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Trial registered on ANZCTR
Registration number
ACTRN12616001628437
Ethics application status
Approved
Date submitted
15/02/2016
Date registered
24/11/2016
Date last updated
30/01/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Does ultrasound-guided bilateral superficial cervical plexus block improve the quality of recovery after thyroidectomy?
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Scientific title
Does ultrasound-guided bilateral superficial cervical plexus block improve the quality of recovery after thyroidectomy?
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Secondary ID [1]
288391
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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:
Postoperative Complications
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Thyroid disease
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Condition category
Condition code
Anaesthesiology
300631
300631
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0
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Pain management
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Metabolic and Endocrine
300882
300882
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0
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Thyroid disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Ultrasound-guided bilateral superficial cervical plexus block will be administered with ropivacaine 0.5% 10mL immediately following induction of general anaesthesia. All ultrasound-guided bilateral superficial cervical plexus block will be performed by an same consultant anaesthetist.
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Intervention code [1]
293698
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Treatment: Drugs
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Comparator / control treatment
Ultrasound-guided bilateral superficial cervical plexus block will be administered with normal saline 0.9% 10mL
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Control group
Placebo
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Outcomes
Primary outcome [1]
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The primary outcome was the quality of recovery, which is assessed with the Quality of Recovery 40 questionnaire (QoR-40).
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Assessment method [1]
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Timepoint [1]
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The quality of recovery was assessed on the day before surgery and 24 h after surgery
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Secondary outcome [1]
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Postoperative pain intensity was simulated by visual analogue scale (VAS) ranging from 0 to 10, of which 0 indicated no pain, and 10 is the worst pain imaginable.
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Assessment method [1]
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Timepoint [1]
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Postoperative pain intensity was rated at postoperative hours 0.5, 1, 2, 4, 8 and 24
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Secondary outcome [2]
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Patient’s satisfaction was evaluated by 10-point numerical rating scale ranging from 0 to 10, which 0 indicated not pleased, and 10 is very satisfied.
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Assessment method [2]
320113
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Timepoint [2]
320113
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Patient’s satisfaction was evaluated on postoperative 24 h
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Secondary outcome [3]
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Side effects include tachycardia, hypotension,hyoxemia,nausea and vomiting,in which tachycardia is assessed with electrocardiogram, hypotension is assessed with sphygmomanometry, hyoxemia is assessed with blood oxygen saturation monitor. nausea and vomiting is documented by patients'complaint.
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Assessment method [3]
320114
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Timepoint [3]
320114
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Secondary outcomes will be assessed from the administration of the bilateral superficial cervical plexus until 24 hours post surgery.
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Eligibility
Key inclusion criteria
Patients will be scheduled for thyroidectomy
ASA physical status were I or II
Age: 18 to 60 years,
body mass index:18 to 35 kg/m2
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
History of allergic to local anesthetics;
Opioid drug or alcohol abuse;
Intake of any analgesic drug within 48 h before surgery
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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)
Allocation was concealed by sealed opaque envelopes that were opened by a nurse not involved with the care of the individuals.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomization table created by a computer software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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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
Efficacy
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Statistical methods / analysis
Our sample size calculation for the two-tailed testing of the bilaterl superficial cervial plexus block superiority hypothesis was based on the global QoR-40 scores. A power analysis using a type I error estimate of 5% (alpha = 0.05) and a power (1-beta) of 80% indicated that a sample of 31 subjects per group would be required. To account for the loss of some study participants,74 subjectswere enrolled in this study.
Analyses were performed using SPSS 18.0 software (SPSS Inc., Chicago, IL, USA). Continuous data were expressed as mean [standard deviation (SD)] or median [interquartile range (IQR)] and compared with independent t-test or Mann–Whitney U test, respectively. Categorical variables were reported as the number of patients (%) and evaluated by the Fisher’s exact test or the chi-squre test where appropriate. All reported P-values are two-tailed, and a P-value of less than 0.05 was considered statistical significant.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
30/11/2016
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Actual
13/01/2017
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Date of last participant enrolment
Anticipated
20/04/2017
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Actual
23/10/2017
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Date of last data collection
Anticipated
24/04/2017
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Actual
24/10/2017
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Sample size
Target
74
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Accrual to date
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Final
74
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Recruitment outside Australia
Country [1]
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China
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State/province [1]
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Fujian
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Fujian Provincial Hospital
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Address [1]
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No.134 Dongjie Street, Fuzhou, Fujian, China, 350001
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Country [1]
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China
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Primary sponsor type
Individual
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Name
Yanqing Chen
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Address
No.134 Dongjie Street, Fuzhou, Fujian, China, 350001
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Country
China
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Secondary sponsor category [1]
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None
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Name [1]
291538
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Address [1]
291538
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Country [1]
291538
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294386
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Biological-Medical Ethical Committee of Fujian Provincial Hospital
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Ethics committee address [1]
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No.134,Dongjie.Fuzhou
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Ethics committee country [1]
294386
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China
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Date submitted for ethics approval [1]
294386
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23/09/2014
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Approval date [1]
294386
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14/02/2015
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Ethics approval number [1]
294386
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K2015-02-11
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Summary
Brief summary
Thyroidectomy is widely performed as ambulatory surgery, however, its problems of postoperative pain and nausea and vomiting still exist under the condition of using analgesics and antemetic drugs. These complications delay patients’recovery and discharge, and increase the overall health care costs. Therefore, we encourage various therapies that combined complementary and alternative analgesic techniques with drug, such as nerve block and psychotherapy. Plenty of evidences shows that ultrasound-guided bilateral superficial cervical plexus block has no intra-operative complication or systemic toxicity of ropivacaine, adverse effects were of short duration and did not affect surgery. These features show that ultrasound-guided bilateral superficial cervical plexus block is feasible and provides similar results to other regional techniques during thyroidectomy. but from the perspective of patients, ultrasound-guided bilateral superficial cervical plexus block for the recovery quality after thyroidectomy has not been fully embodied. Therefore, we designed a prospective, randomized study to verify the assumption that preoperative ultrasound-guided bilateral superficial cervical plexus block can improve the quality of recovery after thyroidectomy.
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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]
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/AnzctrAttachments/369979-02031917543ImagePDF.pdf
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Contacts
Principal investigator
Name
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Prof Yusheng Yao
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Address
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No.134 Dongjie Street, Fujian Provincial Hospital,Fuzhou, Fujian, China, 350001
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Country
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China
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Phone
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+86 13559939629
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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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Yanqing Chen
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Address
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No.134 Dongjie Street, Fujian Provincial Hospital,Fuzhou, Fujian, China, 350001
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Country
62975
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China
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Phone
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+8613314935073
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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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Yusheng Yao
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Address
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No.134 Dongjie Street, Fujian Provincial Hospital,Fuzhou, Fujian, China, 350001
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Country
62976
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China
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Phone
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+86 13559939629
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Fax
62976
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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
No additional documents have been identified.
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