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CTRI Number  CTRI/2024/10/074955 [Registered on: 08/10/2024] Trial Registered Prospectively
Last Modified On: 24/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   PROSPECTIVE 
Study Design  Other 
Public Title of Study   Assessment of inferior vena cava collapsibility index in prediction of post-spinal hypotension: An observational prospective study. 
Scientific Title of Study   Assessment of inferior vena cava collapsibility index in prediction of post-spinal hypotension: An observational prospective study. 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr N Akhil Maaran 
Designation  Post Graduate 
Affiliation  Aarupadai Veedu Medical College and Hospital 
Address  Department of Anaesthesiology 1st floor A Block Aarupadai Veedu Medical College and Hospital Kirumambakkam Puducherry

Pondicherry
PONDICHERRY
607402
India 
Phone  8667623239  
Fax    
Email  akhil.ida@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr C Rajesh Prabhu 
Designation  Associate Professor 
Affiliation  Aarupadai Veedu Medical College and Hospital 
Address  Department of Anaesthesiology 1st floor A Block Aarupadai Veedu Medical College and Hospital Kirumambakkam Puducherry

Pondicherry
PONDICHERRY
607402
India 
Phone  9843360106  
Fax    
Email  cr.prabhu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr G Sivaperumal 
Designation  Assistant Professor 
Affiliation  Aarupadai Veedu Medical College and Hospital 
Address  Department of Anaesthesiology 1st floor A Block Aarupadai Veedu Medical College and Hospital Kirumambakkam Puducherry

Pondicherry
PONDICHERRY
607402
India 
Phone  9080107086  
Fax    
Email  perumalgod@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology 
 
Primary Sponsor  
Name  Aarupadai Veedu Medical College and Hospital 
Address  Department of Anaesthesiology 1st floor A Block Aarupadai Veedu Medical College and Hospital Kirumambakkam Puducherry 
Type of Sponsor  Private 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 N Akhil Maaran  Department of Anaesthesiology 1st floor A Block Aarupadai Veedu Medical College and Hospital  Department of Anaesthesiology 1st floor A Block Aarupadai Veedu Medical College and Hospital Kirumambakkam Pondicherry
Pondicherry
PONDICHERRY 
8667623239

akhil.ida@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethical committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N400||Benign prostatic hyperplasia without lower urinary tract symptoms, (2) ICD-10 Condition: K412||Bilateral femoral hernia, withoutobstruction or gangrene, (3) ICD-10 Condition: K402||Bilateral inguinal hernia, withoutobstruction or gangrene, (4) ICD-10 Condition: M254||Effusion of joint, (5) ICD-10 Condition: N433||Hydrocele, unspecified, (6) ICD-10 Condition: K36||Other appendicitis, (7) ICD-10 Condition: N358||Other urethral stricture, (8) ICD-10 Condition: N350||Post-traumatic urethral stricture, (9) ICD-10 Condition: N440||Torsion of testis, (10) ICD-10 Condition: K409||Unilateral inguinal hernia, without obstruction or gangrene,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Inferior vena cava collapsablity index using Ultrasound  Inferior vena cava collapsablity index using Ultrasound 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  ASA I and ASA II
Patients scheduled for sub umbilical surgeries
Patients planned for spinal anaesthesia
 
 
ExclusionCriteria 
Details  Patient refusal
Patients of ASA III & above
Patients undergoing cardiovascular & obstetric surgery
Known Hypotensive/Hypertensive patients
Contraindication for spinal anesthesia 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To monitor inferior vena cava collapsibility index (IVCCI) preoperatively and assess if it can predict the incidence of post spinal hypotension  20 MINUTES 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="210"
Sample Size from India="210" 
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)   10/10/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  10/10/2024 
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   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Post-spinal anaesthesia hypotension is one of the most common side effects of spinal anaesthesia Hypotension occurs due to sympathetic blockade and decreased systemic vascular resistance resulting in reduced venous return and decreased cardiac output PSH may be associated with nausea vomiting syncope dizziness cardiac arrhythmias cardiac arrest and may sometimes lead to death Therefore predicting PSH is particularly important so that preventive measures or timely interventions can be taken to avoid untoward events Ultrasonographic assessment of the inferior vena cava collapsibility index is easy to perform non-invasive time-efficient and readily available as well Preoperative IVCCI is a reliable predictor of hypotension after induction of general anaesthesia with high specificity We hypothesized that patients with increased respiratory variations in IVC diameter would have more chances of developing PSH 
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