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Trial registered on ANZCTR
Registration number
ACTRN12614001012662
Ethics application status
Approved
Date submitted
31/08/2014
Date registered
19/09/2014
Date last updated
3/04/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect Of Two Doses Of Magnesium Sulfate On
Hemodynamic Stability During Induction And Orotracheal Intubation In Adult Diabetic Patients
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Scientific title
Effect Of Two Doses Of Magnesium Sulfate On
Hemodynamic Stability During Induction And Orotracheal Intubation In Adult Diabetic Patients
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Secondary ID [1]
285267
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nil
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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:
Diabetes
292916
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Hemodynamic Stability During Induction And Orotracheal Intubation
292917
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Condition category
Condition code
Anaesthesiology
293203
293203
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0
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Anaesthetics
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Metabolic and Endocrine
293204
293204
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The patients will be randomly divided using closed envelope
technique for randomization to one of two groups:
M 30 group ( n = 25): will receive intravenous magnesium sulfate 30 mg/kg added to 100 ml of normal saline over 15 minutes before induction of general anesthesia
M 50 ( n =25): will receive intravenous magnesium sulfate 50 mg/kg
added to 100 ml of normal saline over 15 minutes before induction of general anesthesia
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Intervention code [1]
290147
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Prevention
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Intervention code [2]
290148
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Treatment: Drugs
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Comparator / control treatment
M 30 group control group ( n = 25): will receive magnesium sulfate 30 mg/kg added to 100 ml of normal saline over 15 minutes before induction of general anesthesia
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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The systolic arterial blood pressure
noninvasive monotoring
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Assessment method [1]
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Timepoint [1]
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will be measured and recorded:
a- Before the administration of the study drug at baseline
b-after induction of anesthesia
c –at 1,5,10 minutes following tracheal intubation and before skin incision.
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Primary outcome [2]
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diastolic arterial blood pressure
noninvasive monotoring
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Assessment method [2]
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Timepoint [2]
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will be measured and recorded:
a- Before the administration of the study drug at baseline
b-after induction of anesthesia
c –at 1,5,10 minutes following tracheal intubation and before skin incision.
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Primary outcome [3]
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mean arterial blood pressure
noninvasive monotoring
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Assessment method [3]
293074
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Timepoint [3]
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will be measured and recorded:
a- Before the administration of the study drug at baseline
b-after induction of anesthesia
c –at 1,5,10 minutes following tracheal intubation and before skin incision.
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Secondary outcome [1]
310291
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heart rate
ECG
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Assessment method [1]
310291
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Timepoint [1]
310291
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will be measured and recorded:
a- Before the administration of the study drug at baseline
b-after induction of anesthesia
c –at 1,5,10 minutes following tracheal intubation and before skin incision.
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Eligibility
Key inclusion criteria
50 ASA II males and females patients aged 40-65 years old, with controlled type II diabetes mellitus planned for elective surgery under general anesthesia requiring orotracheal intubation.
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Minimum age
40
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
Patients will be excluded from the study if they had history of
type I diabetes mellitus, hypertension, cardiac disease, hypomagnesemia or hypermagenesmia , a known allergy to the study drugs, neuromuscular, liver and renal diseases ,suspected or history of difficult intubation, prolonged intubation longer than 30 secs or more than one attempt required, BMI >30 .
Patients undergoing cardiac and neurosurgical procedures will be also excluded.
