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CTRI Number  CTRI/2022/08/044921 [Registered on: 25/08/2022] Trial Registered Prospectively
Last Modified On: 24/08/2022
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Evaluating utility of ultrasonographic eye nerve diameter in relation with invasive intracranial pressure measurement in children with hydrocephalus  
Scientific Title of Study   Ultrasonographic evaluation of the changes in optic nerve sheath diameter as a useful point of care tool to supplement invasive intracranial pressure measurement in paediatric patients with hydrocephalus undergoing neurosurgical intervention  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Malika Dhawal  
Designation  Junior Resident  
Affiliation  King George medical university  
Address  Department of Anaesthesiology King George Medical University, Lucknow

Lucknow
UTTAR PRADESH
226003
India 
Phone  7905231021  
Fax    
Email  dmalika189@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Monica Kohli 
Designation  Professor, MD Anaesthesiology 
Affiliation  King George medical university  
Address  Department of Anaesthesiology King George Medical University, Lucknow

Lucknow
UTTAR PRADESH
226003
India 
Phone  9839041228  
Fax    
Email  monica_kohli@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Monica kohli 
Designation  Professor, MD Anaesthesiology 
Affiliation  King George medical university  
Address  Department of Anaesthesiology King George Medical University, Lucknow

Lucknow
UTTAR PRADESH
226003
India 
Phone  9839041228  
Fax    
Email  monica_kohli@rediffmail.com  
 
Source of Monetary or Material Support  
Department ofAnaesthesiology, King george medical college 
 
Primary Sponsor  
Name  King george medical college 
Address  Department of Anaesthesiology, Kgmu lucknow 
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 Monica Kohli  King george medical university  Department of Anaesthesiology King george medical college
Lucknow
UTTAR PRADESH 
9839041228

monica_kohli@rediffmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institutional ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G919||Hydrocephalus, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  2.00 Month(s)
Age To  10.00 Year(s)
Gender  Both 
Details  1 ASA Grade I AND II
2 Patient undergoing neurosurgeries lasting less than 4 hours
 
 
ExclusionCriteria 
Details  1 ASA Grade III and IV
2 Eye or orbit disease, such as glaucoma, lens opacity 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To assess the change in optic nerve sheath diameter after surgical intervention  After intubation 
 
Secondary Outcome  
Outcome  TimePoints 
To correlate the ultrasonographic optic nerve sheath diameter with invasion intracranial pressure measurement.  Before extubation 
 
Target Sample Size   Total Sample Size="52"
Sample Size from India="52" 
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)   30/08/2022 
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 Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   not yet recruiting 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Ocular Sonography detection of an increased diameterof the optic nerve sheath (ONSD) has been considered a reliable non-invasive measure of intracranial hypertension in recent years.
ONSD will be performed pror to invasive intracranial pressure(ICP) measurement in children under general anaesthesia and measurement before extubation.
Ultrasound devices are widely available in ICUs, but while Transcranial Doppler sonography for the identification of cerebral circulatory arrest requires trained and skilled sonographers, ONSD evaluation, to early detect the optic nerve sheath swelling in cases of intracranial hypertension, may be performed with minimal training and, above all, non-invasively. 
Thus, we aimed to conduct this study to investigate whether USG measurements of ONSD could evaluate real-time ICP dynamically and sensitively.
 
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