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CTRI Number  CTRI/2025/02/080064 [Registered on: 07/02/2025] Trial Registered Prospectively
Last Modified On: 31/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Crystalloid vs Colloid Preloading in lower limb orthopedic Surgery under spinal Anaesthesia a Study to Compare the Hemodynamic Changes 
Scientific Title of Study   A Study to Compare the Hemodynamic Changes in Patients Undergoing Lower Limb orthopaedic Surgeries under Spinal Anaesthesia When PreLoaded 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 
 
Primary Sponsor  
Name  Smt Bhikiben Kanjibhai Shah Medical Institute and Research Cen 
Address  Wagodhia , Pipariya, Vadodara, Gujarat , India Pincode- 391760 
Type of Sponsor  Private 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 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 9898076139 ,Sumandeep vidyapeeth Wagodhia , Pipariya,Vadodara
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 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
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 anaesthesi 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
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 3 to 3.5 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. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
his study will help us to know that which out of two intravenous solutions (1) Colloid or (2)Crystalloid is a better preloading solution to achieve the stable hemodynamics during lower limb orthopaedic surgeries.   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
 
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  
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   18/02/2025 
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 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. 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

  3. 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.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response (Others) -  drpriya0809@gmail.com

  6. For how long will this data be available start date provided 18-12-2025 and end date provided 19-12-2028?
    Response - Beginning 9 months and ending 36 months following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - nil
Brief Summary  

A Study to Compare the Hemodynamic Changes in Patients Undergoing Lower Limb orthopaedic Surgeries under Spinal Anaesthesia When PreLoaded with Crystalloid vs Colloid. 

 

OBJECTIVES To compare the efficacy of ringer lactate vs. HES (Hydroxyethyl Starch) as pre-loading agents in

terms of hemodynamic response to spinal anaesthesia.To 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 Lower Limb orthopaedic.

Duration of surgery from 3 to 3.5 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  20 patients receiving Inj. RL intravenously at the rate of 10ml per kg.

Group B  20  patients receiving Inj. Hydroxyethyl Starch intravenously at the rate of 10ml per 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), ANOV A (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 lower limb orthopaedic surgeries.

 

 
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