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Trial registered on ANZCTR
Registration number
ACTRN12610000930088
Ethics application status
Approved
Date submitted
30/10/2010
Date registered
2/11/2010
Date last updated
2/11/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
Are the combined use of the target-controlled infusion of remifentanil with desflurane during the maintenance phase of general anesthesia lowering the end-tidal concentration of desflurane?
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Scientific title
In patients undergoing surgeries pertaining to the muscular skeletal system, are the combined use of the target-controlled infusion of remifentanil with desflurane during the maintenance phase of general anesthesia lowering the end-tidal concentration of desflurane compared with desflurane only group?
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Secondary ID [1]
252989
0
none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
end-tidal concentration of desflurane in patients undergoing surgeries pertaining skeletal muscular system
258526
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Condition category
Condition code
Anaesthesiology
258685
258685
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
arm 1: maintenance of anesthesia was done with desflurane and effect target controlled concentration 1ng/ml of intravenous remifentanil during the surgery.
arm 2: maintenance of anesthesia was done with desflurane and effect target controlled concentration 2ng/ml of intravenous remifentanil during the surgery
Effect target concentration of remifentanil was achieved with TCI (Target controlled infusion, MODULE DPS ORCHESTRA IS3, Fesenius Vial, France).
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Intervention code [1]
257510
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Treatment: Drugs
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Comparator / control treatment
Control group: maintenance of anesthesia was done with desflurane only
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Control group
Active
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Outcomes
Primary outcome [1]
259545
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end tidal concentration of desflurane was measured using an anesthetic gas monitoring system(S/5 TM compact anesthesia monitor; Datex-Ohmeda, Tewksbury, MA, USA)
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Assessment method [1]
259545
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Timepoint [1]
259545
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5 minute interval from after the 10 minute period of surgical incision to before the 10 minute period of operation end
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Secondary outcome [1]
266161
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mean arterial pressure was measured using anesthetic monitoring system(S/5 TM; Datex-Ohmeda, Tewksbury, MA, USA)
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Assessment method [1]
266161
0
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Timepoint [1]
266161
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5 minute interval from after the 10 minute period of surgical incision to before the 10 minute period of operation end
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Secondary outcome [2]
266162
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heart rate was measured using anesthetic monitoring system(S/5 TM; Datex-Ohmeda, Tewksbury, MA, USA)
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Assessment method [2]
266162
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Timepoint [2]
266162
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5 minute interval from after the 10 minute period of surgical incision to before the 10 minute period of operation end
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Secondary outcome [3]
266163
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Existence of awareness during surgery was asked by an investigator.
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Assessment method [3]
266163
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Timepoint [3]
266163
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the day after surgery
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Eligibility
Key inclusion criteria
the patients undergoing surgeries pertaing muscular skeletal system, without the change of body positioning and expected to have a blood loss rate lower than 200ml
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Minimum age
20
Years
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Maximum age
49
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
body weight lower than 45 kg or greater than 100 kg, history of severe underlying cardiovascular, pulmonary, renal or hepatic disease.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The details of the series are kept in a set of sealed envelopes, each bearing only the case number on the outside. After admitting into the operating room and just before the induction of anaesthesia, the numbered envelope was opened and the card inside determined which group the patient would be affiliated to.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomization into one of the four groups was based on Excel random-number generation.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Pharmacokinetics / pharmacodynamics
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/03/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
90
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3009
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Korea, Republic Of
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State/province [1]
3009
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Funding & Sponsors
Funding source category [1]
257962
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Hospital
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Name [1]
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Samsung Changwon Hospital
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Address [1]
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50, Hapsung-Dong, Masanheiwon-Ku, Changwon-Si, Kyungsangnam-Do 630-522
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Country [1]
257962
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Korea, Republic Of
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Primary sponsor type
Hospital
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Name
Samsung Changwon Hospital
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Address
50, Hapsung-Dong, Masanheiwon-Ku, Changwon-Si, Kyungsangnam-Do 630-522
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Country
Korea, Republic Of
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Secondary sponsor category [1]
257162
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Hospital
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Name [1]
257162
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Chung-Ang University Hospital
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Address [1]
257162
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224-1 Heukseok-dong, Dongjak-gu Seoul, 156-755
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Country [1]
257162
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Korea, Republic Of
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259972
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Institutional Board of Samsung Changwon Hospital
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Ethics committee address [1]
259972
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50, Hapsung-Dong, Masanheiwon-Ku, Changwon-Si, Kyungsangnam-Do 630-522
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Ethics committee country [1]
259972
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Korea, Republic Of
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Date submitted for ethics approval [1]
259972
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01/02/2009
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Approval date [1]
259972
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25/02/2009
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Ethics approval number [1]
259972
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Summary
Brief summary
Desflurane is a widely used inhalational anesthetic. It allows for rapid anesthesia induction, rapid recovery of consciousness, and for the recovery of the general motor function. Its shortcomings are that it causes airway irritation, and increases cerebral blood flow (CBF), and in intracranial pressure (ICP). Furthermore, when a high concentration is administered, it stimulates the sympathetic nervous system. Remifentanil is a synthetic opioid that is a specific µ-receptor agonist. When used together with desflurane, remifentanil is considered to be able to make up for the limitations of desflurane and reduce MAC of the anesthetic vapor when maintaining anesthesia. The goals of this study were to determine the effects of a target-controlled concentration of remifentanil combined with desflurane for decreasing end-tidal concentration of desflurane.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
31850
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Address
31850
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Myoung Keun Shin
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Address
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Department of Anesthesiology, Samsung Changwon Hospital, 50, Hapsung-Dong, Masanheiwon-Ku, Changwon-Si, Kyungsangnam-Do 630-522
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Country
15097
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Korea, Republic Of
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Phone
15097
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+82-55-290-6072, 6078
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Fax
15097
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Email
15097
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[email protected]
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Contact person for scientific queries
Name
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Hyun Kang
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Address
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Department of Anaesthesiology and Pain Medicine Chung-Ang University College of Medicine 224-1 Heukseok-dong, Dongjak-gu Seoul, 156-755, Korea
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Country
6025
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Korea, Republic Of
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Phone
6025
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+82-2-6299-2571, 2579, 2586
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Fax
6025
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Email
6025
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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