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CTRI Number  CTRI/2022/07/043899 [Registered on: 11/07/2022] Trial Registered Prospectively
Last Modified On: 14/05/2022
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective observational study 
Study Design  Other 
Public Title of Study   Measurement of infraclavicular axillary vein using ultrasonography before anesthesia and predicting decrease in blood pressure after giving general anesthesia 
Scientific Title of Study   PREANAESTHETIC ULTRASONOGRAPHIC MEASUREMENT OF RIGHT INFRACLAVICULAR AXILLARY VEIN FOR PREDICTING HYPOTENSION AFTER INDUCING GENERAL ANAESTHESIA– A PROSPECTIVE OBSERVATIONAL STUDY  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR SUBHA R 
Designation  Associate professor, Department of Anaesthesiology,Reginal cancer centre , Thiruvananthapuram 
Affiliation  Regional cancer centre 
Address  Regional cancer centre Thiruvananthapuram

Thiruvananthapuram
KERALA
695011
India 
Phone  9446700525  
Fax    
Email  drsubharcc@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR SUBHA R 
Designation  Associate professor, Department of Anaesthesiology,Reginal cancer centre , Thiruvananthapuram 
Affiliation  Regional cancer centre 
Address  Regional cancer centre Thiruvananthapuram

Thiruvananthapuram
KERALA
695011
India 
Phone  9446700525  
Fax    
Email  drsubharcc@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Haseena A N 
Designation  Junior Resident, Department of Anaesthesiology,Reginal cancer centre , Thiruvananthapuram 
Affiliation  Regional cancer centre 
Address  Regional cancer centre Thiruvananthapuram

Thiruvananthapuram
KERALA
695011
India 
Phone  8281792484  
Fax    
Email  haseenanaushad252@gmail.com  
 
Source of Monetary or Material Support  
REGIONAL CANCER CENTRE THIRUVANATHAPURAM 
 
Primary Sponsor  
Name  Regional Cancer Centre 
Address  Regional Cancer Centre Thiruvananthapuram 
Type of Sponsor  Research institution and hospital 
 
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 SUBHA R  REGIONAL CANCER CENTRE  Operation theatre complex Department of anesthesiology Regional Cancer Centre
Thiruvananthapuram
KERALA 
9446700525

drsubharcc@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
HUMAN ETHICS COMMITTEE REGIONAL CANCER CENTRE THIRUVANANTHAPURAM  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C029||Malignant neoplasm of tongue, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  19.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients aged between 19 to 60 years , with American society of anaesthesiology (ASA) 1 and 2 statuses coming for elective surgery under General
anaesthesia(GA) with endotracheal intubation 
 
ExclusionCriteria 
Details  Patients who refuse participate, requirement for vasopressors to maintain a mean arterial blood pressure (MAP) greater than 65 mmHg, baseline
MAP less than 70 mmHg, the proximal and /or distal axillary vein not clearly visualized , fracture of ipsilateral clavicle or anterior proximal ribs, axillary vein thrombosis, presence of major peripheral vascular disease, severe vascular
disease, unstable angina, respiratory distress, implanted pacemaker/cardioverter, mental incompetence, tricuspid failure, right-sided heart disease, portal hypertension, increased intra-abdominal pressure or expectation of difficult
intubation.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.To assess the association between preoperative infraclavicular axillary vein measurement and change in BP
2. To predict the incidence of intraoperative hypotension and percentage decrease in Mean arterial pressure  
Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Incidence of postoperative major cardiovascular events and associated mortality and morbidity  1 year 
 
Target Sample Size   Total Sample Size="82"
Sample Size from India="82" 
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)   01/08/2022 
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)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Choi, Min Hee; Chae, Ji Seon; Lee, Hyun Jung; Woo, Jae Hee Pre-anaesthesia ultrasonography of the subclavian/infraclavicular axillary vein for predicting hypotension after inducing general anaesthesia, European Journal of Anaesthesiology: June 2020 - Volume 37 - Issue 6 - p 474-481  
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Induction of anesthesia is associated with risk of hypotension as anesthetic agents have cardiovascular depressant and vasodilatory effects . Ultrasound examination of inferior venacava in patients with spontaneous respiration has been recommended as anon invasive method for estimation of volume status .However IVC assessment has limitations in patients with abdominal distension and tenderness. In this study we intend to measure  the preoperative diameter and collapsibility index of right infraclavicular axillary vein during spontaneous breathing and deep inspiration  and then examine whether these parameters could predict hypotension after induction of general anesthesia  
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