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CTRI Number  CTRI/2018/04/013502 [Registered on: 26/04/2018] Trial Registered Prospectively
Last Modified On: 22/04/2018
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Biological
Other (Specify) [clear oral fluids]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of unrestricted clear oral fluids two to three hours before spinal anaesthesia on intraoperative heart rate and blood pressure and recovery after surgery 
Scientific Title of Study   Effect of unrestricted clear oral fluids two to three hours before spinal anaesthesia on intraoperative hemodynamics and recovery profile 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Nihal Muhammed 
Designation  Junior Resident 
Affiliation  Postgraduate Institute of Medical Education and Research 
Address  Junior Resident, Department of Anaesthesiology and Intensive Care, PGIMER, Chandigarh, India

Chandigarh
CHANDIGARH
160012
India 
Phone  9995427637  
Fax    
Email  nihal.29@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ishwar Bhukal 
Designation  Professor 
Affiliation  Postgraduate Institute of Medical Education and Research 
Address  Professor, Department of Anaesthesiology and Intensive Care, PGIMER, Chandigarh, India

Chandigarh
CHANDIGARH
160012
India 
Phone  7087009535  
Fax    
Email  ishwar_bhukal@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Nihal Muhammed 
Designation  Junior Resident 
Affiliation  Postgraduate Institute of Medical Education and Research 
Address  Junior Resident, Department of Anaesthesiology and Intensive Care, PGIMER, Chandigarh, India

Chandigarh
CHANDIGARH
160012
India 
Phone  9995427637  
Fax    
Email  nihal.29@gmail.com  
 
Source of Monetary or Material Support  
Postgraduate Institute of Medical Education and Research, Chandigarh, India 
 
Primary Sponsor  
Name  Nihal Muhammed 
Address  Junior Resident, Department of Anaesthesiology and Intensive Care, PGIMER, Chandigarh, India 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Ishwar Bhukal  Professor, Department of Anaesthesiology and Intensive Care, PGIMER, Chandigarh, India 
Kamal Kajal  Assistant Professor, Department of Anaesthesiology and Intensive Care, PGIMER, Chandigarh, India 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Nihal Muhammed  Postgraduate Institute of Medical Education and Research  Main Operation Theatre Complex, Department of Anaesthesiology and Intensive Care, Level 4, Nehru Hospital, PGIMER
Chandigarh
CHANDIGARH 
9995427637

nihal.29@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Postgraduate Institute of Medical Education and Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  ASA physical status 1 and 2 patients undergoing surgery requiring spinal anaesthesia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Group A (Study group)  Patients allocated are advised to drink unrestricted amount of water so as to quench their thirst 2 to 3 hours before the expected shifting time to the operating room 
Comparator Agent  Group B (Control group)  Patients allocated are allowed to follow the routine fasting practices 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. ASA class 1 and 2
2. Age 18 to 65 years
3. Procedures under spinal anaesthesia with duration of 2 hours or less
4. Procedures with minimal blood loss not requiring blood transfusion 
 
ExclusionCriteria 
Details  1. Contraindication to spinal anaesthesia
2. Posted for gastrointestinal surgery
3. Active gastroesophageal reflux disease
4. Psychiatric patients
5. Patients in whom delayed gastric emptying is suspected 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Effect on hemodynamics (heart rate, mean arterial pressure) and fluid and vasopressor requirement  Intraoperative period 
 
Secondary Outcome  
Outcome  TimePoints 
Effect on anxiety scoring  Preoperative and postoperative period 
Effect on thirst scoring  Preoperative and postoperative period 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   01/05/2018 
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="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   Though standard guidelines are available for preoperative fasting, due to various reasons like improper communication by the personnel or understanding by patients, delays in the setup or mere ignorance, or being posted down the order in an operating list, very often patients fast for a longer undesirable time. This effects the overall perioperative experience of the patient.
The aim of this study is to study the effect of unrestricted clear oral fluids two to three hours before spinal anaesthesia on the intraoperative hemodynamics and recovery profile, which includes the intraoperative heart rate and mean arterial pressures, fluid and vasopressor requirement and the preoperative and postoperative anxiety and thirst scoring.
 
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