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CTRI Number  CTRI/2022/05/042885 [Registered on: 27/05/2022] Trial Registered Prospectively
Last Modified On: 21/05/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A Study to compare the effect of three drugs -Dexmedetomidine, Lidocaine and Fentanyl in increasing heart rate and blood pressure in response to Laryngoscopy and Intubation in patients undergoing Cardiac Surgery 
Scientific Title of Study   A prospective, randomized, double blinded, controlled study for comparison of Dexmedetomidine, Lidocaine and Fentanyl in attenuation of Hemodynamic response to Laryngoscopy and Intubation in patients undergoing Cardiac Surgery at SMS Medical College, Jaipur 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Indu Verma 
Designation  Senior Professor 
Affiliation  S.M.S Medical College, Jaipur 
Address  Department of Anaesthesiology, Second Floor, Dhanwantari Building, Sawai Man Singh Medical College And Attached Hospitals, Adarsh Nagar, Jaipur

Jaipur
RAJASTHAN
302004
India 
Phone  9413622967  
Fax    
Email  dr.induverma@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Indu Verma 
Designation  Senior Professor 
Affiliation  S.M.S Medical College, Jaipur 
Address  Department of Anaesthesiology, Second Floor, Dhanwantari Building, Sawai Man Singh Medical College And Attached Hospitals, Adarsh Nagar, Jaipur

Jaipur
RAJASTHAN
302004
India 
Phone  9413622967  
Fax    
Email  dr.induverma@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Karthik K 
Designation  Junior Resident 
Affiliation  S.M.S Medical College, Jaipur 
Address  Department of Anaesthesiology, Second Floor, Dhanwantari Building, Sawai Man Singh Medical College And Attached Hospitals, Adarsh Nagar, Jaipur

Jaipur
RAJASTHAN
302004
India 
Phone  9980194668  
Fax    
Email  karthik.kateel@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, S.M.S Medical College, Gangawal Park, Adarsh Nagar, Jaipur, Rajasthan, 302004 
 
Primary Sponsor  
Name  Department of Anaesthesiology 
Address  Department of Anaesthesiology, S.M.S Medical College, Gangawal Park, Adarsh Nagar, Jaipur, Rajasthan 302004 
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 Indu Verma  S.M.S Medical College Hospital  Cardiac Surgery Operation Theatre, 2nd Floor, Bangad Parisar Building, Department of Anaesthesia, S.M.S Hospital, Jaipur
Jaipur
RAJASTHAN 
9413622967

dr.induverma@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Office of the Ethics Committee,S.M.S Medical College and Attached Hospitals, Jaipur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Intravenous Dexmedetomidine  1 microgram/kg of Intravenous Dexmedetomidine for 10 minutes before laryngoscopy 
Intervention  Intravenous Fentanyl  2 microgram/kg of Intravenous Fentanyl 90 seconds before intubation 
Comparator Agent  Intravenous Lidocaine   1.5 milligram/kg of Intravenous Lidocaine 90 seconds before intubation 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1.Informed Consent
2.Patients undergoing Elective Cardiac Surgery
3.Ejection Fraction >35%
4.ASA Grade 2 and 3
5.BMI<30 
 
ExclusionCriteria 
Details  1.Intubation Attempt lasting longer than 15s and any intubation related problem
2.Allergic Sensitivity to the research medications
3.Patients with hypotension(SBP<90 mmhg)
4.Bradycardia(HR<60/min)
5.Diabetes
6.Asthma
7.Pregnancy
8.Chronic Kidney and liver diseases
9.Long QT
10.Any Addiction 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Heart Rate, Systolic Blood Pressure, Diastolic Blood Pressure, Mean Arterial Pressure  Before Intubation and 1,3,5,10 and 15 minutes post intubation 
 
Secondary Outcome  
Outcome  TimePoints 
Percentage of cases who experience side effects or complications(if any)  24 hours postoperation 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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)   02/06/2022 
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="0"
Months="3"
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 - NO
Brief Summary   Laryngoscopy and endotracheal intubation are associated with various hemodynamic changes due to sympathetic stimulation and to attenuate these responses is a major challenge for the anaesthesiologist. Hence, this study is designed to compare effects of intravenous Dexmedetomidine, Lidocaine and Fentanyl in Attenuation of Hemodynamic Response of Laryngoscopy and Intubation in patients undergoing Cardiac surgery. 
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