Health Condition 1: S062- Diffuse traumatic brain injury
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Adult patient aged 18yrs and above 2.admitted in ICU 3.Diagnosed with Moderate/severe TBI requiring hypertonic saline therapy
Exclusion criteria
Exclusion criteria: 1.patient refusal 2.preexisting optic nerve disorders 3.spontaneous intracranial haemorrhage,stroke 4.skull fractures 5.hemodynamic instability 6.brain stem death
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the correlation between change in ONSD and change in TCCD parameters following 3% hypertonic saline therapy in patients with moderate to severe traumatic brain injury TBI.Timepoint: Baseline,10mins and 1hr after hypertonic saline administration from ICU admission till day 5 of ICU or continuation of hypertonic saline therapy whichever is earlier | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To assess the correlation between changes in TCCD parameters and clinical improvement [change in Glasgow Coma Scale (GCS)] in patients with moderate to severe TBI following 3% hypertonic saline therapy. 2.To assess the correlation between changes in ONSD and clinical improvement (change in GCS) in patients with moderate to severe TBI following 3% hypertonic saline therapy. 3.To assess the effects of 3% hypertonic saline administration on electrolyte disturbances and hemodynamic parameters in patients with TBI. 4.To evaluate clinical outcomes including length of ICU stay, length of ventilatory stay, incidence of AKI, total hospital length of stay, and mortality ratesTimepoint: 1.GCS,serum electrolytes and hemodynamic parameters during ICU admission and till day 5 of ICU. 2.clinical outcomes will be noted till hospital stay or till the date of death in hospital | — |
Countries
India
Contacts
All India institute of medical sciences Jodhpur