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Trial registered on ANZCTR
Registration number
ACTRN12609000908235
Ethics application status
Approved
Date submitted
19/10/2009
Date registered
20/10/2009
Date last updated
20/10/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
Preoperative oral paracetamol versus intraoperative intravenous paracetamol: plasma levels in the recovery room
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Scientific title
Does giving paracetamol intravenously during an operation result in significantly higher plasma paracetamol levels in the early postoperative period than giving the same dose orally as a premedicant?
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Postoperative plasma paracetamol levels
252026
0
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Postoperative pain scores
252031
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Postoperative analgesia requirements
252032
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Length of stay in recovery
252033
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Condition category
Condition code
Anaesthesiology
252219
252219
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
1 g intravenous (IV) paracetamol given intraoperatively
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Intervention code [1]
241426
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Treatment: Drugs
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Comparator / control treatment
1g oral paracetamol given 30-60 minutes preoperatively
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Control group
Active
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Outcomes
Primary outcome [1]
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Plasma paracetamol levels from venous blood sample taken from contralateral arm to the drip.
Assay performed by Canterbury Health Laboratories using a colourimetric assay on the c8000 analysers. Units in mcmol/l.
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Assessment method [1]
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Timepoint [1]
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30 minutes after arrival in the recovery room
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Secondary outcome [1]
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Postoperative pain scores at 10 minute intervals using a 100mm visual analogue scale (VAS)
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Assessment method [1]
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Timepoint [1]
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10 minute intervals until discharge from recovery
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Secondary outcome [2]
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Postoperative rescue analgesia requirements (fentanyl mcg)
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Assessment method [2]
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Timepoint [2]
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Total amount required during the patient's stay in recovery
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Secondary outcome [3]
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Duration of stay in recovery ie how long it took for patient to reach standard discharge criteria from recovery
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Assessment method [3]
257951
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Timepoint [3]
257951
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Duration of stay in reocvery
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Eligibility
Key inclusion criteria
Day case arthroscopies
Suitable for laryngeal mask anaesthesia
American Society of Anaesthesiologists (ASA) 1 & 2
Body mass index (BMI) less than 35
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Contraindication to paracetamol
BMI over 35
Requiring intubation rather than laryngeal mask airway (LMA) use
Requiring any other intraoperative analgesics other than IV fentanyl
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Subjects enrolled by study investigator on the day of admission. Letter explaining trial also sent to patients prior to their surgery.
Oral tablets (either active paracetamol or placebo) administered from sealed numbered envelopes. Placebo identical to active tablets.
Tablets administered by blinded nurse.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomised using a computer generated vector (prepared by our statistician).
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Bio-availability
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
8/01/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
2270
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New Zealand
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State/province [1]
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Canterbury
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Christchurch Public Hospital
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Address [1]
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2 Riccarton Avenue
Addington
8011
Christchurch
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Country [1]
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New Zealand
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Primary sponsor type
Hospital
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Name
Christchurch Public Hospital
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Address
2 Riccarton Avenue
Addington
8011
Christchurch
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Country
New Zealand
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Burwood Hospital
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Address [1]
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225 Mairehau Rd
Burwood 8083
Christchurch
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Country [1]
251240
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
244013
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Upper South A Ethics Committee
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Ethics committee address [1]
244013
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C/O Ministry of Health 4th floor 250 Oxford Tce Central Christchurch 8011 PO Box 3877
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Ethics committee country [1]
244013
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New Zealand
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Date submitted for ethics approval [1]
244013
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Approval date [1]
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12/11/2008
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Ethics approval number [1]
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URA/08/09/060
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Summary
Brief summary
Paracetamol is traditionally given by anaesthetists in tablet form around one hour before an operation with the intention of providing good pain relief in the period following the operation. Recently, an IV formulation has become available and can be given during the operation. We compared which of these techniques gave higher levels of paracetamol in the bloodstream after the operation. We also looked at how much extra pain relief was needed in the recovery room, how long patients stayed in the recovery room and how sore they were.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Christian Brett
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Address
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C/o Department of Anaesthesia
Christchurch Public Hospital
2 Riccarton Ave
Private Bag 4710
8011
Christchurch
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Country
13645
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New Zealand
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Phone
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+64 3 3640288
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Fax
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+64 3 3490420
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Christian Brett
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Address
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C/o Department of Anaesthesia
Christchurch Public Hospital
2 Riccarton Ave
8011
Private Bag 4710
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Country
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New Zealand
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Phone
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+64 3 3640288
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Fax
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+64 3 3490420
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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