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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  
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 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  
Status 
Not Applicable 
 
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 
Details   
 
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.

 
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