart rate from baseline. |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Assessment of Bleeding Grade
Metric: Bleeding graded on a standardized scale (e.g., minimal, moderate, or severe) |
Throughout the surgical procedure |
2. Surgeon’s Satisfaction
Metric: Satisfaction score (scale: 1–10) based on surgical conditions and bleeding control: |
Postoperative feedback collected within 1 hour of surgery completion |
3. Recovery from Anesthesia
Metric: Aldrete score (≥9 for full recovery) |
Assessed at 15-minute intervals until discharge from the post-anesthesia care unit |
4. Sedation Evaluation
Metric: Ramsay sedation score (1–6 scale) |
Timepoint: Measured at 10, 20, and 30 minutes after administration of the study drug |
5. Untoward Effects of Study Drugs
Metric: Frequency and type of adverse effects observed (e.g., nausea, vomiting, allergic reactions)
|
Timepoint: Monitored during surgery and within 24 hours postoperatively
|
|
|
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" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
31/12/2024 |
| 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="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
|
Summary of Study: Comparison of the Effect of Dexmedetomidine and Magnesium Sulphate in Controlled Hypotension During Functional Endoscopic Sinus Surgery
Study Title:
Comparison of the Effect of Dexmedetomidine and Magnesium Sulphate in Controlled Hypotension During Functional Endoscopic Sinus Surgery
Aims and Objectives:
The study aims to compare the effects of dexmedetomidine and magnesium sulfate in controlling hypotension during functional endoscopic sinus surgery (FESS). The primary goal is to assess their efficacy in controlling blood pressure and maintaining optimal surgical conditions.
Study Centre:
The study will be conducted at Gajra Raja Medical College & JAH Group of Hospitals, Gwalior.
Duration of the Study:
The study will take place from May 2023 to October 2024.
Introduction:
As detailed in the submitted synopsis, controlled hypotension during FESS is crucial for better visibility and improved surgical outcomes. Both dexmedetomidine and magnesium sulfate have been investigated for their role in controlling intraoperative blood pressure while minimizing adverse effects.
Study Design:
Prospective comparative study to compare the efficacy and safety of dexmedetomidine and magnesium sulfate in controlling hypotension during FESS.
Methodology (Materials & Methods):
The methodology, as outlined in the submitted synopsis, includes a controlled study where patients undergoing FESS will be administered either dexmedetomidine or magnesium sulfate. Hemodynamic parameters, surgical conditions, and complications will be monitored and recorded.
Inclusion Criteria:
As mentioned in the submitted synopsis, the study will include adult patients scheduled for FESS who meet the specific health requirements outlined in the inclusion criteria.
Exclusion Criteria:
Exclusion criteria, as mentioned in the synopsis, include patients with contraindications to dexmedetomidine or magnesium sulfate, those with significant cardiovascular or renal disease, or patients with allergies to study medications.
Sample Size:
The study will include 70 patients, based on statistical power calculations for comparison between the two drugs.
Procedure Planned:
As mentioned in the synopsis, FESS will be performed under general anesthesia with controlled hypotension induced using either dexmedetomidine or magnesium sulfate.
Investigation Details:
The investigation will involve continuous monitoring of hemodynamic parameters, such as mean arterial pressure (MAP), heart rate, and oxygen saturation, to assess the effects of each drug.
Data Collection and Methods:
Data will be collected on blood pressure, heart rate, respiratory rate, and surgical outcomes. Patient satisfaction, recovery times, and any adverse events will also be documented.
Statistical Analysis Plan:
Data will be analyzed using SPSS Software 22.0. Statistical tests, including t-tests or chi-square tests, will be used to compare the outcomes between the two groups. A p-value of <0.05 will be considered statistically significant. |