Dose Responsive Study of Ringer's Lactate Solution in Prevention of Post-induction Hypotension

NCT ID: NCT05924230

Last Updated: 2023-06-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-01

Study Completion Date

2024-08-31

Brief Summary

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To assess the dose responsiveness of ringer lactate solution in prevention of post-induction hypotension predicted by Ultrasound guided Inferior Vena Cava diameter in patients receiving General anesthesia.

OBJECTIVES Primary - To find the optimum preloading dosage of Ringer Lactate to prevent post induction hypotension.

Secondary - To find the predictive incidence of Post-induction hypotension according to age, gender, type of surgery and comorbidities.

Detailed Description

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All patients, after Ultrasonographic Inferior vena cava collapsibility index calculation, will receive Lactated Ringer's solution as per body weight and as per their allocated group in the receiving area.

After induction inside the Operating Room, All patients will be monitored continuously using Electrocardiography, pulse oximetry, noninvasive Blood pressure measurement and capnography .

Heart rate, Systolic - Diastolic - Mean blood pressure, Oxygen saturation will be monitored as follows :

1. Baseline parameters - Prior to administration of intravenous Ringer's lactate solution
2. T0 (after administration of intravenous Ringer's lactate solution but prior to induction of anaesthesia),
3. T1-T10 (every minute for first 10 mins after induction of anaesthesia) Our institutional standard practice of induction of Anaesthesia with Fentanyl (2 μg/kg), Propofol (2 mg/kg) and Vecuronium (0.1mg/kg ) will be followed and intubation will be done only after first 10 mins post induction.

Amount of Mephentermine needed to correct hypotension despite RL infusion will also be calculated.

Conditions

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Post Induction Hypotension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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RL 10

Patients of this group will receive Ringer's lactate (RL) 10ml/kg

Group Type ACTIVE_COMPARATOR

RL 10ml/kg

Intervention Type OTHER

Inferior vena cava collapsibility index of all patients will be calculated by ultrasonography and if it is \>50%, then patients of this group (Group 1) will receive Ringer's lactate 10ml/kg before induction in the receiving area

RL 15

Patients of this group will receive 15ml/kg of Ringer's lactate solution

Group Type ACTIVE_COMPARATOR

RL 15ml/kg

Intervention Type OTHER

Inferior vena cava collapsibility index of all patients will be calculated by ultrasonography and if it is \>50%, then patients of this group (Group 2) will receive Ringer's lactate 15ml/kg before induction in the receiving area

Interventions

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RL 10ml/kg

Inferior vena cava collapsibility index of all patients will be calculated by ultrasonography and if it is \>50%, then patients of this group (Group 1) will receive Ringer's lactate 10ml/kg before induction in the receiving area

Intervention Type OTHER

RL 15ml/kg

Inferior vena cava collapsibility index of all patients will be calculated by ultrasonography and if it is \>50%, then patients of this group (Group 2) will receive Ringer's lactate 15ml/kg before induction in the receiving area

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years American Society of Anesthesiologists (ASA) Physical status classification system group I and II Elective surgery under General anesthesia

Exclusion Criteria

* Age \<18 and \> 65 American Society of Anesthesiologists (ASA) Physical status classification system group III and IV Systolic blood pressure ≥ 180 mmHg Systolic blood pressure \< 90 mmHg Pregnant women Patients with abdominal mass or ascites Emergency surgery
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Tata Main Hospital

OTHER

Sponsor Role lead

Responsible Party

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Abhishek Chatterjee

Consultant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Abhishek Chatterjee

Role: PRINCIPAL_INVESTIGATOR

Tata Steel

Locations

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Abhishek Chatterjee

Jamshedpur, Jharkhand, India

Site Status RECRUITING

Countries

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India

Central Contacts

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Chatterjee

Role: CONTACT

Phone: +917763807075

Email: [email protected]

Merina Sam

Role: CONTACT

Phone: +919168334563

Email: [email protected]

Facility Contacts

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Abhishek Chatterjee

Role: primary

Other Identifiers

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TMH/IEC/JUNE/011/2022

Identifier Type: -

Identifier Source: org_study_id