UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000022372
Receipt number R000025382
Scientific Title Estimation of the Region Blocked by Epidural Anesthesia based on Skin Temperature Change, and Research on Improving Postoperative Analgesia
Date of disclosure of the study information 2016/06/01
Last modified on 2023/11/06 10:59:56

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Basic information

Public title

Estimation of the Region Blocked by Epidural Anesthesia based on Skin Temperature Change, and Research on Improving Postoperative Analgesia

Acronym

Estimation of the Region Blocked by Epidural Anesthesia based on Skin Temperature Change, and Research on Improving Postoperative Analgesia

Scientific Title

Estimation of the Region Blocked by Epidural Anesthesia based on Skin Temperature Change, and Research on Improving Postoperative Analgesia

Scientific Title:Acronym

Estimation of the Region Blocked by Epidural Anesthesia based on Skin Temperature Change, and Research on Improving Postoperative Analgesia

Region

Japan


Condition

Condition

Patients who are scheduled to undergo combined general and epidural anesthesia at our hospital.

Classification by specialty

Operative medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Continuous epidural anesthesia with local anesthetics is useful as a postoperative analgesic. However, its effect decreases if the anesthetic area is not sufficiently large; on the other hand, if the anesthetic area is too large, adverse reactions such as a decrease in blood pressure may occur because of sympathetic ganglion block. Ideally, an anesthetic area should spread from the wound site to an adequately large area in a seamless manner, starting from the perioperative phase to the postoperative phase. However, a detailed patient interview for evaluating skin sensation cannot be conducted immediately after general anesthesia. Thus, in this study, a thermographic camera will be used to indirectly evaluate the analgesic area of continuous epidural anesthesia; the usefulness of this method for postoperative analgesia will also be assessed.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

An epidural anesthetic will be continuously administered starting 30-60 minutes before the completion of surgery. After the patient awakens from the general anesthesia, a thermographic camera will be used to determine how many segments the wound site is apart from the site of the sympathetic ganglion block. Although it is an unlikely event, if the analgesic effect is assessed to be inadequate (less than 2 segments), 3 ml of 0.2% ropivacaine will be added; on the other hand, if the effect is assessed to be excessive(>5 segments), the flow rate of continuous anesthesia will be decreased. The severity of postoperative pain will be assessed by ward nurses on a 4-point scale based on the amount of rescue analgesic administered to the patient.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine Other

Interventions/Control_1

An epidural anesthetic will be continuously administered starting 30-60 minutes before the completion of surgery. After the patient awakens from the general anesthesia, a thermographic camera will be used to determine how many segments the wound site is apart from the site of the sympathetic ganglion block. Although it is an unlikely event, if the analgesic effect is assessed to be inadequate(less than 2 segments), 3 ml of 0.2% ropivacaine will be added; on the other hand, if the effect is assessed to be excessive(>5 segments), the flow rate of continuous anesthesia will be decreased.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

100 years-old >=

Gender

Male and Female

Key inclusion criteria

Among patients who are scheduled to undergo combined general and epidural anesthesia at our hospital, those who agree to participate in our study will be selected as study subjects.

Key exclusion criteria

None.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Taeko
Middle name
Last name Fukuda

Organization

Kasumigaura Medical Center

Division name

Department of Anesthesiology

Zip code

305-8585

Address

2-7-4 Shimotatatsu Tsuchiura-shi IB

TEL

029-822-5050

Email

kasumi@kasumi.hosp.go.jp


Public contact

Name of contact person

1st name Taeko
Middle name
Last name Fukuda

Organization

Kasumigaura Medical Center

Division name

Department of Anesthesiology

Zip code

305-8585

Address

2-7-4 Shimotatatsu Tsuchiura-shi IB

TEL

029-822-5050

Homepage URL


Email

kasumi@kasumi.hosp.go.jp


Sponsor or person

Institute

Kasumigaura Medical Center

Institute

Department

Personal name



Funding Source

Organization

Not applicable

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kasumigaura Medical Center

Address

Ibaraki, Tsuchiura-city, Shimotakatsu 2-7-14

Tel

029-822-5050

Email

029-822-5050


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2016 Year 06 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2016 Year 02 Month 10 Day

Date of IRB

2016 Year 03 Month 22 Day

Anticipated trial start date

2016 Year 03 Month 22 Day

Last follow-up date

2018 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 05 Month 20 Day

Last modified on

2023 Year 11 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000025382


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name