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Trial registered on ANZCTR
Registration number
ACTRN12614000413628
Ethics application status
Approved
Date submitted
4/04/2014
Date registered
16/04/2014
Date last updated
22/05/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Efficacy Of Preoperative Hydrocortisone Versus Tramadol
For Attenuation Of Postoperative Shivering After Percutaneous Nephrolithotripsy
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Scientific title
Efficacy Of Hydrocortisone Versus Tramadol
For Attenuation Of Postoperative Shivering After Percutaneous Nephrolithotripsy
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Secondary ID [1]
284397
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nill
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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 Shivering
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hypothermia
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Condition category
Condition code
Anaesthesiology
291956
291956
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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
Group H, ( n =30) will receive IV hydrocortisone 2 mg/ kg.
Group T , (n =30) will receive IV tramadol hydrochloride 1 mg/ kg
The studied drug will be diluted in 10 ml coded
all will be given as an i.v. bolus just before induction of general anesthesia by an anesthesiologist who is unaware to the drugs given.
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Intervention code [1]
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Prevention
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Intervention code [2]
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Treatment: Drugs
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Intervention code [3]
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Treatment: Other
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Comparator / control treatment
Group S, ( n =30) will receive 10 ml normal saline IV.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Core temperature before induction of anesthesia then every 15 minutes after induction of anesthesia , and every 30 minutes in the PACU by
tympanic membrane temperature by Rossmax medical infrared ear thermometer, radiant innovation inc,Taiwan
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Assessment method [1]
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Timepoint [1]
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before induction of anesthesia then every 15 minutes after induction of anesthesia , and every 30 minutes in the PACU
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Primary outcome [2]
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Shivering intensity will be graded by using a five-point scale that was used in the study of Honarmand and Safavi.
(Grade 0: none; Grade 1: one or more areas of
piloerection but without visible muscular activity;
Grade 2: visible muscular activity confined to one muscle
group; Grade 3: same as Grade 2 but in more than
one muscle group; and Grade 4: gross muscular activity
involving the entire body).
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Assessment method [2]
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Timepoint [2]
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Shivering intensity every 15 minutes in the first 2 hours postoperative
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Secondary outcome [1]
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The incidence of shivering:number of patient have shivering
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Assessment method [1]
307679
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Timepoint [1]
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in the first 2 hours postoperative
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Secondary outcome [2]
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Heart rate: ECG
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Assessment method [2]
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Timepoint [2]
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intraoperative before
\anesthesia and every 15 min after anesthesia,
and every 30 min in the recovery room
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Secondary outcome [3]
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hypertension :non invasive blood presure monitoring
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Assessment method [3]
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Timepoint [3]
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intraoperative before
\anesthesia and every 15 min after anesthesia,
and every 30 min in the recovery room:non invasive blood presure monitoring
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Eligibility
Key inclusion criteria
90 ASA I males and females patients aged 20-50 years old, planned for percutaneous nephrolithotripsy under general anesthesia.
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Minimum age
20
Years
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Maximum age
50
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
had history of
hypertension, coronary artery disease, thyroid
dysfunction, diabetes, peptic ulcer, or on prolonged steroid
therapy, those with history of use of antidepressant drugs ,epilepsy ,a known allergy to the study drugs, expected blood transfusion during surgery, BMI >30 or an initial body temperature>38 degree C or <36 degree C.
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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)
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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
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
30 patients in each group are selected based on
previous study:
Efficacy of prophylactic use of hydrocortisone and low
dose ketamine for prevention of shivering during
spinal anesthesia
Ashraf Abd Elmawgood a,*, Samaa Rashwan b, Doaa Rashwan
Egyptian Journal of Anaesthesia (2012) 28, 217–221
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
21/05/2014
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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
90
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Egypt
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State/province [1]
5965
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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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egypt ,benisuef governerate benisuef university mokbel
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Address [1]
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egypt,
benisuef university,faculty of medicine
-,mokbel,mohamad anwar hassan street, 62511
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Country [1]
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Egypt
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Primary sponsor type
Hospital
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Name
benisuef university hospital
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Address
egypt,
benisuef university,faculty of medicine
-,mokbel,mohamad anwar hassan street, 62511
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Country
Egypt
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
287713
