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Comparing Two Medications (Dexmedetomidine and Remifentanil) to Safely Lower Blood Pressure During Spine Surgery in People with managed High Blood Pressure

Comparative Study between dexmedetomidine infusion and remifentanil infusion for hypotensive anesthesia in controlled hypertensive patients undergoing spine surgeries - Nil

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/06/089294
Enrollment
60
Registered
2025-06-23
Start date
Unknown
Completion date
Unknown
Last updated
2025-07-21

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

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: DEXMEDETOMIDINE: Patients in group Dex will be administered a loading dose of 0.3-1mcg/kg for 10min followed by continuous infusion of dexmedetomidine @ 0.3-0.7mcg/kg/hr till the end of

Sponsors

IMS&SUM hospital
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1.Patients posted for elective spine surgeries with controlled hypertension 2.Age group of 20 to 65 years 3.Patients belonging to ASA class-2 4.Patients who have given informed consent to participate in the study

Exclusion criteria

Exclusion criteria: 1.Patient not giving consent 2.known allergy to either drug 3.Opioid dependence 4.Any coagulation disorders 5.Patient taking anticoagulant drugs 6.Re-operative surgery 7.Uncontrolled hypertension & diabetes 8.Patients with significant cardiovascular or respiratory diseases 9.Patients with neurological or psychiatric disorders affecting pain perception reporting

Design outcomes

Primary

MeasureTime frame
To compare the efficacy of dexmedetomidine versus remifentanil in achieving controlled hypotension during spine surgeriesTimepoint: Baseline, 10 minutes, 30 minutes, 60 minutes, at extubation, 30 minutes after extubation, 60 minutes after extubation, 90 minutes after extubation

Secondary

MeasureTime frame
To evaluate intraoperative blood loss, hemodynamic stability, Postoperative pain scores(VAS), duration of sedation and adverse effects associated with each agentTimepoint: Baseline, 10 minutes, 30 minutes, 60 minutes, at extubation, 30 minutes after extubation, 60 minutes after extubation, 90 minutes after extubation

Countries

India

Contacts

Public ContactKamma Manisha chowdary

IMS&SUM hospital

dr.swarnabanerjee@gmail.com9437341397

Outcome results

None listed

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