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Trial registered on ANZCTR
Registration number
ACTRN12616000385448
Ethics application status
Approved
Date submitted
17/12/2015
Date registered
23/03/2016
Date last updated
23/03/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Hip/Shoulder Size Ratio, Vertebral Column Length and the Spread of Spinal Anesthesia in Term Parturient
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Scientific title
Hip/Shoulder Size Ratio and Vertebral Column Length and the Spread of Spinal Anesthesia in Term Parturient
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Secondary ID [1]
288184
0
none
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Universal Trial Number (UTN)
U1111-1177-8433
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Trial acronym
HSRTTP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Spinal anesthesia for cesarean section
297086
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Condition category
Condition code
Reproductive Health and Childbirth
297325
297325
0
0
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Childbirth and postnatal care
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Anaesthesiology
297925
297925
0
0
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Other anaesthesiology
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
2ml 0.5% hyperbaric bupivacaine was injected intrathecally in 10 seconds without barbotage as a single dose from L4-L5 interspace of spinal cord by an anesthesiologist. The dose administered was controlled by the study staff as a standard dose of 2ml according to study protocol. Surgery started when the level of spinal anesthesia reached T6 dermatome
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Intervention code [1]
293943
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Treatment: Drugs
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Intervention code [2]
293994
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Treatment: Surgery
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Comparator / control treatment
no control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The effect of hip/shoulder size ratio on the spread of spinal anesthesia is detected by loss of pinprick discrimination at 5,10,20 and 30 minutes after administration of spinal anesthesia. The hip size was measured between the two iliac crests and the shoulder size between the two acromion processes of the patients by a tape measure at sitting position on a horizontal operating table. The hip/shoulder size ratio is the division of the two measures of the patient. The spinal anesthesia is assessed by pinprick discrimination starting from the anesthesized region upwards cranially at midaxillary line till the feeling changed from dullness to sharp pain.
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Assessment method [1]
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Timepoint [1]
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primary outcome is assessed at 5,10,20 and 30 minutes after intrathecal injection of bupivacaine
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Secondary outcome [1]
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The relation between the vertebral column length ( the measurements of vertebral column length was measured between the process of C7 vertebra to sacral hiatus and the distance from prominence of C7 vertebra to iliac crest by a tape measure) and the spread of spinal anesthesia (the spread of spinal anesthesia is assessed by pinprick discrimination starting from the anesthesized region upwords cranially at midaxillary line till the feeling changed from dullness to sharp pain) is assessed by correlation tests (Pearson and Spearman).
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Assessment method [1]
319636
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Timepoint [1]
319636
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assessed at 5,10,20 and 30 minutes after intrathecal injection of bupivacaine
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Secondary outcome [2]
321070
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The correlation of spinal anesthesia spread (the spread of spinal anesthesia is assessed by pinprick discrimination starting from the anesthesized region upwords cranially at midaxillary line till the feeling changed from dullness to sharp pain.) and age of the patient was also assessed by Pearson and Spearman correlation tests
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Assessment method [2]
321070
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Timepoint [2]
321070
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assessed at 5,10,20 and 30 minutes after intrathecal injection of bupivacaine
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Secondary outcome [3]
321597
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The correlation of spinal anesthesia spread (the spread of spinal anesthesia is assessed by pinprick discrimination starting from the anesthesized region upwords cranially at midaxillary line till the feeling changed from dullness to sharp pain.) and height of the patient was also assessed by Pearson and Spearman correlation tests
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Assessment method [3]
321597
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Timepoint [3]
321597
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assessed at 5,10,20 and 30 minutes after intrathecal injection of bupivacaine
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Secondary outcome [4]
321598
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The correlation of spinal anesthesia spread (the spread of spinal anesthesia is assessed by pinprick discrimination starting from the anesthesized region upwords cranially at midaxillary line till the feeling changed from dullness to sharp pain.) and weight of the patient was also assessed by Pearson and Spearman correlation tests
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Assessment method [4]
321598
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Timepoint [4]
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5,10,20 and 60 minutes after administration of spinal anesthesia
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Secondary outcome [5]
321599
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The correlation of spinal anesthesia spread (the spread of spinal anesthesia is assessed by pinprick discrimination starting from the anesthesized region upwords cranially at midaxillary line till the feeling changed from dullness to sharp pain.) and BMI of the patient was also assessed by Pearson and Spearman correlation tests
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Assessment method [5]
321599
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Timepoint [5]
321599
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5,10,20 and 60 minutes after administration of spinal anesthesia
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Eligibility
Key inclusion criteria
patients consenting to spinal anesthesia for cesarean section
