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A clinical trial to study hemodynamics in cooled and non cooled neonates with Birth asphyxia

Not Applicable
Conditions
Health Condition 1: null- NEONATES WITH HYPOXIC ISCHEMIC ENCEPHALOPATHYHealth Condition 2: I998- Other disorder of circulatory systemHealth Condition 3: I998- Other disorder of circulatory system
Registration Number
CTRI/2017/01/007735
Lead Sponsor
Department of Neonatology Institute of child health and hospital for children
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
32
Inclusion Criteria

1.Age < 6 hours, Birth-weight >1.8kg, Gestation >36 weeks based on available

information regarding last menstrual period or ultrasound) AND

2.Need for continued resuscitation at 5 minutes of age and/or 5 minute Apgar

score <6 (for babies born at hospital) or lack of cry by 5 minutes of age

(for babies born at home) AND

3. Evidence of moderate or severe encephalopathy at < 6 hours of age on a

structured clinical examination

Exclusion Criteria

1.Congenital heart disease (VSD/ASD/PDA)

2.SEVERE PPHN on Admission

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Trend of Fractional Shortening among cooled and non-cooled neonates with moderate to severe hypoxic ischemic encephalopathy upto 96 hrs from the time of admission in NICUTimepoint: At 1 hour after admission in NICU, and then every 8 ± 2 hours till 96hrs of age
Secondary Outcome Measures
NameTimeMethod
1.Trend of Ejection fraction <br/ ><br>2.Trend of Mean velocity of circumferential fiber shortening <br/ ><br>3.Trend of Cardiac output <br/ ><br>4.Trend of SVC flow <br/ ><br>5.Trend of IVC collapsibility index <br/ ><br>6.Correlation of Heart rate with Fractional shortening <br/ ><br>7.Correlation of Mean blood Pressure with Fractional shortening <br/ ><br>8.Correlation of LACTATE levels with Fractional shortening <br/ ><br>9.Correlation of Cardio-Troponin I levels with Fractional shortening <br/ ><br>10.Incidence of hypotension (MBP40mmhg) <br/ ><br>Timepoint: At 1 hour after admission in NICU, and then every 8 ± 2 hours till 96hrs of age
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