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Analgesic Effect of Perioperative Systemic Lidocaine in Patients Undergoing Unilateral Mastectomy Surgery

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ClinicalTrials.gov Identifier: NCT00913003
Recruitment Status : Terminated (PI terminated employment with the University)
First Posted : June 3, 2009
Results First Posted : February 4, 2015
Last Update Posted : February 4, 2015
Sponsor:
Information provided by (Responsible Party):
Christian Altman, Northwestern University

Brief Summary:

The aim of this study is to determine if perioperative systemic lidocaine administration will decrease the amount of opioid analgesics required in women undergoing mastectomy surgery. In addition, patients receiving systemic lidocaine will have a lower incidence of post-mastectomy pain syndrome.

This study will have 2 groups. Participants will be randomized into one of each group. The first group will be administered the drug lidocaine prior to surgery and the second group Group B will be administered saline (salt water). This is a blinded study which means the participant will not know which group they have been assigned. The subjects participation will last 12 months (surveys post operatively).


Condition or disease Intervention/treatment Phase
Pain Drug: Lidocaine Drug: Placebo Phase 4

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 22 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Investigator)
Primary Purpose: Prevention
Official Title: Analgesic Effect of Perioperative Systemic Lidocaine in Patients Undergoing Unilateral Mastectomy Surgery
Study Start Date : May 2009
Actual Primary Completion Date : October 2011
Actual Study Completion Date : October 2011

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Mastectomy

Arm Intervention/treatment
Placebo Comparator: Placebo
Group B using saline as a placebo.
Drug: Placebo
Placebo (normal saline) bolus similar to the lidocaine infusion minus active drug
Other Name: Group B

Active Comparator: Lidocaine
Group A lidocaine infusion and bolus.
Drug: Lidocaine
Lidocaine bolus infusion 1.5 mg/kg IV using participants IBW(Ideal Body Weight) Lidocaine infusion after bolus and continuing until 1 hour after skin closure 33.3 mcg/kg/mn IV (IBW)
Other Name: Group A




Primary Outcome Measures :
  1. 24 Hour Hydromorphone [ Time Frame: 24 hour ]
    Total IV hydromorphone administered during surgery to 24 hours post surgery


Secondary Outcome Measures :
  1. Number of Participants Experiencing Post Operative Nausea [ Time Frame: Immediate post operative to 48 hours ]
    Nausea at any time during the post operative period for 48 hours

  2. Number of Participants Experiencing Post Operative Ileus [ Time Frame: 7 days ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age: 18-65 years
  • Gender: Female
  • ASA Physical Status I-III
  • Non-pregnant
  • Surgery: Unilateral total or segmental mastectomy
  • Language: English speaking
  • Consent: Obtained

Exclusion Criteria:

  • Age: Under 18 or over 65 years
  • ASA Physical Status >III
  • Pregnancy
  • Language: Non-English speaking
  • Allergy to Lidocaine or amide local anesthetics
  • Contraindication to succinylcholine
  • History and/or EKG evidence of conduction defect
  • Renal failure (Creatinine >1.7 mg/dL)
  • Patient expected to remain intubated after procedure
  • Chronic home opioid or steroid use
  • Opioid use within one week prior to procedure
  • Drug or alcohol abuse
  • Inability to use PCA

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00913003


Sponsors and Collaborators
Northwestern University
Investigators
Principal Investigator: Christian Altman, M.D. Northwestern University

Publications:

Responsible Party: Christian Altman, Principal Investigator, Northwestern University
ClinicalTrials.gov Identifier: NCT00913003     History of Changes
Other Study ID Numbers: STU0008753
First Posted: June 3, 2009    Key Record Dates
Results First Posted: February 4, 2015
Last Update Posted: February 4, 2015
Last Verified: February 2015

Keywords provided by Christian Altman, Northwestern University:
Lidocaine
Mastectomy
Pain

Additional relevant MeSH terms:
Lidocaine
Analgesics
Anesthetics, Local
Anesthetics
Central Nervous System Depressants
Physiological Effects of Drugs
Sensory System Agents
Peripheral Nervous System Agents
Anti-Arrhythmia Agents
Voltage-Gated Sodium Channel Blockers
Sodium Channel Blockers
Membrane Transport Modulators
Molecular Mechanisms of Pharmacological Action