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"Comparing the effect of Head down position (Trendelenburg position), forceful exhalation method against closed airway (Valsalva maneuver) and both (Trendelenburg and valsalva) on left sided neck vein (Brachiocephalic vein) diameter change in children patients below 2 years of age ."

"Comparison of the effect of Trendelenburg position, Valsalva maneuver and both (Trendelenburg and valsalva) on left Brachiocephalic vein diameter in paediatric patients: A Randomised Controlled trial." - RTVB

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2021/10/037679
Enrollment
120
Registered
2021-10-29
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: - Health Condition 2: O- Medical and Surgical Health Condition 3: O- Medical and Surgical

Interventions

Intervention1: 1. Valsalva maneuver 2. Combination of Trendelenburg position and Valsalva maneuver together: 1. Valsalva maneuver - The patient under general anaesthesia would be given positive inspi

Sponsors

All India Institute of Medical Sciences Patna
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. American society of Anaesthesiology physical status (ASA-PS) grade 1 & 2 2. Less than 2 years of age undergoing elective surgery under general anaesthesia

Exclusion criteria

Exclusion criteria: 1. patients with congenital anomalies or any syndromic patients 2.patients having any growth or mass near neck or face region 3. critically ill patients 4. any arteriovenous malformation on scanning 5. any contraindications of performing valsalva maneuver or trendelenburg position

Design outcomes

Primary

MeasureTime frame
To assess the increase in left brachiocephalic vein diameter of paediatric patients after valsalva maneuver alone and in combination with trendelenburg position when compared with trndelenburg position alone .Timepoint: At baseline and after 2 minutes when performing Trendelenburg position alone and combination of Trendelenburg position and Valsalva maneuver together . At baseline and after 10 seconds when performing Valsalva maneuver alone .—

Secondary

MeasureTime frame
1.To assess the distance between left brachiocephalic vein and ipsilateral apical pleura of the lung in paediatric patients after valsalva maneuver alone and in combination with trendelenburg position when compared with trndelenburg position alone . 2.To assess any adverse effects like hypotension( MAP decrease by 20%) , hypertension(MAP increase by20%) , tachycardia (HR increase by 20%), bradycardia (HR decrease by 20%)Timepoint: 1. 10 seconds following valsalva 2. 2 minutes after trendelenburg position 3. 2 minutes after trendelenburg when valsalva applied in last 10 seconds—

Countries

India

Contacts

Public ContactDr Chandni Sinha

All India Institute of Medical Sciences,Patna

chandni.doc@gmail.com7250333148

Outcome results

None listed

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