Bilateral Superficial Cervical Block for Thyroidectomy
Recruitment status was Recruiting
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Purpose
The objective of this study is to compare the postoperative analgesia afforded by bilateral superficial cervical block using different concentrations of local anesthetic (ropivacaine) in patients undergoing total thyroidectomy for the mini-incision technique, performed by the same surgical team.
| Condition | Intervention | Phase |
|---|---|---|
|
Cervical Pain |
Drug: 0.9% saline Drug: Ropivacaine |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Evaluation of the Postoperative Analgesic Efficacy of Bilateral Superficial Cervical Block for Thyroidectomy and Mini Incision Under General Balanced Anesthesia: a Randomized, Triple Masked, Placebo Controlled Trial. |
- Post operative pain assessment according to Visual Analogue Scale [ Time Frame: 24 Hours ] [ Designated as safety issue: Yes ]
- Consumption of morphine [ Time Frame: 24 Hours ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 120 |
| Study Start Date: | July 2009 |
| Estimated Study Completion Date: | December 2011 |
| Estimated Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: Placebo
Bilateral superficial cervical block.
|
Drug: 0.9% saline
20 ml of 0.9% saline
|
|
Experimental: Ropivacaine 0.25%
Bilateral superficial cervical block
|
Drug: Ropivacaine
20 ml of Ropivacaine 0.25%.
|
|
Experimental: Ropivacaine 0.5%
Bilateral superficial cervical block.
|
Drug: Ropivacaine
20 ml of Ropivacaine 0.5%.
|
Detailed Description:
In this study we will evaluate the efficacy of bilateral superficial cervical block associated with balanced general anesthesia with remifentanil as opioid of choice in preventing postoperative pain in patients who underwent total thyroidectomy with mini incision without neck dissection.A hundred and twenty patients ASA I - II will be assessed and allocated randomly (through a table of random numbers) into three groups for analgesia for post-operative:
Group 1: bilateral superficial cervical block with 20 ml of 0.9% saline (placebo); Group 2: bilateral superficial cervical block with 20 ml ropivacaine 0.25%; Group 3: bilateral superficial cervical block with 20 ml ropivacaine 0.5%.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age greater than 18 years
- Agreed to participate in the study and sign the consent form
- ASA I-II
- Scheduled to undergo total thyroidectomy without neck dissection under general balanced anesthesia.
Exclusion Criteria:
- Clinical history or laboratory tests suggestive of bleeding disorder
- Mental or cognitive deficit in existence, which makes it impossible to understand the patient visual analog scale of pain or the study protocol
- Body mass index greater than 45
- History of allergy to local anesthetics
- Intolerance or contraindication to any medication used in the study
- Skin infection at the site of the blockade
- Patients requiring neck dissection
- Pregnancy
- Preoperative use of opioid analgesics or non-opioids, corticosteroids or anti inflammatory non steroidal
- Patient's refusal to participate in the study
- Need for emergency reintervention within the first 24 hours postoperatively
Contacts and Locations| Contact: Carlos Leonardo A Boni, MD | 00553191851959 | leonardoboni@gmail.com |
| Contact: Yerkes P Silva, PhD | 00553199933384 | yerkesps@uol.com.br |
| Brazil | |
| Lifecenter Hospital | Recruiting |
| Belo Horizonte, Minas Gerais, Brazil, 30110090 | |
| Contact: Carlos leonardo A Boni, MD 00553191851959 leonardoboni@gmail.com | |
| Contact: Yerkes P Silva, PhD 00553199933384 yerkesps@uol.com.br | |
| Sub-Investigator: Yerkes P Silva, PhD | |
| Sub-Investigator: Renato S Gomez, PhD | |
| Principal Investigator: Carlos Leonardo A Boni, MD | |
| Principal Investigator: | Carlos Leonardo A Boni, MD | Federal University of Minas Gerais |
More Information
Publications:
| Responsible Party: | Carlos Leonardo Alves Boni, Lifecenter Hospital |
| ClinicalTrials.gov Identifier: | NCT01171885 History of Changes |
| Other Study ID Numbers: | CAAE-0003.0.419.419-0 |
| Study First Received: | July 28, 2010 |
| Last Updated: | July 28, 2010 |
| Health Authority: | Brazil: National Committee of Ethics in Research |
Keywords provided by Lifecenter Hospital:
|
Superficial cervical block Thyroidectomy Pain |
Additional relevant MeSH terms:
|
Neck Pain Pain Neurologic Manifestations Nervous System Diseases Signs and Symptoms Ropivacaine Anesthetics, Local Anesthetics |
Central Nervous System Depressants Physiological Effects of Drugs Pharmacologic Actions Sensory System Agents Peripheral Nervous System Agents Central Nervous System Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 16, 2013