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Trial registered on ANZCTR
Registration number
ACTRN12624001209583
Ethics application status
Approved
Date submitted
31/07/2024
Date registered
2/10/2024
Date last updated
2/10/2024
Date data sharing statement initially provided
2/10/2024
Date results provided
2/10/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
Comparative Study of Hyperbaric Bupivacaine plus Ketamine vs. Bupivacaine plus Fentanyl for Spinal Anesthesia during Cesarean Section.
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Scientific title
Comparative Study of Hyperbaric Bupivacaine plus Ketamine vs. Bupivacaine plus Fentanyl for Spinal Anesthesia during Cesarean Section. A prospective , Randomized , Double -Blind, controlled study in pregnant women with age (18-45) years old.
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Secondary ID [1]
312653
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Nil known'
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Secondary ID [2]
312776
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Nil known'
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Universal Trial Number (UTN)
U1111-1311-3334
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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:
pain after cesarean section surgery
334619
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Condition category
Condition code
Anaesthesiology
331204
331204
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0
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Pain management
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Reproductive Health and Childbirth
331389
331389
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Interventional group was administered Preservative-free ketamine 15 mg
plus bupivacaine 10 mg (Marcaine) 0.5%, and in the B group was administered bupivacaine
10 mg (Marcaine) 0.5% alone. The strategies we’re used to evaluate the patient through self monitoring and closed observation.
An anesthesiologist performed the spinal puncture by pencil-point spinal needle (27 Fr) between the L3 to L4 or L4–L5 vertebrae with the patient in a sitting position on the side of the operation table.
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Intervention code [1]
329182
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Treatment: Drugs
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Comparator / control treatment
A control group was received a solution containing bupivacaine 10mg (Marcaine) 0.5 % plus 25 mcg fentanyl was administered.
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Control group
Active
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Outcomes
Primary outcome [1]
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Assessing dermatome levels
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Assessment method [1]
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The use of the alcohol sponge to test the level of the block was determined.
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Timepoint [1]
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After administering a subarachnoid block every minute after the puncture, until ensure sensory block is done.
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Primary outcome [2]
338990
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The grade of sedation.
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Assessment method [2]
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Ramsay sedation scale
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Timepoint [2]
338990
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after administering a subarachnoid block until the end of surgery from 30 to 45 minutes.
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Secondary outcome [1]
438192
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motor blockade
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Assessment method [1]
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Bromage scale.
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Timepoint [1]
438192
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every minute during the intraoperative and postoperative until the patient is able to move her lower extremity
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Secondary outcome [2]
438193
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pain intensity.
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Assessment method [2]
438193
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Numeric rating scale
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Timepoint [2]
438193
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in post operative period to Time for first utilization for analgesic is registered.
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Eligibility
Key inclusion criteria
A pregnant women with age (18-45) years old and planned for elective cesarean sections delivery with ASA Classification I &II, at specialized Arab hospital.
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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
Pregnant women with spinal block contraindications and those with a history of ketamine medication allergies.
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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)
sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The sequence was generated on a computer using random allotment
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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
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2 / Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
All data were analyzed using the SPSS version22. Following a normality inspection, the data was found to be normally distributed. The baseline characteristics of the study subjects were presented using descriptive statistics including mean±SD, median, and frequency with the percentage. Chi Square test was utilized to examine differences between Percentages, Turkey HSD Post-Hoc test examined pairwise differences between mean p < 0.05 is considered significant.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
7/06/2020
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Date of last participant enrolment
Anticipated
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Actual
17/09/2020
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Date of last data collection
Anticipated
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Actual
17/09/2020
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Sample size
Target
105
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Accrual to date
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Final
105
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Recruitment outside Australia
Country [1]
26487
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Palestinian Territory, Occupied
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State/province [1]
26487
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Nablus
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
317087
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Address [1]
317087
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Country [1]
317087
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Primary sponsor type
Individual
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Name
Mohammed Joori
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Address
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Country
Palestinian Territory, Occupied
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Secondary sponsor category [1]
319353
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None
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Name [1]
319353
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Address [1]
319353
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Country [1]
319353
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
315837
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IRB committee Chairman of An- Najah National University's.
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Ethics committee address [1]
315837
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hgs@najah.edu Nablus -Rafedia street Tel:09-2342902
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Ethics committee country [1]
315837
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Palestinian Territory, Occupied
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Date submitted for ethics approval [1]
315837
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20/05/2020
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Approval date [1]
315837
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28/05/2020
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Ethics approval number [1]
315837
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Summary
Brief summary
this study was administered Preservative-free ketamine 15 mg plus bupivacaine 10 mg (Marcaine) 0.5%, and in the B group bupivacaine 10 mg (Marcaine) 0.5% alone, Our hypothesis is that there are a significant relationship between the duration of analgesia, length of sensory and motor blockade between ketamine, fentanyl, and bupivacaine groups intraoperative and post-operative.
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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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Mr Mohammed Joori
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Address
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Andaleeb Al-Amad College for Nursing and Midwifery, Nablus- Palestine. 972,Northern mountain
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Country
135954
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Palestinian Territory, Occupied
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Phone
135954
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+972597862528
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Fax
135954
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Email
135954
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[email protected]
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Contact person for public queries
Name
135955
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Mohammed Joori
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Address
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Andaleeb Al-Amad College for Nursing and Midwifery, Nablus- Palestine. 972,Northern mountain
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Country
135955
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Palestinian Territory, Occupied
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Phone
135955
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+972597862528
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Fax
135955
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Email
135955
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[email protected]
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Contact person for scientific queries
Name
135956
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Mohammed Joori
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Address
135956
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Andaleeb Al-Amad College for Nursing and Midwifery, Nablus- Palestine. 972,Northern mountain
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Country
135956
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Palestinian Territory, Occupied
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Phone
135956
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+972597862528
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Fax
135956
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Email
135956
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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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