Dexamethasone for the Prevention of Recurrent Laryngeal Nerve Palsy
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Purpose
Recurrent laryngeal nerve dysfunction and hypoparathyroidism are well-recognized important complications of thyroid surgery. The duration of convalescence, after non complicated thyroid operation, may depend on several factors of which pain and fatigue are the most important. Nausea and vomiting occur mainly on the day of operation. Glucocorticoids are well known for their analgesic, anti-inflammatory, immune modulating and antiemetic effects. The investigators therefore undertook the present study to investigate whether preoperative dexamethasone could improve surgical outcome in patients undergoing thyroid surgery.
| Condition |
|---|
|
Benign Neoplasm of Thyroid Gland Malignant Neoplasm of Thyroid |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Prospective |
| Official Title: | Dexamethasone for the Prevention of Recurrent Laryngeal Nerve Palsy (and Not Only) After Thyroid Surgery. A Randomized Double-blind Placebo-controlled Trial. |
| Enrollment: | 328 |
| Study Start Date: | January 2008 |
| Study Completion Date: | March 2012 |
| Primary Completion Date: | January 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
dexamethasone
Patients who receive dexamethasone (8 mg; Decadron; Merck Sharp & Dohme) intravenously 90 min before skin incision
|
|
placebo
Patients who receive saline placebo intravenously 90 min before skin incision
|
Eligibility| Ages Eligible for Study: | up to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
patients undergoing thyroid surgery for benign and malignant thyroidal disease
Inclusion Criteria:
- patients undergoing thyroid surgery
Exclusion Criteria:
- ASA physical class III or IV
- age > 75 years
- pregnancy
Contacts and Locations| Italy | |
| ospedale San Salvatore-Reparto di Chirurgia Generale Universitaria | |
| L'Aquila, AQ, Italy, 67100 | |
| Principal Investigator: | Emanuela M CECILIA, M.D. | Università degli Studi dell'Aquila |
More Information
No publications provided
| Responsible Party: | CECILIA Emanuela Marina, M.D., Università degli Studi dell'Aquila |
| ClinicalTrials.gov Identifier: | NCT01690806 History of Changes |
| Other Study ID Numbers: | OTO: OTO12-0447R |
| Study First Received: | September 19, 2012 |
| Last Updated: | September 25, 2012 |
| Health Authority: | Italy: Ethics Committee |
Additional relevant MeSH terms:
|
Neoplasms Thyroid Neoplasms Thyroid Diseases Brain Neoplasms Vocal Cord Paralysis Endocrine Gland Neoplasms Neoplasms by Site Head and Neck Neoplasms Endocrine System Diseases Central Nervous System Neoplasms Nervous System Neoplasms Brain Diseases Central Nervous System Diseases Nervous System Diseases Laryngeal Diseases |
Respiratory Tract Diseases Otorhinolaryngologic Diseases Vagus Nerve Diseases Cranial Nerve Diseases Paralysis Neurologic Manifestations Signs and Symptoms Dexamethasone acetate Dexamethasone Dexamethasone 21-phosphate BB 1101 Anti-Inflammatory Agents Therapeutic Uses Pharmacologic Actions Antiemetics |
ClinicalTrials.gov processed this record on June 18, 2013