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CTRI Number  CTRI/2025/09/095474 [Registered on: 30/09/2025] Trial Registered Prospectively
Last Modified On: 29/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Preventive 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study to compare ultrasound- guided fluid therapy with standard care for preventing low blood pressure after anaesthesia in patient undergoing brain surgery. 
Scientific Title of Study   Comparison of Post induction hypotension using point of care Ultrasound-guided fluid therapy versus standard care in Neuro Surgery patient.:A randomized controlled 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  Sahiba Sumbul 
Designation  Junior Resident 
Affiliation  IGIMS, Patna 
Address  Indira Gandhi institute of medical sciences, Patna Department of Anaesthesiology 13ward block 1st floor

Patna
BIHAR
800014
India 
Phone  8603040426  
Fax    
Email  sahiba.sumbul@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sahiba Sumbul 
Designation  Junior Resident 
Affiliation  IGIMS, Patna 
Address  Indira Gandhi institute of medical sciences, Patna Department of Anaesthesiology 13ward block 1st floor


BIHAR
800014
India 
Phone  8603040426  
Fax    
Email  sahiba.sumbul@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sahiba Sumbul 
Designation  Junior Resident 
Affiliation  IGIMS, Patna 
Address  Indira Gandhi institute of medical sciences, Patna Department of Anaesthesiology 13ward block 1st floor


BIHAR
800014
India 
Phone  8603040426  
Fax    
Email  sahiba.sumbul@gmail.com  
 
Source of Monetary or Material Support  
IGIMS PATNA, Department of Anaesthesia, 1st floor 13 ward block 800014 
 
Primary Sponsor  
Name  Sahiba Sumbul 
Address  Indira Gandhi institute of medical sciences, Patna Department of Anaesthesiology 800014 
Type of Sponsor  Other [Self] 
 
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 
Prof Dr Swati  Indira Gandhi Institute of Medical Sciences, Patna  IGIMS, Patna Department of Anaesthesiology 13ward block, 1st floor 800014
Patna
BIHAR 
9113463130

swatipgi2006@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee of Indira Gandhi Institute of Medical Sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D332||Benign neoplasm of brain, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Calculated NS bolus  Calculated NS(fluid) bolus using point of care ultrasound after seeing IVC collapsibility index in preoperative patient 15 minutes before surgery. 
Comparator Agent  Routine fluid therapy  Routine fluid given without seeing IVC. 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Elective surgery for space occupying lesion in neurosurgery patient.
ASA 1, 2, 3. 
 
ExclusionCriteria 
Details  Patient refusal to participate.
Uncontrolled hypertension and hypotension.
High risk valvular diseases.
Renal diseases.
Pregnancy.
Emergency Surgeries.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare the mean arterial pressure ten minutes after induction of anaesthesia in both the groups( point of care ultrasound group vs conventional fluid therapy group).  15 min, 30 min, 90min, 120 min,150 min. 
 
Secondary Outcome  
Outcome  TimePoints 
Comparison of serum lactate at the first post-operative hour(ABG).
Comparison of hemodynamics at 15 min, 30 min, 90min, 120 min,150 min in intraoperative period.
Any reported complications like decreased urine output, less than 0.5 ml/kg BW and appearance of any sign of fluid overload.
Comparison of Total intraoperative fluid required.
Comparison of duration of total hospital stay in both the group.

 
15 min, 30 min, 90min, 120 min,150 min. 
 
Target Sample Size   Total Sample Size="96"
Sample Size from India="96" 
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)   15/10/2025 
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="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  

This randomized controlled trial will evaluate the effectiveness of point-of-care ultrasound (POCUS)-guided fluid therapy in preventing post-induction hypotension in neurosurgical patients with intracranial space-occupying lesions. Ninety-six ASA I–III patients (15–65 years) undergoing elective surgery will be randomized into POCUS-guided or conventional fluid therapy groups. The primary outcome is mean arterial pressure 10 minutes after induction; secondary outcomes include lactate levels, intraoperative hemodynamics, total fluid requirement, complications, and hospital stay.

 
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