Health Condition 1: V229- Unspecified motorcycle rider injured in collision with two- or three-wheeled motor vehicle in traffic accident
Conditions
Interventions
Sponsors
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
| Measure | Time 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
| Measure | Time 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
PGIMER