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Cortisol as marker to assess stress response in Traumatic Brain Injury patients.

To assess stress response to propofol infusion vs. midazolam infusion in severe traumatic brain injury (TBI) patients measured by serum cortisol levels: A randomised control trial.

Status
Active, not recruiting
Phases
Phase 1Phase 2
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2019/11/022121
Enrollment
30
Registered
2019-11-22
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: V229- Unspecified motorcycle rider injured in collision with two- or three-wheeled motor vehicle in traffic accident

Interventions

Intervention1: sedative in Traumatic brain injury patients: propofol infusion vs midazolam infusion comparison in reducing stress response in TBI patients using cortisol as marker. Intervention2: seda

Sponsors

PGIMER
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Adult patients of 18years and above with GCS of 8 or less with an isolated head injury on ct finding requiring mechanical ventilation for more than 48hrs.

Exclusion criteria

Exclusion criteria: 1. refusal to give consent. 2.an elapsed time between trauma and icu admission of more than 24hrs. 3.gcs of 3 persistant from the scene with bilaterally dilated fixed pupils. 4.patients undergoing operation 5.patients on haemodynamic support. 6.patients whose baseline serum cortisol level is less than 15mg/dl

Design outcomes

Primary

MeasureTime frame
TO access if intravenous Propofol provides better obtundation of stress response due to traumatic brain injury as compared to Midazolam infusion when measured by change in serum cortisol levelsTimepoint: 3months follow up on 21/12/2019

Secondary

MeasureTime frame
1.To assess hemodynamic changes 2.To assess GCS, ONSD 3.To assess GOS 4.TO find out fentanyl requirement 5.To recored complication 6.To record additional therapyTimepoint: 48hrs after sedation

Countries

India

Contacts

Public ContactMallikarjun Kurni

PGIMER

amarjyoti28@rediffmail.com9990238972

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026