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A Non-Invasive Way to Watch Brain Pressure Changes During Surgery in children with Hydrocephalus

Dynamicity of the optic nerve sheath diameter using transorbital ultrasonography perioperatively in pediatric patients diagnosed with hydrocephalus undergoing either endoscopic third ventriculostomy or medium pressure ventriculoperitoneal shunt - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2025/07/091504
Enrollment
30
Registered
2025-07-23
Start date
Unknown
Completion date
Unknown
Last updated
2025-08-18

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

Conditions

Health Condition 1: G911- Obstructive hydrocephalus

Interventions

Intervention1: Nil: Nil Intervention2: Nil: Nil Intervention3: Nil: Nil Intervention4: optic nerve sheath diameter (ONSD) using transorbital ultrasound: measurement of ONSD using ultrasound before and

Sponsors

Department of Anesthesiology
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Pediatric patients, including neonates and infants till 2 years of age diagnosed with hydrocephalus with raised ICP posted for either MPVP shunt or ETV. Either sex (Male/Female)

Exclusion criteria

Exclusion criteria: Age more than 2year Patient s attendants refusal Associated with other systemic disease Any intraoccular pathology Anatomical distortion of orbit

Design outcomes

Primary

MeasureTime frame
a)To assess the dynamic variability in transorbital ultrasonographic ONSD in pediatric patients diagnosed with hydrocephalus before and after undergoing medium pressure VPshunt (MPVP shunt) and ETV procedureTimepoint: ONSD measurement will be done before and after surgery to assess the dynamic change in the ONSD perioperatively

Secondary

MeasureTime frame
a) To estimate the change in vitals such as systolic blood pressure, mean arterial pressure, heart rate, end tidal Carbon dioxide (EtCO2) preoperatively, at the time of intervention, after intervention and before extubation.Timepoint: this measurement will be done after intubation, before intervention, at the time of intervention and before extubation of the patient;Time of measurement of ONSD after insertion of equipment in the ventricular systemTimepoint: This measuremnt will be taken just at the time of insertion of instrument to the ventricular system till the assessment of ONSD before extubation;To assess the need for ventilatory support postoperatively.Timepoint: post operative assessment of ventilatory requirement;Number of ventilator days in ICUTimepoint: Post opertaive number of ventilator days required by patient;Total duration of hospital staysTimepoint: post operative number of days stayed in hospital;Any post operative complication post operative in hospital stayTimepoint: post operative complication post operative in hospital stay like seizure, vomiting, intubation, shunt failure etc;time to extubate the patient after ONSD assessmentTimepoint: after postoperative assessment of ONSD, total time required to extubate the patient

Countries

India

Contacts

Public ContactBABLI KUMARI

Institute of medical sciences

bbk.bhu08@gmail.com08709193564

Outcome results

None listed

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