Lidocaine Supplement for Minimal Invasive Parathyroid Surgery

This study has been withdrawn prior to enrollment.
(Terminated due to no patient enrollment.)
Sponsor:
Information provided by (Responsible Party):
M.D. Anderson Cancer Center
ClinicalTrials.gov Identifier:
NCT00528502
First received: September 11, 2007
Last updated: December 5, 2012
Last verified: December 2012
  Purpose

Primary Objective:

1. To determine if the application of lidocaine to the airway will obtund or abolish the laryngeal reflexes. This in turn will lead to a quiescent controlled surgical field.


Condition Intervention Phase
Parathyroid Disease
Drug: Lidocaine
Drug: Saline
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Prevention of Laryngeal Reflexes in Minimal Invasive Parathyroid Surgery by the Use of Topical Lidocaine

Resource links provided by NLM:


Further study details as provided by M.D. Anderson Cancer Center:

Primary Outcome Measures:
  • Severity of Airway Interruption [ Time Frame: Assessment made by surgeon during minimally invasive parathyroidectomy surgery ] [ Designated as safety issue: No ]
  • Quality of Operative Field [ Time Frame: Assessment made by surgeon during minimally invasive parathyroidectomy surgery ] [ Designated as safety issue: No ]

Enrollment: 0
Study Start Date: June 2006
Study Completion Date: January 2008
Primary Completion Date: January 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Saline
Saline misted into the air breathe during the surgery.
Drug: Saline
Saline is misted into the air that you breathe during the surgery.
Experimental: Lidocaine
Lidocaine misted into the air during the surgery.
Drug: Lidocaine
Lidocaine is misted into the air that you breathe during the surgery.

Detailed Description:

Lidocaine is a local anesthetic that causes numbness to the throat when misted into the air. This numbness in the throat should stop the urge to clear the throat in the middle of the operation. Therefore, this should stop the interruptions during the surgery.

If you agree to take part in this study, you will be randomly assigned (as in the toss of a coin) to one of 2 groups. Participants in Group 1 will receive the saline mist. This will moisturize and soothe the throat. Participants in Group 2 will receive the lidocaine mist. Lidocaine or saline is misted into the air that you breathe during the surgery. You and your surgeon will not be told which group you were assigned to. At the end of the surgery, your surgeon will answer some questions to help determine if the use of lidocaine or saline is beneficial.

You will be considered off-study once you are sent to the recovery room after surgery.

This is an investigational study. Lidocaine is FDA-approved and commercially available for local anesthesia. If you are in the lidocaine or the saline group. Up to 105 patients will take part in this study. All will be enrolled at M. D. Anderson.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • All outpatients scheduled for MIPS at the ACB by Dr N Perrier, Dr D Evans and Dr JE Lee.

Exclusion Criteria:

  • Patients who are excluded will be any who require elective endotracheal intubation as a preoperative decision by the anesthesia team. These patients will be those with sleep apnea, BMI>35, uncontrolled gastro esophageal reflux.
  • Patients who have a history of allergy/hypersensitivity to lidocaine.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00528502

Sponsors and Collaborators
M.D. Anderson Cancer Center
Investigators
Principal Investigator: Spencer Kee, MD M.D. Anderson Cancer Center
  More Information

Additional Information:
No publications provided

Responsible Party: M.D. Anderson Cancer Center
ClinicalTrials.gov Identifier: NCT00528502     History of Changes
Other Study ID Numbers: 2006-0147
Study First Received: September 11, 2007
Last Updated: December 5, 2012
Health Authority: United States: Institutional Review Board

Keywords provided by M.D. Anderson Cancer Center:
Parathyroid Disease
Minimal Invasive Parathyroid Surgery
MIPS
Laryngeal Reflexes
Lidocaine
Saline

Additional relevant MeSH terms:
Parathyroid Diseases
Endocrine System Diseases
Lidocaine
Anesthetics, Local
Anesthetics
Central Nervous System Depressants
Physiological Effects of Drugs
Pharmacologic Actions
Sensory System Agents
Peripheral Nervous System Agents
Central Nervous System Agents
Therapeutic Uses
Anti-Arrhythmia Agents
Cardiovascular Agents

ClinicalTrials.gov processed this record on May 23, 2013