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Trial registered on ANZCTR
Registration number
ACTRN12610000649011
Ethics application status
Approved
Date submitted
9/08/2010
Date registered
10/08/2010
Date last updated
10/08/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of intravenous lidocaine infusion and intraperitoneal lidocaine instillation on the pain after laparoscopic appendectomy
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Scientific title
In patients undergoing laparoscopic appendectomy, is intravenous lidocaine infusion and intraperitoneal lidocaine instillation more effective than a placebo in reducing post-operative pain?
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Secondary ID [1]
252399
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none
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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:
pain following laparoscopic appendectomy
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Condition category
Condition code
Anaesthesiology
258077
258077
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0
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Pain management
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Oral and Gastrointestinal
258084
258084
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
arm1:intravenous (IV) lidocaine infusion:
IV lidocaine administration was performed 2 minute before orotracheal intubation.
Patients in arm1 received an IV bolus injection of lidocaine (1.5 mg/kg) followed by a continuous IV infusion at 2 mg/kg/hr during the operation (60 minutes).
arm2.intraperitoneal lidocaine instillation:
Intraperitoneal instillation of lidocaine (total instillation dose 3.5 mg/kg) were administered immediately after the creation of the pneumoperitoneum and 10 min before the beginning of surgery.
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Intervention code [1]
256968
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Treatment: Drugs
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Comparator / control treatment
One control group received an intravenous bolus injection of normal saline (1.5 ml/kg) followed by a continuous IV infusion at 2 ml/kg/hr during the operation (60 minutes) and received intraperitoneal normal saline instillation (100ml) immediately after the creation of the pneumoperitoneum and 10 min before the beginning of surgery.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Pain score assessed using visual analogue scale
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Assessment method [1]
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Timepoint [1]
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at 2hr, 4hr, 8hr, 12hr, 24hr postoperatively
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Secondary outcome [1]
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Frequency to push the button of patient controlled analgesia machine recordedy computerized patient controlled analgesia machine
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Assessment method [1]
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Timepoint [1]
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at 2hr, 4hr, 8hr, 12hr, 24hr postoperatively
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Secondary outcome [2]
265109
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fentanyl consumption recorded by nurse
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Assessment method [2]
265109
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Timepoint [2]
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at 2hr, 4hr, 8hr, 12hr, 24hr postoperatively
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Eligibility
Key inclusion criteria
patients undergoin laparoscopic appendectomy
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Minimum age
18
Years
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Maximum age
65
Years
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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
body weight lower than 45 kg or greater than 100 kg, history of severe underlying cardiovascular, pulmonary, renal or hepatic disease, or allergy to local anaesthetics
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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)
The details of the series are kept in a set of sealed envelopes, each bearing only the case number on the outside. After admitting into the operating room and just before the induction of anaesthesia, the numbered envelope was opened and the card inside determined which group the patient would be affiliated to.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomization into one of the three groups was based on Excel random-number generation.
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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
Efficacy
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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
1/03/2010
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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
83
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
2810
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Korea, Republic Of
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State/province [1]
2810
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Chung-Ang University
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Address [1]
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224-1 Heukseok-dong, Dongjak-gu
Seoul, 156-755
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Country [1]
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Korea, Republic Of
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Primary sponsor type
University
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Name
Chung-Ang University
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Address
224-1 Heukseok-dong, Dongjak-gu
Seoul, 156-755
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Country
Korea, Republic Of
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Secondary sponsor category [1]
256654
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None
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Name [1]
256654
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Address [1]
256654
0
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Country [1]
256654
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259443
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Institutional Board of Chung-Ang University School of Medicine
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Ethics committee address [1]
259443
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Chung-Ang University College of Medicine 224-1 Heukseok-dong, Dongjak-gu Seoul, 156-755, Korea
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Ethics committee country [1]
259443
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Korea, Republic Of
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Date submitted for ethics approval [1]
259443
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09/01/2010
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Approval date [1]
259443
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08/02/2010
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Ethics approval number [1]
259443
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C2010007(302)
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Summary
Brief summary
Intra-peritoneal instillation of local anaesthetics in laparoscopic procedures reduces post-operative pain, analgesic requirements, the stress response and lengthens the period to first post-operative analgesic requirement. Another alternative approach to accelerate outcomes after operation is intravenous lidocaine. We hypothesized that intravenous lidocaine infusion and intraperitoneal lidocaine instillation reduce the pain after laparoscopic surgery. Therefore we investigated a comparative study on multimodal lidocaine pre emptive analgesia in laparoscopic appendectomy patients.
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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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Hyun Kang
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Address
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Department of Anaesthesiology and Pain Medicine
Chung-Ang University College of Medicine
224-1 Heukseok-dong, Dongjak-gu
Seoul, 156-755, Korea
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Country
14739
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Korea, Republic Of
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Phone
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+82-2-6299-2571, 2579, 2586
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Fax
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+82-2-6299-2585
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Email
14739
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[email protected]
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Contact person for scientific queries
Name
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Hyun Kang
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Address
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Department of Anaesthesiology and Pain Medicine
Chung-Ang University College of Medicine
224-1 Heukseok-dong, Dongjak-gu
Seoul, 156-755, Korea
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Country
5667
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Korea, Republic Of
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Phone
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+82-2-6299-2571, 2579, 2586
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Fax
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+82-2-6299-2585
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Email
5667
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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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