Health Condition 1: S060- Concussion Health Condition 2: S062- Diffuse traumatic brain injury Health Condition 3: S064- Epidural hemorrhage Health Condition 4: S063- Focal traumatic brain injury Health Condition 5: S068- Other specified intracranial injuries Health Condition 6: S061- Traumatic cerebral edema Health Condition 7: S066- Traumatic subarachnoid hemorrhage Health Condition 8: S065- Traumatic subdural hemorrhage Health Condition 9: S069- Unspecified intracranial injury
Conditions
Interventions
Intervention1: Group 1: 20 mg of oral propranolol every 12 hourly for 3 days following ICU admission
Control Intervention1: Group 2: placebo every 12 hourly for 3 days following ICU admission
Sponsors
PGIMER, Chandigarh
Eligibility
Inclusion criteria
Inclusion criteria: ? Adult patients 18-65 years of age, with severe TBI (Glasgow Coma Scale ? Admitted to Trauma Intensive Care Unit (ICU) for mechanical ventilatory support and conservative management
Exclusion criteria
Exclusion criteria: Age 65years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Transcranial doppler assessed cerebral perfusion pressure changesTimepoint: Day 1 to 3 | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Changes in cerebral hemodynamics evaluated using Transcranial Doppler at pre-specified time intervals 2. Serum catecholamine levels at baseline and 72 hours of admission to ICU 3. Bedside Optic Nerve Sheath Diameter at pre-specified time intervals 4. Length of ICU and hospital stay 5. Incidence of neurological worsening 6. 30-day mortality outcome 7. Functional status at 3 months following discharge using the Glasgow Outcome Scale-Extended (GOS-E)Timepoint: Day 1, 2, 3, 30 and 3 months | — |
Countries
India
Contacts
Public ContactANKITA GOYAL
Post Graduate Institute of Medical Sciences and Research, Chandigarh
Outcome results
None listed