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CTRI Number  CTRI/2021/11/038051 [Registered on: 15/11/2021] Trial Registered Prospectively
Last Modified On: 14/11/2021
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Surgical Position related Changes of Intraabdominal pressure in neurosurgery 
Scientific Title of Study   Surgical Position Associated Intra-abdominal Pressure (IAP) changes in Neurosurgery : The SPAIN study 
Trial Acronym  SPAIN 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sagar Debbarman 
Designation  Senior Resident  
Affiliation  AIIMS New Delhi 
Address  Department Of Neuroanaesthesia and critical care 6th floor CN centre AIIMS New Delhi

South
DELHI
110029
India 
Phone  7005978936  
Fax    
Email  sagar4848@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Surya Kumar Dube 
Designation  Associate Professor  
Affiliation  AIIMS New Delhi 
Address  Department Of Neuroanaesthesia and critical care 6th floor CN centre AIIMS New Delhi

South
DELHI
110029
India 
Phone  9013172155  
Fax    
Email  drskdube@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Surya Kumar Dube 
Designation  Associate Professor  
Affiliation  AIIMS New Delhi 
Address  Department Of Neuroanaesthesia and critical care 6th floor CN centre AIIMS New Delhi


DELHI
110029
India 
Phone  9013172155  
Fax    
Email  drskdube@gmail.com  
 
Source of Monetary or Material Support  
ALL INDIA INSTITUTE OF MEDICAL SCIENCES ( AIIMS) NEW DELHI, ANSARI NAGAR , NEW DELHI 110030 
 
Primary Sponsor  
Name  AIIMS New Delhi 
Address  Ansari Nagar east New Delhi Delhi 110029 
Type of Sponsor  Government 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 Sagar Debbarman  AIIMS New Delhi  Department of Neuroanaesthesia and critical care, 6th floor CN Centre , AIIMS New Delhi
South
DELHI 
7005978936

sagar4848@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G94||Other disorders of brain in diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Adult Patients of ASA I & II category (18 to 60 years of age) scheduled to undergo craniotomy for elective neurosurgical procedures 
 
ExclusionCriteria 
Details  1 Emergency neurosurgical cases.
2 Patients with active abdominal pathology (eg: Liver disease and kidney disease, abdominal trauma etc) and/or preoperative hepatic or renal impairment.
3 Contraindication to bladder catheterisation (eg: bladder surgery, injury, urethral strictures etc)
4 Preoperative haemodynamic instability.
5 Pregnancy, Morbid obesity. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment    
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To estimate the change of Intraabdominal pressure (IAP) from the baseline in different neurosurgical positions intraoperatively  O day and upto 3rd day 
 
Secondary Outcome  
Outcome  TimePoints 
To study the impact of intra-operative IAP changes with post-operative hepatic and renal function.  From the day of surgery to 3 post operative days . 
To study the impact of intra-operative IAP changes with ICU stay, hospital stay and the neurological outcome.   From the day of surgery till hospital discharge 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   22/11/2021 
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="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Not yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This is a prospective single center observational study , where Intra abdominal pressure changes will be ,monitored  in different neurosurgical positions , like supine , prone, lateral  and sitting . Secondary outcome will be to the impact of intraoperative IAP changes in post operative hepatic and renal function &  on duration of ICU stay, hospital stay and neurological outcome ( using GOS ) . IAP will be measured using intravesical catheter technique Intraoperatively , and post operatively for 24 hour. Post operatively LFT and KFT will be done daily for 72 hours and renal injury status will be accessed using AKIN criteria.  
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