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Trial registered on ANZCTR
Registration number
ACTRN12610000832077
Ethics application status
Approved
Date submitted
30/09/2010
Date registered
5/10/2010
Date last updated
5/10/2010
Type of registration
Prospectively registered
Titles & IDs
Public title
Continuous Local Anaesthetic Wound Infiltration in Hepatobiliary Surgery - A Comparison with Placebo
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Scientific title
In hepatobiliary surgical patients, does the use of continuous local anaesthetic wound infiltration compared with placebo wound infiltration improve patient outcomes in terms of better analgesia, reduced opiate consumption and reduced opiate side effects
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Secondary ID [1]
252798
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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:
Post-hepatobiliary surgery
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Condition category
Condition code
Anaesthesiology
258494
258494
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0
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Pain management
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Surgery
258495
258495
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0
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Other surgery
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Oral and Gastrointestinal
258509
258509
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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
'Painbuster' wound infiltration device infusing local anaesthetic agent (0.2% Ropivacaine at rate of 4ml / hour) into surgical wounds for a 48 hour period post-operatively
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Intervention code [1]
257323
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Treatment: Devices
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Intervention code [2]
257337
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Treatment: Drugs
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Comparator / control treatment
'Painbuster' wound infiltration device infusing placebo (normal saline at rate of 4ml / hour)) into surgical wounds for a 48 hour period post-operatively
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Improved visual analogue pain scores when compared with placebo
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Assessment method [1]
259329
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Timepoint [1]
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First 48 hours post-operative (assessed at 1, 2, 6, 12, 18, 24, 30, 36, 42 and 48 hours)
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Secondary outcome [1]
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Reduced opiate consumption as measured by total dose required by patient-controlled analgesia (PCA) machine
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Assessment method [1]
265779
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Timepoint [1]
265779
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First 48 hours post-operative (assessed at 1, 2, 6, 12, 18, 24, 30, 36, 42 and 48 hours)
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Secondary outcome [2]
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Reduced opiate side effects (eg. sedation, nausea and vomiting) using our hospital's Acute Pain Service patient-based numerical rating scale
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Assessment method [2]
265780
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Timepoint [2]
265780
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First 48 hours post-operative (assessed at 1, 2, 6, 12, 18, 24, 30, 36, 42 and 48 hours)
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Eligibility
Key inclusion criteria
1. Undergoing elective open hepatobiliary surgical procedure
2. American Society of Anaesthesiologists (ASA) physical status I, II or III
3. Physically and mentally able to use patient-controlled analgesia (PCA) machine
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Minimum age
18
Years
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Maximum age
80
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
1. Contraindication or known allergy to local anaesthetic drug
2. Preoperative cognitive dysfunction
3. Preoperative diagnosis of chronic pain or opiate tolerance
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/11/2010
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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
80
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
257762
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Primary sponsor type
Individual
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Name
Dr Lauren Radford
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Address
Department of Anaesthesia
Princess Alexandra Hospital
Ipswich Road
Woolloongabba Qld 4102
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Peter Moran
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Address [1]
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Department of Anaesthesia
Princess Alexandra Hospital
Ipswich Road
Woolloongabba Qld 4102
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Country [1]
256974
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Australia
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Secondary sponsor category [2]
256975
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Individual
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Name [2]
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Dr Pal Sivalingam
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Address [2]
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Department of Anaesthesia
Princess Alexandra Hospital
Ipswich Road
Woolloongabba Qld 4102
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Country [2]
256975
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259805
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Metro South Health Service District Human Research Ethics Committee
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Ethics committee address [1]
259805
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Ethics committee country [1]
259805
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Date submitted for ethics approval [1]
259805
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Approval date [1]
259805
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Ethics approval number [1]
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HREC/10/QPAH/82
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Summary
Brief summary
The aim of this project is to see whether continuous local anaesthetic wound infiltration for 48 hours post-operatively is useful in hepatobiliary surgical procedures in terms of: 1. Better pain relief 2. Reduced opiate consumption via patient-controlled analgesia (PCA) regime 3. Reduced opiate side effects (eg. nausea and vomiting, sedation, itch) All patients enrolled would have a continuous wound infiltration catheter with a local anaesthetic pump device attached, as well as an opioid-continaing PCA machine. The contents of this pump device would be randomised to contain either local anaesthetic agent or normal saline (placebo). The wound infiltration catheter and infusion pump would remain for 48 hours post-operatively, and the PCA would remain available to each patient as long as clinically required. Each patient would be reviewed post-operatively as per our normal Acute Pain Service (APS) practice, and each patient would have regular observations performed and recorded as per normal protocol. The data collected from each patient would include total opioid requirement via PCA, visual analogue scale (VAS) pain scores both at rest and with movement, and any side effects possibly related to local anaesthetic agents or infusion pump catheters.
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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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Catherine Jowett
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Address
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Department of Anaesthesia
Princess Alexandra Hospital
Ipswich Road
Woolloongabba QLD 4102
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Country
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Australia
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Phone
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+ 61 7 3176 2111
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Fax
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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 Lauren Radford
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Address
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Department of Anaesthesia
Princess Alexandra Hospital
Ipswich Road
Woolloongabba QLD 4102
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Country
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Australia
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Phone
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+ 61 7 3176 2111
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Fax
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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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