Comparison of Intrathecal Fentanyl or Sufentanil in 1 mg Bupivacaine Spinal Anesthesia for TURP in Elderly Patients
This study has been completed.
Sponsor:
Yonsei University
Information provided by (Responsible Party):
Yonsei University
ClinicalTrials.gov Identifier:
NCT01608334
First received: May 25, 2012
Last updated: May 29, 2012
Last verified: May 2012
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Purpose
Adequate sensory block for surgical procedure without side effects and immediate mobilization after surgery are desirable anesthetic technique in various surgeries. Considering the sensory innervations to the prostate, a sensory block up to L1 - T12 is adequate to the TURP. Low-dose intrathecal local anesthetics may meet these criteria, but occasional lack of sufficient sensory block could be troublesome. In this randomized study, the investigators evaluated the spinal anesthetic characteristics following intrathecal administration of bupivacaine 1 mg with fentanyl or sufentanil in elderly patients undergoing TURP.
| Condition | Intervention |
|---|---|
|
Adequate Anesthesia With Unimpaired Motor Strength |
Drug: Fentanyl Drug: Sufentanil |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) |
Resource links provided by NLM:
Drug Information available for:
Fentanyl
Fentanyl citrate
Bupivacaine hydrochloride
Bupivacaine
Sufentanil citrate
U.S. FDA Resources
Further study details as provided by Yonsei University:
Primary Outcome Measures:
- time to achieve peak sensory block without unimpaired motor strength [ Time Frame: 2 minites after injection intrathecally start ] [ Designated as safety issue: No ]peak sensory & sympathetic block level, time to peak sensory & sympathetic block level, motor block level at peak sensory & sympathetic block level, lowest BP and HR during spinal anestheisa, frequency of painkiller
| Enrollment: | 56 |
| Study Start Date: | August 2011 |
| Study Completion Date: | January 2012 |
| Primary Completion Date: | January 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: group A
Fentanyl
|
Drug: Fentanyl
1mg 0.5% bupivacaine + fentanyl 20 mcg + 1.8 ml glucose ( total 2.4-ml) VS 1mg 0.5% bupivacaine + sufentanil 5 mcg + 2.1ml glucose (total 2.4-ml) intrathecally.
|
|
Active Comparator: Group B
Sufentanil
|
Drug: Sufentanil
1mg 0.5% bupivacaine + fentanyl 20 mcg + 1.8 ml glucose ( total 2.4-ml) VS 1mg 0.5% bupivacaine + sufentanil 5 mcg + 2.1ml glucose (total 2.4-ml) intrathecally.
|
Eligibility| Ages Eligible for Study: | 65 Years to 85 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Yes |
Criteria
Inclusion Criteria:
- age over 65 ~ under 85yrears old
- male
- elderly patients undergoing TURP
- only spinal anesthesia
- patients consent about this study
Exclusion Criteria:
- spine surgery History
- coagulopathy
- impaired communication
- impaired orientation
- DM complication neuropathy
- BMI > 30 -> overweight patients.
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Yonsei University |
| ClinicalTrials.gov Identifier: | NCT01608334 History of Changes |
| Other Study ID Numbers: | 4-2011-0162 |
| Study First Received: | May 25, 2012 |
| Last Updated: | May 29, 2012 |
| Health Authority: | South Korea: Korea Food and Drug Administration (KFDA) |
Additional relevant MeSH terms:
|
Bupivacaine Fentanyl Sufentanil 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 Adjuvants, Anesthesia Narcotics Analgesics Anesthetics, Intravenous Anesthetics, General Analgesics, Opioid |
ClinicalTrials.gov processed this record on May 19, 2013