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CTRI Number  CTRI/2025/10/095940 [Registered on: 13/10/2025] Trial Registered Prospectively
Last Modified On: 11/10/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Subclavian -Infraclavicular Axillary vein collapsibility index as predictor of hypotension after subarachnoid block in lower limb surgeries in geriatric patients. 
Scientific Title of Study   Subclavian -Infraclavicular Axillary vein collapsibility index as predictor of hypotension after subarachnoid block in lower limb surgeries in geriatric patients - A prospective 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  Vandana rana 
Designation  Assistant professor  
Affiliation  Graphic era institute of medical sciences  
Address  OT Complex Department of anaesthesiology 4th floor GEIMS Dhoolkot mafi, Dehradun

Dehradun
UTTARANCHAL
248007
India 
Phone  8650603901  
Fax    
Email  drvandana.rana07@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Vandana rana 
Designation  Assistant professor  
Affiliation  Graphic era institute of medical sciences  
Address  OT Complex Department of anaesthesiology 4th floor GEIMS Dhoolkot mafi, Dehradun

Dehradun
UTTARANCHAL
248007
India 
Phone  8650603901  
Fax    
Email  drvandana.rana07@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Vandana rana 
Designation  Assistant professor  
Affiliation  Graphic era institute of medical sciences  
Address  OT Complex Department of anaesthesiology 4th floor GEIMS Dhoolkot mafi, Dehradun

Dehradun
UTTARANCHAL
248007
India 
Phone  8650603901  
Fax    
Email  drvandana.rana07@gmail.com  
 
Source of Monetary or Material Support  
OT Complex Department of anaesthesiology 4th floor GEIMS Dhoolkot mafi, Dehradun OT Complex Department of anaesthesiology 4th floor GEIMS Dhoolkot mafi, Dehradun graphic era institute of medical sciences Dhoolkot mafi , Dehradun, Uttarakhand 248007 India  
 
Primary Sponsor  
Name  Graphic era institute of medical sciences  
Address  Graphic era institute of medical sciences Dehradun , Uttarakhand , India 248007 
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 Vandana Rana  graphic era institute of medical sciences  OT Complex, Department of Anaesthesiology 4TH FLOOR OT Dhoolkot mafi , dehradun 248007
Dehradun
UTTARANCHAL 
8650603901

drvandana.rana07@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
GEU-GEIMS ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Z538||Procedure and treatment not carried out for other reasons,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  60.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  American society of anaesthesiologist physical status I , II , III. 
 
ExclusionCriteria 
Details  1.Refusal to participate.
2.Requirement for vasopressors to maintain a mean arterial blood pressure ( MAP) greater than 65mmhg, baseline MAP less than 70 mmhg.
3.Presence of major peripheral vascular disease , severe valvular disease , right sided heart failure , respiratory distress.

4. Hepatic or renal disorders .
Absolute contraindication to spinal block. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Determine the ability of SVCI to predict hypotension after sub-arachanoid block (SAB) in geriatric patients.

To calculate the sensitivity and specificity of SVCI in predicting hypotension.

 
Every 2 minutes after SAB. 
 
Secondary Outcome  
Outcome  TimePoints 
To investigate the relationship between SVCI & haemodynamic changes.
To identify the risk factors for hypotension after SAB.
 
Every 2 minutes after SAB 
 
Target Sample Size   Total Sample Size="164"
Sample Size from India="164" 
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)   22/10/2025 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
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  
Ultrasonography of right subclavian vein (SCV) will be performed in supine position to visualise the SCV or infraclavicular axillary vein(AV) in short axis view. 
Short axis view of the vein will be obtained while the patient is breathing normal (spontaneous breathing) and while breathing deep (deep breathing) . 
 Minimum and maximum diameters of the SCV or AV (dSCVmin and dSCVmax, respectively will be assessed in M-mode at a medium sweep speed and collapsibility index (CI) will be calculated as (3).
                                                  (dSCVmax-dSCVmin)/dSCVmax × 100

 
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