Spinal Anesthesia With Articaine and Lidocaine for Outpatient Surgery.
Recruitment status was Active, not recruiting
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Purpose
The purpose of this study is to compare two short-acting local anesthetics, articaine and lidocaine, for spinal anesthesia in day-case surgery. The onset time of the sensory- and motor block, recovery time until discharge and complications will be studied.
| Condition | Intervention | Phase |
|---|---|---|
|
Spinal Anesthesia |
Drug: spinal administration of articaine Drug: spinal administration of lidocaine |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Spinal Anesthesia With Articaine and Lidocaine for Outpatient Surgery: A Double Blind Randomized Clinical Trial. |
- Onset time (sec) of sensory and motor blockade (after administration of drug)
- Recovery time (min) from sensory and motor blockade
- Spread of sensory blockade (30 min after administration of drug, dermatomal level)
- Hemodynamic stability (lowest systolic blood pressure, vasopressor therapy)
- Complications
- Patient satisfaction
| Estimated Enrollment: | 80 |
| Study Start Date: | November 2005 |
| Estimated Study Completion Date: | May 2006 |
The ideal spinal anesthesia in day-case surgery is characterized by a short onset of sensory and motor blockade, and a rapid recovery after the operation. Short-acting local-anesthetics are used frequently in this setting.
Lidocaine is one of the agents that is used most frequently. It has been associated with an increased incidence of Transient Neurological Symptoms (TNS). Articaine is another agent that is being used more often and is said to act faster and shorter than lidocaine.
We will compare spinal anesthesia with lidocaine and articaine in a randomized double-blind clinical trial. Endpoint are:
- onset of sensory and motor block
- recovery from sensory and motor block
- time to micturition
- patient satisfaction
- complications
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age > 18 years
- ASA I-III
- Patients planned for a short surgical procedure on lower extremities or lower abdomen.
- Procedure in day-case setting
- Procedure under spinal anesthesia
- Informed consent
Exclusion Criteria:
- Contra-indications spinal anesthesia
- History of allergic reactions on amide-type local anesthetics
- Pregnancy
Contacts and Locations| Netherlands | |
| St Antonius Hospital | |
| Nieuwegein, Utrecht, Netherlands, 3435 CM | |
| Principal Investigator: | Leon Timmerman, MD | St Antonius Hospital, dept. of anesthesiology |
| Study Chair: | Emile MJ Andriessen, MD | St Antonius Hospital, dept of anesthesiology |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00247741 History of Changes |
| Other Study ID Numbers: | Articaine |
| Study First Received: | November 1, 2005 |
| Last Updated: | May 15, 2006 |
| Health Authority: | Netherlands: European Agency for the Evaluation of Medicinal Prodocts (EMEA) |
Keywords provided by St. Antonius Hospital:
|
spinal anesthesia lidocaine articaine intrathecal |
Additional relevant MeSH terms:
|
Anesthetics Carticaine Lidocaine Central Nervous System Depressants Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents |
Therapeutic Uses Anesthetics, Local Sensory System Agents Peripheral Nervous System Agents Anti-Arrhythmia Agents Cardiovascular Agents |
ClinicalTrials.gov processed this record on May 22, 2013