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Anesthesia for day-case arthroscopic knee surgery in adult patients.


- candidate number8140
- NTR NumberNTR2370
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR13-jun-2010
- Secondary IDsM10-1035 METC Catharina-ziekenhuis
- Public TitleAnesthesia for day-case arthroscopic knee surgery in adult patients.
- Scientific TitleAnesthesia for day-case arthroscopic knee surgery in adult patients; A comparison of a ultrasound guided sciatic-femoral nerve block with spinal and general anesthesia, a randomized controlled, blinded trial.
- ACRONYMAnesthesia, Artroscopic knee surgery, Sciatis-femoral nerve block, general anesthesia, spinal anesthesia
- hypothesisTo find the anesthetic technique with the highest success rate in adult patients for ambulatory arthroscopic knee surgery in day-case setting, we studied whether a sciatic-femoral nerve block is a better technique than general or spinal anesthesia.
- Healt Condition(s) or Problem(s) studiedAnesthesia, Artroscopic knee surgery, Sciatis-femoral nerve block, General anesthesia, Spinal anesthesia
- Inclusion criteria1. ASA physical status I II;
2. Aged 18 75 years;
3. Scheduled to have elective ambulatory arthroscopic knee surgery.
- Exclusion criteria1. Contraindications to regional anesthesia (e.g., allergy, bleeding disorders, localized infection and neurologic disease);
2. Respiratory or cardiac disease;
3. Morbid obesity (body mass index > 35 kg/m2);
4. Diabetes or peripheral neuropathy;
5. Receiving chronic analgesic therapy.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingSingle
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-jul-2010
- planned closingdate1-jul-2011
- Target number of participants300
- InterventionsThe patients will get randomized to receive one of the three anesthetic techniques by computer randomization:
1. Spinal anesthesia;
2. A sciatic-femoral nerve block;
3. General anesthesia.
- Primary outcomeThe primary outcome measure is time to home discharge.
- Secondary outcomeSecondary outcomes are duration of preparation and recovery time of the anesthetic technique, surgical conditions with the used anesthetic technique, duration of the surgical procedure and patients satisfaction.
- TimepointsWe measure the preparation time of the anesthetic technique from skin disinfection or start with preoxygenation (t=1) until the moment the patient is back in supine position or the end of induction when the LMA is in situ (t=2). Duration of the surgery is measured from skin disinfection (t=3) until bandaging (t=4). Recovery times are measured from arrival at the PACU (t=5) until discharge from the hospital (t=6). The total time the patient spends at the operation complex is measured from arrival at the holding area (t=0) until home discharge (t=6).
- Trial web siteN/A
- statusplanned
- CONTACT FOR PUBLIC QUERIES F.H.J. Loon, van
- CONTACT for SCIENTIFIC QUERIES F.H.J. Loon, van
- Sponsor/Initiator Catharina Hospital Eindhoven
- Funding
(Source(s) of Monetary or Material Support)
Catharina Hospital Eindhoven,
- PublicationsN/A
- Brief summaryBackground of the study: Day-case surgery has a high patients turnover. Different anesthetic techniques could be an obstruction for this high patients turnover, because they could take a lot of time. In this study, we are looking for the anesthetic technique which garantees the high patients turnover, and for this reason is time efficient. The anesthestic technique also has to deal with patients satisfaction and take care for good perioperative and surgical conditions. In this study, we want to find the anesthetic technique with the best patients satisfaction, best surgical and anesthesiological conditions and the technique with the highest time efficiency. We compare three anesthetic techniques. This study is a prospective, randomised and blinded trial. Patients get randomised to one of three anesthetic techniques; spinal anesthesia, general anesthesia or a sciatic-femoral nerve block. We will measure different characteristics before, during and after the procedure; like time, surgical conditions and satisfaction, patients satisfaction and anesthetic conditions. The study population will consist of healthy, adult patients in the age of 18-75 years, in ASA-class I-II, who get operated for arthroscopic knee surgery. Primary study outcome is time to home discharge of the patient. Secundary study outcomes are preparation times of the anesthetic technique, during times of operation and recovery. Patients, surgeons and anesthesists satisfaction also will be measured. Conditions of anesthetic techniques will be measured with accurate tests.
- Main changes (audit trail)
- RECORD13-jun-2010 - 28-jun-2010


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