CTRI Number |
CTRI/2021/05/033541 [Registered on: 11/05/2021] Trial Registered Prospectively |
Last Modified On: |
10/05/2021 |
Post Graduate Thesis |
No |
Type of Trial |
Interventional |
Type of Study
|
Surgical/Anesthesia |
Study Design |
Randomized, Parallel Group, Active Controlled Trial |
Public Title of Study
|
Dexmedetomidine versus Nitroglycerine infusion for hypotensive anaesthesia in FESS |
Scientific Title of Study
|
Comparison of Dexmedetomidine infusion with Nitroglycerine infusion for Hypotensive Anaesthesia in Functional Endoscopic Sinus Surgery- A Prospective Randomized Clinical Trial |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Smitul Dave |
Designation |
Assistant Professor |
Affiliation |
Sri Lakshmi Narayana Institute of Medical Sciences |
Address |
Department of Anaesthesiology,
Sri Lakshmi Narayana Institute of Medical Sciences
Osudu, Agaram village, Villianur Commune, Kudapakkam post, Puducherry
Pondicherry PONDICHERRY 605502 India |
Phone |
9408115792 |
Fax |
|
Email |
smitul1511@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
R Aishwarya |
Designation |
Assistant Professor |
Affiliation |
Sri Lakshmi Narayana Institute of Medical Sciences |
Address |
Department of Anaesthesiology,
Sri Lakshmi Narayana Institute of Medical Sciences
Osudu, Agaram village, Villianur Commune, Kudapakkam post, Puducherry
Pondicherry PONDICHERRY 605502 India |
Phone |
9953413562 |
Fax |
|
Email |
ashirocks1989@gmail.com |
|
Details of Contact Person Public Query
|
Name |
R Aishwarya |
Designation |
Assistant Professor |
Affiliation |
Sri Lakshmi Narayana Institute of Medical Sciences |
Address |
Department of Anaesthesiology,
Sri Lakshmi Narayana Institute of Medical Sciences
Osudu, Agaram village, Villianur Commune, Kudapakkam post, Puducherry
Pondicherry PONDICHERRY 605502 India |
Phone |
9953413562 |
Fax |
|
Email |
ashirocks1989@gmail.com |
|
Source of Monetary or Material Support
|
SRI LAKSHMI NARAYANA INSTITUTE OF MEDICAL SCIENCES,
OSUDU, AGARAM VILLAGE, VILLIANUR COMMMUNE KUDAPAKKAM POST, PUDUCHERRY: 605502
|
|
Primary Sponsor
|
Name |
DR SMITUL DAVE |
Address |
ASSISTANT PROFESSOR, DEPARTMENT OF ANAESTHESIOLOGY, SRI LAKSHMI NARAYANA INSTITUTE OF MEDICAL SCIENCES,OSUDU, AGARAM VILLAGE, VILLIANUR COMMMUNE KUDAPAKKAM POST, PUDUCHERRY: 605502 |
Type of Sponsor |
Other [SELF] |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Smitul Dave |
SRI LAKSHMI NARAYANA INSTITUTE OF MEDICAL SCIENCES |
Dept of Anaesthesiology,
Osudu, Agaram Village, Villianur Commune,
Kudupakkam Post, Puducherry - 605 502, India. Pondicherry PONDICHERRY |
9408115792
smitul1511@gmail.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
INSTITUTIONAL ETHICS COMMITTEE(HUMAN STUDIES) |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition: O||Medical and Surgical, (2) ICD-10 Condition: O||Medical and Surgical, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Intervention |
Infusion of pharmacological drug Dexmedetomidine |
The patients will be given general anaesthesia using Intravenous fenatnyl, thiopentone and succinylcholine and intubated with endotracheal tube. After induction, infusion of Dexmedetomidine will be used to decrease the blood pressure during FESS surgery. Patients will receive Inj Dexmedetomidine 1 microgram/kg iv as a bolus dose over 10 minutes then followed by infusion at the rate of 0.3 - 0.5 microgram/kg/hour. The infusion will be started after intubation and titrated to achieve a MAP of 20% less than baseline. It will be continued till 10 minutes before expected end of surgical procedure. . |
Comparator Agent |
Infusion of pharmacological drug Nitroglycerine |
The patients will be given general anaesthesia using Intravenous fenatnyl, thiopentone and succinylcholine and intubated with endotracheal tube. After induction, infusion of Nitroglycerine will be used to decrease the blood pressure during FESS surgery. Patients will receive Inj Nitroglycerine as a continuous infusion in dose of 0.5 – 5microgram/kg/hour . The infusion will be started after intubation and titrated to achieve a MAP of 20% less than baseline. It will be continued till 10 minutes before expected end of surgical procedure. . |
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
65.00 Year(s) |
Gender |
Both |
Details |
ASA I and II
undergoing FESS |
|
ExclusionCriteria |
Details |
Patients with known allergy to drugs to be used, Pregnant and lactating women, History of chronic hypertension/ Sinus bradycardia, Patient refusal
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
Method of Concealment
|
Pre-numbered or coded identical Containers |
Blinding/Masking
|
Participant and Outcome Assessor Blinded |
Primary Outcome
|
Outcome |
TimePoints |
quality of surgical field |
2 hours |
|
Secondary Outcome
|
Outcome |
TimePoints |
1. Recovery profile
2. Post op analgesia
|
6 hours |
|
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)
|
17/05/2021 |
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="2" Months="0" Days="0" |
Recruitment Status of Trial (Global)
|
Not Applicable |
Recruitment Status of Trial (India) |
Not Yet Recruiting |
Publication Details
|
NIL |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [ashirocks1989@gmail.com].
- For how long will this data be available start date provided 03-05-2022 and end date provided 03-05-2025?
Response - Beginning 9 months and ending 36 months following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - nil
|
Brief Summary
|
Total 60 adult patients of either sex of ASA physical status I / II will be included in the study. After thorough preoperative assessment of all patients, informed consent will be taken from each patient. All patients will be premedicated with inj. Fentanyl 2 microgram/kg, inj. Glycopyrolate 0.004 mg/kg, inj. Ondansetron 4mg. Intravenously. All patients will be induced with inj. Thiopentone sodium 6 mg/kg and inj. Succinylcholine 1.5 mg/kg. Oral intubation with proper size tube and packing will be done. Anaesthesia will be maintained with oxygen and nitrous oxide mixture( 50 : 50) + Sevoflurane ( 2% dial concentration) + inj. Atracurium. All patients will be placed in Reverse Trendenburg position( 15 degree head up) after induction. Group D : Patients will receive inj. Dexmedetomidine 1 microgram/kg iv as a bolus dose over 10 minutes then followed by infusion at the rate of 0.3 - 0.5 microgram/kg/hour. Group N : Patients will receive inj. Nitroglycerine as a continuous infusion in dose of 0.5 – 5microgram/kg/hour. All patients will be observed for Non Invasive Blood pressure, Heart rate, MAP and oxygen saturation at frequent intervals till the end of surgery. Surgical field quality will be assessed by predefined category scale adopted from FROMM AND BOEZAART SCALE ( AVERAGE CATEGORY SCALE) .Recovery profile using Ramsay sedation score and Post op analgesia using VAS will be assessed hourly upto 6 hours. The collected data will be subjected to statistically analysis. |