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CTRI Number  CTRI/2024/04/065859 [Registered on: 16/04/2024] Trial Registered Prospectively
Last Modified On: 08/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study of vital sign parameter like perfusion index and to see requirement of medicine phenylephrine to maintain blood pressure in patient undergoing caesarean section under spinal anaesthesia. 
Scientific Title of Study   Perfusion index as predictor of hypotension following spinal anaesthesia in patients undergoing caesarean section for use of prophylactic phenylephrine. 
Trial Acronym  NIL  
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Divya 
Designation  Postgraduate junior resident 2  
Affiliation  Sgt medical college and research institute  
Address  Department of Anaesthesia first floor OT complex SGT medical college and research institute budhera gurugram

Gurgaon
HARYANA
122505
India 
Phone  9552315624  
Fax    
Email  Divyaahlawat5400@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Savita Saini 
Designation  Professor Department of Anaesthesia 
Affiliation  SGT Medical college and research institute  
Address  Department of Anaesthesia first floor OT complex SGT medical college and research institute budhera gurugram

Gurgaon
HARYANA
122505
India 
Phone  9416262343  
Fax    
Email  dr_savitasaini@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Savita Saini 
Designation  Professor Department of Anaesthesia 
Affiliation  SGT Medical college and research institute  
Address  Department of Anaesthesia OT Complex first floor SGT medical college and research institute budhera gurugram

Gurgaon
HARYANA
122505
India 
Phone  9416262343  
Fax    
Email  dr_savitasaini@yahoo.co.in  
 
Source of Monetary or Material Support  
Sgt medical college and hospital research institute near Budhera Gurugram Haryana 122505 
 
Primary Sponsor  
Name  Divya  
Address  Department of anaesthesia Sgt medical college and hospital research institute near Budhera Gurugram Haryana 122505 
Type of Sponsor  Other [Self] 
 
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 Divya  Sgt medical college and hospital   Department of anaesthesia OT complex 1st floor Room no -2
Gurgaon
HARYANA 
9552315624

Divyaahlawat5400@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Faculty of Medicine & Health Sciences, SGT university institutional ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 4||Measurement and Monitoring,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Normal saline   Dose 10 mL / min intravenously using infusion pump for minimum 3 minutes . 
Intervention  Phenylephrine infusion   dose 100 mcg/min intravenously using infusion pump for minimum 3 minutes . 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  ASA GRADE 2 ,3 pregnant female undergoing lscs elective and emergency surgery  
 
ExclusionCriteria 
Details  ASA grade 4 and above pregnant female undergoing lscs and with haemoglobin less than 4 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Perfusion index, SpO2 and heart rate
the sensory level shall be assessed and thereafter the incidence of hypotension, need for vasopressors and the number of episodes of bradycardia will be recorded.  
Perfusion index, SpO2 and heart rate will be measured every 1 min and bp every 3 minutes till delivery of placenta . 
 
Secondary Outcome  
Outcome  TimePoints 
APGAR score of the baby  at 0 and 1 minute 
 
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)   25/04/2024 
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 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  
This study is being conducted to assess and confirm the usefulness of perfusion index as a
predictor of spinal hypotension in parturients undergoing lower segment caesarean section.
Furthermore, by measuring PI preoperatively (value > 3.5) we can define patients at risk of
developing post spinal hypotension and guide the use of prophylactic phenylephrine infusion
in such patients. We also aim to study a control group in which perfusion index shall be used
to determine the need of bolus rescue doses of phenylephrine and this can simultaneously
determine the usefulness of either treatment methodology.
 
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