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CTRI Number  CTRI/2023/08/056854 [Registered on: 24/08/2023] Trial Registered Prospectively
Last Modified On: 29/07/2023
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Utilising Perfusion Index to predict fall in blood pressure in pregnant patients with Pregnancy Induced Hypertension undergoing cesarean section under spinal anesthesia 
Scientific Title of Study   Evaluation of Perfusion Index for prediction of post spinal hypotension in parturients with Pregnancy Induced Hypertension undergoing Cesarean section - A Prospective observational 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 Rudraraju Aravind 
Designation  resident anaesthesiologist 
Affiliation  ESI-PGIMSR,Basaidarapur 
Address  Room no:2207,Second floor OT, OT complex,Dept of Anaesthesiology, ESI-PGIMSR,Basaidarapur, ring road, west delhi

West
DELHI
110015
India 
Phone  9550434755  
Fax    
Email  arvindfc007@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anil kumar thakur 
Designation  Professor and Head of Department 
Affiliation  employees state insurance corporation postgraduate institute of medical sciences and research 
Address  Room no:2210,Second floor OT, OT complex, Dept of Anaesthesiology, ESI-PGIMSR,Basaidarapur, ring road, west delhi, 110015

West
DELHI
110015
India 
Phone  9350103337  
Fax    
Email  dranilthakur@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rudraraju Aravind 
Designation  resident anaesthesiologist 
Affiliation  ESI PGIMSR 
Address  Room no-2207,Second floor OT,OT complex Department of Anaesthesiology, ESIC-PGIMSR, Basaidarapur, Ring road, west delhi

West
DELHI
110015
India 
Phone  9550434755  
Fax    
Email  arvindfc007@gmail.com  
 
Source of Monetary or Material Support  
ESI post graduate institute of medical sciences and research new delhi 
 
Primary Sponsor  
Name  ESI post graduate institute of medical sciences and research new delhi 
Address  Basaidarapur, Ring road new Delhi-110015 
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 
DrAravind Rudraraju  ESIC-PGIMSR  Second Floor OT, OT complex,Department of Anaesthesia, ESIC-PGIMSR, Basaidarapur Ring Road, West Delhi
West
DELHI 
9550434755

arvindfc007@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee-Employees state insurance corporation  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O134||Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating childbirth,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  American Society of Anesthesiologists Grade 2 & 3
Parturients with PIH undergoing cesarean section under spinal anesthesia 
 
ExclusionCriteria 
Details  Unstable hemodynamic status
parturients with severe pre eclampsia (BP >160/110)
Complicated obstetric history
Patients with placenta previa,gestational diabetes mellitus,Hypothyroidism,Hyperthyroidism
Parturients undergoing cesarean section under general anaesthesia
Multiple gestation
History of neurological,psychiatric,peripheral vascular disease,cardiac disease,chronic pain disorder
Parturients with nail paints 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare the relation between perfusion index & blood pressure changes following spinal anaesthesia  Point A: pre-operative room
Point B: 1 minute after spinal anaesthesia
Point C: 2 minutes after spinal anaesthesia
point D: 3 minutes after spinal anaesthesia
Point E: 4 minutes after spinal anaesthesia
Point F: 5 minutes after spinal anaesthesia
Point G: 7 minutes after spinal anaesthesia
Point H: 10 minutes after spinal anaesthesia
Point I: 15 minutes after spinal anaesthesia
Point J: 20 minutes after spinal anaesthesia 
 
Secondary Outcome  
Outcome  TimePoints 
Not applicable  Not applicable 
 
Target Sample Size   Total Sample Size="104"
Sample Size from India="104" 
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)   01/09/2023 
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="0"
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   Aim is to assess the correlation of perfusion index as a predictor of Post spinal hypotension in parturients with PIH undergoing cesarean section.
Total 104 patients will be enrolled for this study according to inclusion and exclusion criteria.

Study is Prospective Observational Non randomised study.

Written and informed consent will be taken.

Baseline Perfusion index,Blood pressure,Heart rate and oxygen saturation(spo2) will be measure in the pre-anaesthetic room.This will be time point A.

Parturient will be given spinal anaesthesia under all aseptic precautions with 25G quincke’s needle with  10 mg(2 ml) 0.5% (H) bupivacaine and patiets wiil be made to lie in a supine positon with 15 degrees left lateral tilt and values of perfusion index,Blood pressure,Heart rate and Oxygen saturation(spo2) will be measured at

Time point B: 1 minute after spinal anaesthesia

Time point C:2 minutes after spinal anaesthesia

Time point D:3 minutes after spinal anaesthesia

Time point E:4 minutes after spinal anaesthesia

Time point F:5 minutes after spinal anaesthesia

Time point G:7 minutes after spinal anaesthesia

Time point H:10 minutes after spinal anaesthesia

Time point I:15 minutes after spinal anaesthesia

Time point F:20 minutes after spinal anaesthesia

Primary Objective is to evaluate the predictability of perfusion index as an objective tool for post spinal hypotension in parturients with PIH undergoing cesarean section.


 
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