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Trial registered on ANZCTR
Registration number
ACTRN12612000792820
Ethics application status
Approved
Date submitted
23/07/2012
Date registered
26/07/2012
Date last updated
27/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effects of preoperative oral carbohydrate solution intake on thermoregulation
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Scientific title
Effects of preoperative oral carbohydrate solution intake on thermoregulation in female patients undergoing myomectomy-hysterectomy under general anesthesia
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Secondary ID [1]
280901
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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:
anesthesia
286979
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thermoregulation
286980
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preoperative diet
286981
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Condition category
Condition code
Anaesthesiology
287316
287316
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0
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Anaesthetics
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Diet and Nutrition
287317
287317
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients were randomly divided into two groups. Group C (control group, n=20): included patients who oral intake stopped 8 hours before operation and Group CH (preoperative carbohydrate group, n=20): patients that were administered oral carbohydrate fluid (12.6 %, 50 kcal per 100 ml fluid) prepared for preoperative period as 800 ml to be administered 8 hours before the operation and as 400 ml 2 hours before the operation.
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Intervention code [1]
285331
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Prevention
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Intervention code [2]
285334
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Treatment: Other
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Comparator / control treatment
Group C (control group, n=20): included patients who oral intake stopped 8 hours before operation
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Control group
Active
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Outcomes
Primary outcome [1]
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tympanic temperature
(for tympanic membrane injury was prevented, tympanic temperature measured via infrared thermometer)
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Assessment method [1]
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Timepoint [1]
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before anesthesia induction, in 5-minute intervals after the induction of anesthesia, and in 10-minute intervals in PACU,
during one hour in PACU
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Primary outcome [2]
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mean skin temperature [0.3 (Tchest+Tarm) + 0.2 (Tthigh+Tcalf)]
(peripheral temperatures measured via anesthesia machine thermometers)
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Assessment method [2]
287592
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Timepoint [2]
287592
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before anesthesia induction, in 5-minute intervals after the induction of anesthesia, and in 10-minute intervals in PACU, during one hour in PACU
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Primary outcome [3]
287593
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mean body temperature [0.64 x Tcentral + 0.36 x Tskin]
(tympanic temperature measured via infrared thermometer, but peripheral temperatures measured via anesthesia machine thermometers)
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Assessment method [3]
287593
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Timepoint [3]
287593
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before anesthesia induction, in 5-minute intervals after the induction of anesthesia, and in 10-minute intervals in PACU, during one hour in PACU
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Secondary outcome [1]
298484
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Shivering score (0: no shivering, 1: presence of one or more of such findings as piloerection, peripheral vasoconstriction, and peripheral cyanosis without muscle movement, 2: presence of muscle activity observable in single muscle group, 3: presence of muscle activity in more than one muscle group, 4: presence of significant muscle activity observed in the whole body)
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Assessment method [1]
298484
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Timepoint [1]
298484
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before anesthesia induction, in 5-minute intervals after the induction of anesthesia, and in 10-minute intervals in PACU, during one hour in PACU
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Secondary outcome [2]
298486
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vasoconstriction threshold
(Vasoconstriction was estimated with the [Tforearm- Tfingertip] formula of fingertip blood flow and the obtained value '0' demonstrates the vasoconstriction initiated and the value 4 shows severe vasoconstriction. Central temperature at the time of vasoconstriction formation shows us the vasoconstriction threshold)
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Assessment method [2]
298486
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Timepoint [2]
298486
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before anesthesia induction, in 5-minute intervals after the induction of anesthesia, and in 10-minute intervals in PACU, during one hour in PACU
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Eligibility
Key inclusion criteria
The study included 40 female patients who were to undergo myomectomy-hysterectomy under general anesthesia with ages ranging between 18 and 50 year and that have I-II ASA physical status classification patients were chosen from among the cases to undergo operation between the hours 08:00 am and 13:00 pm.
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients that had an inflammatory disease, diabetes mellitus, muscle diseases, hypo-hyperthyroidism, Parkinson disease, Raynaud phenomenon, with body mass index below 20 and above 30, used drug affecting body temperature (beta-blocker, calcium channel blocker, clonidine, steroid, antiepileptic, NSAI, benzodiazepine) and delayed gastric emptying (pregnancy, gastroesophageal reflux, opioid use) were excluded from the study. In addition, patients that will undergo an operation that takes less than 60 minutes or more than 180 minutes were not included in the study. Patients that had alterations in their hemodynamic parameters more than 30%, patients that required the use of vasopressor or vasodilator, and patients needed blood transfusion were excluded from the study.
