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CTRI Number  CTRI/2023/12/060709 [Registered on: 22/12/2023] Trial Registered Prospectively
Last Modified On: 20/12/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Other 
Public Title of Study   A scientific experiment to study the attenuation of intubation response with dexmeditomedine nebulization & sublingual nitroglycerin spray  
Scientific Title of Study   Attenuation of hemodynamic response to laryngoscope & endotracheal intubation with preinduction dexmeditomedine nebulization versus sublingual nitroglycerin spray in patients undergoing elective surgeries - a prospective randomised comparative 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 Hemalatha S 
Designation  Post graduate  
Affiliation  Mysore medical college and research institute 
Address  2 nd floor department of anaesthesiology new stone building KR Hospital Mysore medical College and research institute Mysore
2 nd floor department of anaesthesiology new stone building KR Hospital Mysore medical College and research institute Mysore
Bangalore
KARNATAKA
570001
India 
Phone  9535991848  
Fax    
Email  nesarahema2396@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr B C Vijayalakshmi  
Designation  Professor 
Affiliation  Mysore Medical College and Research Institute  
Address  Mysore Medical College and Research Institute, Irwin road, Mysuru
Mysore Medical College and Research Institute, Irwin road, Mysuru
Mysore
KARNATAKA
570001
India 
Phone  9886239622  
Fax    
Email  vijayanagaraj@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Hemalatha S 
Designation  Post graduate  
Affiliation  Mysore medical college and research institute 
Address  2 nd floor department of anaesthesiology new stone building KR Hospital Mysore medical College and research institute Mysore
2 nd floor department of anaesthesiology new stone building KR Hospital Mysore medical College and research institute Mysore
Bangalore
KARNATAKA
570001
India 
Phone  9535991848  
Fax    
Email  nesarahema2396@gmail.com  
 
Source of Monetary or Material Support  
KR Hospital, Irwin Road, Devarajan Mohalla, Yadavagiri, Mysore, Karnataka 570001 
 
Primary Sponsor  
Name  Department of Anesthesiology  
Address  2 nd floor department of anaesthesiology new stone building KR Hospital Mysore medical College and research institute Mysore 570001 
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 
Hemalatha S   KR Hospital , Mysore   KR Hospital attached to MMCRI , Irwin Road, Devaraja mohalla, Mysore-570001
Mysore
KARNATAKA 
9535991848

nesarahema2396@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee Mysore medical College and research institute and associated hospitals Mysore 570021  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  Group D  Nebulization with dexmeditomedine 1 µg/kg diluted to 5ml of normal saline 30 minutes before induction of anaesthesia 
Comparator Agent  Group N  Sublingual nitroglycerin spray 2puffs (800 µg) 2 minutes before induction of anesthesia  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Age group 18 - 60 years
Both genders
ASA grade I and II 
 
ExclusionCriteria 
Details  Patient refusal
Pregnancy
Emergency surgery
Patient with anticipated difficult airway
Modified mallampatti III and IV
Laryngoscope and intubation time >20s
Obese patients with BMI >30kg/m2
H/o chronic hepatic renal or cardiac disease
H/o drug allergy 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Attenuation of intubation response with dexmeditomedine nebulization versus sublingual nitroglycerin spray   Baseline
At induction
1 min after induction
2 min after induction
3 min after induction
At intubation
1 min after intubation
2 min after intubation
3 min after intubation
5 min after intubation
10 min after intubation
15 min after intubation
30 min after intubation
At extubation
5 min after extubation
10 min after extubation
15 min after extubation
20 min after extubation
25 min after extubation
30 min after extubation  
 
Secondary Outcome  
Outcome  TimePoints 
Adverse effects of dexmeditomedine and nitroglycerin  24 hours  
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   31/12/2023 
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 Yet Recruiting 
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   This study is a prospective randomised comparative study for attenuation of hemodynamic response to laryngoscopy and endotracheal intubation with preinduction dexmeditomedine nebulization versus sublingual nitroglycerin spray in patients undergoing elective surgeries  
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