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Intravenous Fentanyl or Local Anesthetic Infiltration for Pain Reducing During Spinal Needle Insertion

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ClinicalTrials.gov Identifier: NCT01157247
Recruitment Status : Completed
First Posted : July 7, 2010
Last Update Posted : July 7, 2010
Sponsor:
Information provided by:
Croatian Society of Regional Anesthesia and Analgesia

Brief Summary:

Background and Objectives: Spinal puncture is painful procedure which may cause patient refusal of spinal anesthesia in future surgery. It could be minimized with topical and infiltration local anesthetic or intravenous opioid application before procedure. Objective was efficacy of intravenous fentanyl in alleviating pain during spinal needle insertion.

Methods: Prospective, randomized study included 88 adults (33-55 ages, ASA I/II), scheduled for lower leg surgery. Patients were divided in four equal study groups: spinal needle (Quincke, 26G) with introducer (20G) was inserted alone, three minutes after local anesthetic infiltration (2 ml of 2% lidocaine, 25Gx11/4" needle) or intravenous fentanyl application (0.001 mg kg-1) and without local anesthetic, fentanyl and introducer. Pain was assessed immediately after procedure by VAS score. MAP, HR and SaO2 were recorded. Sedation was assessed by Ramsay score. Statistical analysis was performed by SPSS 11.0.


Condition or disease Intervention/treatment Phase
Anesthesia Spinal Puncture Procedure: Comparison of intravenous fentanyl and local anesthetic infiltration in pain reducing during spinal needle puncture Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 88 participants
Primary Purpose: Treatment
Study Start Date : April 2009
Actual Primary Completion Date : June 2010
Actual Study Completion Date : July 2010

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Anesthesia

Arm Intervention/treatment
Group SNI
Insertion of spinal needle with introducer
Procedure: Comparison of intravenous fentanyl and local anesthetic infiltration in pain reducing during spinal needle puncture
Group SNI+LA
Local infiltration of lidocaine was applied three minutes after insertion of spinal needle with introducer
Procedure: Comparison of intravenous fentanyl and local anesthetic infiltration in pain reducing during spinal needle puncture
Group SNI+F
Intravenous fentanyl was applied 3 min before insertion of spinal needle with introducer
Procedure: Comparison of intravenous fentanyl and local anesthetic infiltration in pain reducing during spinal needle puncture
Group SN
Spinal puncture was performed only with spinal needle without introducer, local anesthetic infiltration or intravenous fentanyl before spinal puncture.
Procedure: Comparison of intravenous fentanyl and local anesthetic infiltration in pain reducing during spinal needle puncture




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Ages Eligible for Study:   35 Years to 55 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Adults
  • ASA I or II status
  • Scheduled for trauma or orthopedic surgeries of lower leg in spinal anesthesia

Exclusion Criteria:

  • Patients with scoliosis
  • Degenerative spine deformity
  • A history of back surgery or back pain
  • Pregnancy
  • Perence of coagulopathy
  • Systemic or local infection
  • Allergy to amide-local anesthetics
  • Neurologic damages and mental disability
  • More than one spinal puncture attempt
  • Patient who was unable to estimate pain score
  • High Ramsay sedation score

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): NCT01157247


Locations
Croatia
University Hospital of Traumatology
Zagreb, Croatia, 10000
Sponsors and Collaborators
Croatian Society of Regional Anesthesia and Analgesia

Publications of Results:
ClinicalTrials.gov Identifier: NCT01157247     History of Changes
Other Study ID Numbers: CSRAA-CMA:007/03
First Posted: July 7, 2010    Key Record Dates
Last Update Posted: July 7, 2010
Last Verified: June 2010

Keywords provided by Croatian Society of Regional Anesthesia and Analgesia:
Anesthetic techniques
regional, spinal
Pain
lumbar puncture
Analgesia, local
Analgesia, intravenous

Additional relevant MeSH terms:
Anesthetics
Fentanyl
Anesthetics, Local
Central Nervous System Depressants
Physiological Effects of Drugs
Analgesics, Opioid
Narcotics
Analgesics
Sensory System Agents
Peripheral Nervous System Agents
Adjuvants, Anesthesia
Anesthetics, Intravenous
Anesthetics, General