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Study design
Purpose of the study
Prevention
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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)
sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence 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
Safety
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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
20/03/2011
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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
40
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4422
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Turkey
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State/province [1]
4422
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Funding & Sponsors
Funding source category [1]
285693
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Self funded/Unfunded
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Name [1]
285693
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Address [1]
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Country [1]
285693
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Primary sponsor type
Individual
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Name
Ayse Belin OZER
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Address
Department of Anesthesiology and Reanimation, Firat University, 23119, Elazig
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Country
Turkey
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Secondary sponsor category [1]
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None
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Name [1]
284521
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Address [1]
284521
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Country [1]
284521
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
287690
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Firat University Medical School Ethical Evaluation Commission Chairman
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Ethics committee address [1]
287690
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Firat University Medical School Ethical Evaluation Commission Chairman Firat University 23119,Elazig
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Ethics committee country [1]
287690
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Turkey
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Date submitted for ethics approval [1]
287690
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07/02/2011
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Approval date [1]
287690
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10/03/2011
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Ethics approval number [1]
287690
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Summary
Brief summary
Background: Anesthesia practices is among practices that change heat regulation system and thus make patients lead to hypothermia. The aim of this study is to investigate the oral carbohydrate solution administered preoperatively on heat regulation system. Methods: The study included 40 female patients that were implemented general anesthesia. Patients were randomly divided into two groups: Group C (patients that stopped oral implementation 8 hours before the operation) and Group CH (800 ml oral carbohydrate fluid 8 hours before the operation and 400 ml oral carbohydrate fluid 2 hours before the operation). Patients were monitored as standard and temperature probes were placed. Heart rate, mean arterial pressure, and central and peripheral temperatures were recorded immediately before anesthetics induction, 5 minute intervals after the anesthetics induction, and in PACU every 10 minutes. Mean skin temperature, mean body temperature, and vasoconstriction threshold were estimated with the help of recorded temperatures. Results: A statistically significant difference was not observed between demographic data of patients. In general, a decrease in tympanic and mean body temperature following anesthetic administration in groups, and increase in mean skin temperature, and an increase were observed in all these three levels in recovery unit. Tympanic temperature was found to be significantly high at 25th, 55th, 65th, and 95th minutes before and after induction in Group C compared to Group CH. (p<0.05). Although mean skin temperature was found to be lower in Group C compared to Group CH in almost all periods, it was established that it did not have any significant difference in mean body temperature. In PACU, it was found that the tympanic temperature was higher in Group C compared to Group CH at the 60th minute (p<0.05). Postoperative shivering score was found to be significantly higher in Group C compared to Group CH (p<0.01). Vasoconstriction occurred at the 50th minute in Group C and 75th minute in Group CH. Vasoconstriction threshold was established to be 35.45 plus/minus 0.72 C degrees in Group C and 34.77 plus/minus 0.53 C degrees in Group CH. Conclusions: Oral carbohydrate solution administered in preoperative period was established to have effects (as decrease in tympanic temperature and vasoconstriction threshold) thought to be negative on tympanic temperature, vasoconstriction, and vasoconstriction threshold and to significantly decrease however the postoperative tremor.
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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
34480
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Address
34480
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Country
34480
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Phone
34480
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Fax
34480
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Email
34480
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Contact person for public queries
Name
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Ayse Belin OZER
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Address
17727
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Firat University Medicine Faculty
Anesthesiology and Reanimation Department
23119, Elazig
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Country
17727
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Turkey
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Phone
17727
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+90 424 533 4478924
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Fax
17727
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+90 424 2388096
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Email
17727
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[email protected]
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Contact person for scientific queries
Name
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Ayse Belin OZER
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Address
8655
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Firat University Medicine Faculty
Anesthesiology and Reanimation Department
23119, Elazig
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Country
8655
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Turkey
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Phone
8655
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+90 424 533 4478924
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Fax
8655
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+90 424 2388096
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Email
8655
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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
Source
Title
Year of Publication
DOI
Dimensions AI
Effects of preoperative oral carbohydrate solution intake on thermoregulation
2013
https://doi.org/10.12659/msm.883991
N.B. These documents automatically identified may not have been verified by the study sponsor.
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