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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
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
20/09/2014
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Actual
11/11/2015
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Date of last participant enrolment
Anticipated
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Actual
30/11/2016
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Date of last data collection
Anticipated
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Actual
30/11/2016
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Sample size
Target
50
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Accrual to date
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Final
50
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Recruitment outside Australia
Country [1]
6331
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Egypt
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State/province [1]
6331
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Funding & Sponsors
Funding source category [1]
289887
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Self funded/Unfunded
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Name [1]
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dr doaa rashwna
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Address [1]
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egypt,benisuef governerate,mokbel mohamad anwar hassan street, 62511
doaa rashwan fuculty of medicine benisief univercity egypt
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Country [1]
289887
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Egypt
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Primary sponsor type
Individual
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Name
dr doaa rashwan
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Address
egypt
benisuef university
faculty of medicine
egypt,benisuef governerate
,mokbel,mohamad anwar hassan street, 62511
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Country
Egypt
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Secondary sponsor category [1]
288567
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None
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Name [1]
288567
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Address [1]
288567
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Country [1]
288567
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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benisuef ethical comitee
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Ethics committee address [1]
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egypt,benisuef governerate ,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]
291610
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02/09/2014
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Approval date [1]
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10/11/2015
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Ethics approval number [1]
291610
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Summary
Brief summary
Patients and Methods: After approval of the ethical committee in Beni Suef University (Egypt), a written informed consent will be obtained from 50 ASA II males and females patients aged 40-65 years old, with controlled type II diabetes mellitus planned for elective surgery under general anesthesia requiring orotracheal intubation. Patients will be excluded from the study if they had history of type I diabetes mellitus, hypertension, cardiac disease, hypomagnesemia or hypermagenesmia , a known allergy to the study drugs, neuromuscular, liver and renal diseases ,suspected or history of difficult intubation, prolonged intubation longer than 30 secs or more than one attempt required, BMI >30 . Patients undergoing cardiac and neurosurgical procedures will be also excluded. All patients will be prepared preoperatively by taking history, examination, routine investigations. On arrival to the operating theatre, 18 G intravenous cannula will be inserted and IV crystalloid fluids will be infused ,the monitor will be attached to the patients to take preoperative readings of heart rate, non-invasive arterial blood pressure,SpO2 The patients will be randomly divided using closed envelope technique for randomization to one of two groups: M 30 group ( n = 25): will receive magnesium sulfate 30 mg/kg added to 100 ml of normal saline over 15 minutes before induction of general anesthesia M 50 ( n =25): will receive magnesium sulfate 50 mg/kg added to 100 ml of normal saline over 15 minutes before induction of general anesthesia 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 slowly, fentanyl 2 micogram/ 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 will be inserted by expert anesthesiologist. Hypotension (systolic blood pressure less than 90 mmHg) will be treated with volume replacement and ephedrine as indicated. Persistent hypertension (systolic blood pressure more than 160 mmHg lasting more than one minute) will be treated with IV nitroglycerin. Tachycardia (heart rate more than 120 beats/min) will be treated with IV boluses of esmolol. Bradycardia (heart rate less than 50 beats/minute) will be treated with 0.5 mg atropine IV. 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 receive oxygen via face mask 3-4 L/min and will be monitored. The following parameters will be evaluated and recorded by senior anesthesiologist unaware of the study protocol: 1. Demographic data: age, sex, weight, height. 2. The systolic , diastolic , mean arterial blood pressure and heart rate will be measured and recorded:a- Before the administration of the study drug at baseline b-after induction of anesthesia c –at 1,5,10 minutes following tracheal intubation and before skin incision.
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Trial website
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Trial related presentations / publications
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Public notes
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Attachments [1]
1618
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/AnzctrAttachments/367020-eth..docx
(Ethics approval)
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Contacts
Principal investigator
Name
51138
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Dr doaa rashwan
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Address
51138
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benisuef university
faculty of medicine
egypt,benisuef governerate
,mokbel,mohamad anwar hassan street, 62511
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Country
51138
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Egypt
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Phone
51138
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+208222318605
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Fax
51138
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Email
51138
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[email protected]
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Contact person for public queries
Name
51139
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doaa rashwan
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Address
51139
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benisuef university
faculty of medicineegypt,benisuef governerate
,mokbel,mohamad anwar hassan street, 62511
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Country
51139
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Egypt
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Phone
51139
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+208222318605
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Fax
51139
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Email
51139
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[email protected]
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Contact person for scientific queries
Name
51140
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doaa rashwan
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Address
51140
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benisuef university
faculty of medicine egypt,benisuef governerate
,mokbel,mohamad anwar hassan street, 62511
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Country
51140
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Egypt
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Phone
51140
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+208222318605
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Fax
51140
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Email
51140
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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.
Download to PDF