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Trial registered on ANZCTR
Registration number
ACTRN12615001297516
Ethics application status
Approved
Date submitted
25/09/2015
Date registered
27/11/2015
Date last updated
27/11/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Evaluation of postoperative pain scores with deep versus moderate neuromuscular blockade during laparoscopic cholecystectomy.
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Scientific title
In patients undergoing laparoscopic cholecystectomy, what is the effect of deep versus moderate muscle blockade on postoperative pain scores?
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Secondary ID [1]
287549
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nil known
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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 pain
296326
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cholecystitis
296740
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Condition category
Condition code
Anaesthesiology
296602
296602
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0
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Pain management
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Oral and Gastrointestinal
296978
296978
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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
Group 1: Deep neuromuscular blockade with bolus intraveneous 1 mg/kg rocuronium for 8 mmHg intraabdominal pressure for pneumoperitoneum at the beginning of the procedure. 5% carbon dioxide (CO2) at 37 degrees Celsius and 50% humidity was used for pneumoperitoneum from time of incision to time of closure of the abdomen. 0.1-0.2 mg/kg rocuronium was administered multiple doses at clinical discretion of anaesthetist to maintain deep neuromuscular blockade during surgery if post-tetanic count >1. Group 2: moderate neuromuscular blockade with bolus intraveneous 0.5 mg/kg rocuronium for 12 mmHg intraabdominal pressure for pneumoperitoneum at the beginning of the procedure. 5% carbon dioxide (CO2) at 37 degrees Celsius and 50% humidity was used for pneumoperitoneum from time of incision to time of closure of the abdomen. No further rocuronium was administered for moderate blockade.
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Intervention code [1]
292951
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Treatment: Drugs
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Comparator / control treatment
Group 2:Moderate neuromuscular blocade with bolus intraveneous 0,5 mg/kg rocuronium at the beginning of the procedure and no further rocuronium was administered during the surgery.
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Control group
Active
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Outcomes
Primary outcome [1]
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Effect of the deep and moderate muscle blockade on postoperative pain scores. Assessment was done with 11 point numerical rating scale.
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Assessment method [1]
296217
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Timepoint [1]
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postoperative pain assessment at 1, 2 ,4, 8,12, 18 hours
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Secondary outcome [1]
317859
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Comparision of the low (8mmHg) and standard(12mmHg) insufflation pressures affect on surgical space conditions during the laparoscopy.
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Assessment method [1]
317859
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Timepoint [1]
317859
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assessment of the surgical area with four point scale and numeric rating scale after initiation and at the end of the surgery.
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Secondary outcome [2]
317860
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Comparision of the low (8mmHg) and standard(12mmHg) insufflation pressures affect on postoperative pain scores used 11 point numeric rating scale
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Assessment method [2]
317860
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Timepoint [2]
317860
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postoperative pain assessment at 1, 2 ,4, 8,12, 18 hours
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Eligibility
Key inclusion criteria
ASA(American Society of Anesthesiologists) 1-2 Patients
Undergo laparoscopic cholecystectomy
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Minimum age
20
Years
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Maximum age
60
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 Mass Index greater than 35
Body Mass Index less than 18
Neurological Disorders
Coagulopathy
Allergic to narcotic and NSAID agents
Cancer patients
Chronic Pain Disorders
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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
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/12/2014
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Date of last participant enrolment
Anticipated
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Actual
31/05/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
50
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Recruitment outside Australia
Country [1]
7186
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Turkey
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State/province [1]
7186
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Istanbul
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Funding & Sponsors
Funding source category [1]
292117
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Self funded/Unfunded
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Name [1]
292117
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Address [1]
292117
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Country [1]
292117
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Primary sponsor type
Hospital
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Name
Istanbul training and research hospital
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Address
Abdurrahman nafiz Gurman Street postal code:34098 Fatih /Istanbul
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Country
Turkey
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Secondary sponsor category [1]
290793
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None
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Name [1]
290793
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Address [1]
290793
0
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Country [1]
290793
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
293745
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Istanbul training and research hospital
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Ethics committee address [1]
293745
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Kasap Ilyas district Org.Abdurrahman Nafiz Gurman street Postal code:34098 FATIH
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Ethics committee country [1]
293745
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Turkey
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Date submitted for ethics approval [1]
293745
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12/08/2015
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Approval date [1]
293745
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14/08/2015
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Ethics approval number [1]
293745
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690
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Summary
Brief summary
We assessed the postoperative pain scores with 11 point numeric rating scale for deep and moderate muscle blockade after laparoscopic cholecystectomy. In addition we assessed the surgical space conditions during surgery with 4-point scale and numeric rating scale.
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Trial website
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Trial related presentations / publications
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Public notes
ethics approval was not attained prior to recruitment of the first participant. because our ethical comitee did not approved. Then we finished the recruitment, they approved the study so ethical comitee date was late.
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Contacts
Principal investigator
Name
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A/Prof VEYSEL ERDEN
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Address
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Istanbul Research and Education Hospital Kasap Ilyas district Org.Abdurrahman Nafiz Gurman street Postal code:34098 FATIH/ ISTANBUL
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Country
60626
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Turkey
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Phone
60626
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+90 212 459 60 00
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Fax
60626
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Email
60626
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[email protected]
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Contact person for public queries
Name
60627
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CIHAN GULER
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Address
60627
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Istanbul Research and Education Hospital Kasap Ilyas district Org.Abdurrahman Nafiz Gurman street Postal code:34098 FATIH/ ISTANBUL
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Country
60627
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Turkey
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Phone
60627
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+90 212 459 60 00
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Fax
60627
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Email
60627
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[email protected]
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Contact person for scientific queries
Name
60628
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CIHAN GULER
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Address
60628
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Istanbul Research and Education Hospital Kasap Ilyas district Org.Abdurrahman Nafiz Gurman street Postal code:34098 FATIH/ ISTANBUL
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Country
60628
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Turkey
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Phone
60628
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+90 212 459 60 00
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Fax
60628
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Email
60628
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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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