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
patients rejecting spinal anesthesia or any contraindication for spinal anesthesia
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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 4
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Type of endpoint/s
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Statistical methods / analysis
sample size was determined by G*power statistical analysis program based on preliminary results of the study. A sample size 0f 72 was calculated to provide a %90 confidence interval. Kolmogorov – Smirnow and Shapiro – Wilk tests, repeated measures ANOVA, Friedman test, Tukey HSD, Sperman’s Rho Correlation Test, multiple regression analysis test But we determined the sample size to be 75 to overcome the possible dropdown patients
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
10/10/2015
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Date of last participant enrolment
Anticipated
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Actual
10/12/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
75
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Accrual to date
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Final
75
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Recruitment outside Australia
Country [1]
7471
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Turkey
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State/province [1]
7471
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kirsehir
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Funding & Sponsors
Funding source category [1]
292580
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Self funded/Unfunded
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Name [1]
292580
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mehmet canturk
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Address [1]
292580
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asikpasa mahallesi
sehit ahmet dogangun caddesi
caglar apartmani
30/8
merkez/kirsehir/Turkey
p.k. 40100
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Country [1]
292580
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Primary sponsor type
Individual
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Name
Mehmet Canturk
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Address
Medical doctor at government hospital
asikpasa mahallesi
sehit ahmet dogangun caddesi
caglar apartmani
30/8
merkez/kirsehir/Turkey p.k. +904100
p.k. +9040100
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Country
Turkey
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Secondary sponsor category [1]
291714
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None
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Name [1]
291714
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Address [1]
291714
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Country [1]
291714
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294061
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Turgut Ozal University Clinical Trials Ethics Committee
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Ethics committee address [1]
294061
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Ethics committee country [1]
294061
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Date submitted for ethics approval [1]
294061
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27/08/2015
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Approval date [1]
294061
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08/10/2015
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Ethics approval number [1]
294061
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99950669/217
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Summary
Brief summary
There are more than twenty factors in the literature defined to effect the spinal anesthesia spread. In patients with a larger hip size and a narrow shoulder size, more cephalad spread of spinal anesthesia induced with a fixed amount of hyperbaric bupivacaine is observed. We hypothesized that the increase in cephalad spread is strongly correlated with the increased hip/shoulder size ratio. Age, weight, height, body mass index, hip size, shoulder size, hip/shoulder size ratio, vertebral column length were recorded for 75 term parturient. The L4-L5 interspace was entered and 2ml 0.5% hyperbaric bupivacaine was given intrathecal in 10 seconds without barbotage. Pearson Correlation Test was performed for the correlation between age, height, weight, body mass index, hip/shoulder size ratio, and vertebral column length
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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 Mehmet Canturk
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Address
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Kirsehir Ahi Evran Universitesi Egitim ve Arastirma Hastanesi 3.Kat Ameliyathane
Kervansaray Mahallesi
2019. sokak
no:1
p.k. +9040100
kirsehir
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Country
62274
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Turkey
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Phone
62274
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+905053574372
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Fax
62274
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Email
62274
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[email protected]
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Contact person for public queries
Name
62275
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Mehmet Canturk
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Address
62275
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Kirsehir Ahi Evran Universitesi Egitim ve Arastirma Hastanesi 3.Kat Ameliyathane
Kervansaray Mahallesi
2019. sokak
no:1
p.k. +9040100
kirsehir
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Country
62275
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Turkey
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Phone
62275
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+905053574372
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Fax
62275
0
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Email
62275
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[email protected]
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Contact person for scientific queries
Name
62276
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Mehmet Canturk
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Address
62276
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Kirsehir Ahi Evran Universitesi Egitim ve Arastirma Hastanesi 3.Kat Ameliyathane
Kervansaray Mahallesi
2019. sokak
no:1
p.k. +9040100
kirsehir
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Country
62276
0
Turkey
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Phone
62276
0
+905053574372
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Fax
62276
0
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Email
62276
0
[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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