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Comparison of local numbing drug (lidocaine) when given directly into blood or as a throat spray to decrease the response to passing an artificial breathing tube through the throat in patients with elevated BP posted for surgery

Comparison of Intravenous and Atomized Topical Lidocaine in Attenuating the Hemodynamic Responses to Tracheal Intubation in Surgical Patients with pre existing hypertension:Randomized Controlled Trial. - RCT

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2022/05/042595
Enrollment
154
Registered
2022-05-17
Start date
Unknown
Completion date
Unknown
Last updated
2022-05-30

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

Conditions

Health Condition 1: I10- Essential (primary) hypertension

Interventions

Intervention1: Topical lidocaine: Injection Lignocaine 1.5 mg/kg applied topically using atomiser over a period of 30 seconds Control Intervention1: Intravenous lidocaine: Injection lidocaine 1.5 mg/k

Sponsors

Nil
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Adult patients between 18 â?? 80 years belonging to American Society of Anesthesiologists grade II with controlled hypertension ( Preoperative blood pressure less than 140/90 mm of Hg, controlled using single or combination of antihypertensive drugs)undergoing oro-tracheal intubation. posted for elective non cardiac surgery lasting more than one hour.

Exclusion criteria

Exclusion criteria: 1. Patients with anticipated difficult airway 2. Patients who are allergic to lignocaine 3. Patients with history of ischemic heart disease and any vascular aneurysm 4. Pregnant women 5. Patients with active Gastroesophageal reflux disease GERD 6. Patients with oropharyngeal pathology

Design outcomes

Primary

MeasureTime frame
To compare the difference between the preinduction and one minute post intubation systolic arterial pressure, between the atomized topical lidocaine group and intravenous lidocaine group following laryngoscopy and tracheal intubation. Timepoint: pre intubation and one minute post intubation

Secondary

MeasureTime frame
1.Mean arterial pressure 2.Diastolic pressure 3.Heart rate 4.Rate Pressure Product 5.ECG changes 6.Arrhythmias Timepoint: One minute intervals upto 10 minutes post intubation

Countries

India

Contacts

Public ContactDr Sakthirajan P

JIPMER

sakthiab8@gmail.com8903468132

Outcome results

None listed

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