Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Moderate to severe traumatic brain injury patients Aged 18 to 65 GCS less than or equal to 12
Exclusion criteria
Exclusion criteria: Failure to give consent Polytrauma patients Cerebrospinal fluid leakage or drainage With anuria or Oliguria Renal failure, liver failure and decompensated cardiac failure Hemoglobin less than 8 Serum osmolality greater than 320 mOsm per L Serum sodium lessthan 130 or greater than 150 mEq per L Pregnant Patients with uncontrolled systemic illness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome To compare the change in mean cerebral blood flow velocity (MCBFV) of the middle cerebral artery at 30 minutes after administration of the drugTimepoint: Primary outcome To compare the change in mean cerebral blood flow velocity (MCBFV) of the middle cerebral artery at 30 minutes after administration of the drug | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome Mean cerebral blood flow velocity Systolic peak blood flow velocity End-diastolic blood flow velocity pulsatility index AND resistance index using TCCD Optic nerve sheath diameter ONSD of both the eyes Serum electrolytes osmolality Fluid status Input Output Heart rate & Mean arterial pressure Total ICU & Hospital stay Modified Rankin scale score at discharge Timepoint: MCBFV Systolic peak blood flow velocity End-diastolic blood flow velocity pulsatility index resistance index ONSD Vitals at T0 starting the infusion T1 termination of the infusion T2 15 min after the termination of the infusion T3 at 30 min after the termination of the infusion T4 at 60 min after the termination of the infusion Serum electrolytes osmolality at T0T4 24 hour input output till 48 hours Baseline 48 hour CT findings Total ICU Hospital MRS score at discharge & at 3 months | — |
Countries
India
Contacts
POST GRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH, CHANDIGARH