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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research ethical comittee
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Ethics committee address [1]
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benisuef university faculty of medecine (FMBSU) egypt, -,mokbel,mohamad anwar hassan street, 62511
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Ethics committee country [1]
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Egypt
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Date submitted for ethics approval [1]
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06/04/2014
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Approval date [1]
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20/05/2014
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Ethics approval number [1]
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Summary
Brief summary
After approval of the ethical committee in Benisuef university hospital (Egypt), a written informed consent will be obtained from 90 ASA I males and females patients aged 20-50 years old, planned for percutaneous nephrolithotripsy under general anesthesia. Patients will be excluded from the study if they had history of hypertension, coronary artery disease, thyroid dysfunction, diabetes, peptic ulcer, or on prolonged steroid therapy, those with history of use of antidepressant drugs ,epilepsy ,a known allergy to the study drugs, expected blood transfusion during surgery, BMI >30 or an initial body temperature>38 degree C or <36 degree C. On arrival to the operating theatre, 18 G intravenous cannula will be inserted and IV warmed crystalloid fluids will be infused at a rate of 8 ml/kg The patients will be randomly divided using closed envelope technique for randomization to one of three groups: Group S, ( n =30) will receive 10 ml normal saline IV. Group H, ( n =30) will receive IV hydrocortisone 2 mg/ kg. Group T , (n =30) will receive IV tramadol hydrochloride 1 mg/ kg The studied drug will be diluted in 10 ml coded all will be given as an i.v. bolus just before induction of general anesthesia by an anesthesiologist who is unaware to the drugs given. With adjustment of the temperature in operating room at 22 degree C -24 degree C, the monitor will be attached to the patients to take preoperative readings of heart rate, non-invasive arterial blood pressure,Spo2. General anesthesia will be induced after preoxygenation for 3- 5 minute with 100% oxygen by facemask, then induction of anesthesia in all patients will be with the use of i.v.propofol 2 mg/ kg, fentanyl 2 microgram / kg, atracurium (0.5mg/kg) and will be ventilated manually with sevoflorane 2 volume % ,oxygen 100% via a face mask then oral cuffed endotracheal tube.Muscle relaxation will be guided by nerve stimulator ( Life-Tech EZstimII), anesthesia will be maintained with oxygen 100%, sevoflorane, ,additional doses of atracurium, mechanical ventilation with maintenance of endtidal carbondioxide 35-40mmHg. The patients will be well covered with sheets and sterile surgical drapes. And all intravenous fluids and irrigation fluids will be warmed. At the end of surgery, neuromuscular blockade will be reversed with IV neostigmine 0.04mg/kg and atropine 0.02 mg/kg, the trachea will be extubated when the patient respond to commands, all patients will be transferred to PACU, where they received oxygen via face mask 3-4 L/min and will be monitored and covered with cotton blanket . The following parameters will be evaluated and recorded by senior anesthesia resident unaware of the study protocol: 1. Patient characteristics and operation time. 2. Core temperature before induction of anesthesia then every 15 minutes after induction of anesthesia , and every 30 minutes in the PACU bye (tympanic membrane temperature by Rossmax medical infrared ear thermometer, radiant innovation inc,Taiwan) 3. Shivering intensity in the first 2 hours postoperative will be graded by using a five-point scale that was used in the study of Honarmand and Safavi. (Grade 0: none; Grade 1: one or more areas of piloerection but without visible muscular activity; Grade 2: visible muscular activity confined to one muscle group; Grade 3: same as Grade 2 but in more than one muscle group; and Grade 4: gross muscular activity involving the entire body). If shivering grades P 3 was observed after anesthesia the patients were treated with i.v. meperidine 25 mg 4. The incidence of shivering. 5. Number of patients requiring meperidine. 6. Heart rate, mean arterial blood pressure, and peripheral oxygen saturation recorded (intraoperative before \anesthesia and every 15 min after anesthesia, and every 30 min in the recovery room). 7. Side effects: – nausea and vomiting – hypotension (decrease in MAP> 20% from preoperative reading and was treated by i.v. fluids and ephedrine 5 mg i.v.) – hypertension (increase in MAP >20% from preoperative reading), – tachycardia (increase in HR > 20% from preoperative reading,
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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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Dr doaa rashwan
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Address
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doaa rashwan egypt benisuef governerate mokbel egypt, benisuef university,faculty of medicine -,mokbel,mohamad anwar hassan street, 62511
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Country
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Egypt
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Phone
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+20822318605
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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doaa rashwan
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Address
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doaa rashwan egypt benisuef governerate mokbel egypt, benisuef university,faculty of medicine -,mokbel,mohamad anwar hassan street, 62511
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Country
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Egypt
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Phone
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+20822318605
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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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doaa rashwan
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Address
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doaa rashwan egypt benisuef governerate mokbel egypt, benisuef university,faculty of medicine -,mokbel,mohamad anwar hassan street, 62511
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Country
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Egypt
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Phone
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+20822318605
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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
Source
Title
Year of Publication
DOI
Embase
Efficacy of preoperative hydrocortisone versus tramadol for attenuation of postoperative shivering after percutaneous nephrolithotripsy: A randomized controlled trial.
2015
https://dx.doi.org/10.1016/j.egja.2015.04.004
N.B. These documents automatically identified may not have been verified by the study sponsor.
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