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Trial registered on ANZCTR
Registration number
ACTRN12611000930987
Ethics application status
Approved
Date submitted
30/08/2011
Date registered
30/08/2011
Date last updated
9/05/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Comparing the ProSeal laryngeal mask airway with standard endotracheal tube in gynaecological laparoscopy
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Scientific title
A single blinded, randomised controlled trial in women undergoing intermediate-duration gynaecological laparoscopy comparing the ProSeal (TM) laryngeal mask airway and the endotracheal tube.
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Secondary ID [1]
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Nil
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Universal Trial Number (UTN)
U1111-1124-1766
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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:
Post operative pain
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Condition category
Condition code
Anaesthesiology
270858
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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
ProSeal (TM) laryngeal mask airway.
The airway device will be inserted once the patient is anaesthetised, using a "railroad" technique over a bougie placed in the oesophagus by laryngoscopy.
The cuff will be inflated and the pressure adjusted to 60 cmH20 using a hand pressure gauge.
The airway device will remain in place for the duration of the surgical procedure. The device will be removed from the airway immediately prior to emergence from general anaesthesia.
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Intervention code [1]
269299
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Treatment: Devices
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Comparator / control treatment
Standard Mallinckrodt endo-tracheal tube.
Following the induction of general anaesthesia, the patient will have a laryngoscopy performed, and then a standard size 7mm endotracheal tube will be inserted into the trachea. The cuff will be inflated and the pressure checked at 20 cmH20 using a hand pressure gauge.
The airway device will remain in place for the duration of the surgical procedure. The device will be removed from the airway immediately prior to emergence from general anaesthesia.
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Control group
Active
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Outcomes
Primary outcome [1]
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Post-operative pain
A verbal analogue scale (VAS) pain score will be recorded.
A quantitative assessment will be made of the consumption of analgesics prescribed on an as needed basis (prn) - morphine in the first two hours and oxycodone thereafter.
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Assessment method [1]
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Timepoint [1]
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2 hours and 24 hours post-operatively
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Primary outcome [2]
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Post-operative nausea and vomiting
The patient will be asked if they have suffered from nausea (yes/no) or vomiting (yes/no). Also, whether they have required any antiemetic medications to be administered and whether they have been effective.
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Assessment method [2]
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Timepoint [2]
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2 hours and 24 hours post-operatively
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Secondary outcome [1]
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Post-operative sore throat
Patients will be asked whether they have a sore throat (yes/no)
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Assessment method [1]
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Timepoint [1]
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2 hours and 24 hours post-operatively
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Secondary outcome [2]
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Post-operative hoarse voice
Patients will be asked if they have a hoarse voice (yes/no)
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Assessment method [2]
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Timepoint [2]
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2 hours and 24 hours post-operatively
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Eligibility
Key inclusion criteria
Adult female patients undergoing relaxant general anaesthesia for intermediate-duration gynaecological laparoscopy
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Anticipated surgical duration less than 30 minutes or greater than 120 minutes
Contraindications to the use of a LMA in laparoscopic surgery - obesity, symptoms of gastroesophageal reflux, known or anticipated difficult airway
Contraindications to any study drug (including morphine and parecoxib)
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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)
Investigator meets patient and provides written information, obtains written consent.
Study pack is provided to treating anaesthetist, including allocation in a sealed opaque envelope
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated random number sequence, block randomised
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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
Efficacy
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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
13/10/2009
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Actual
13/10/2009
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Date of last participant enrolment
Anticipated
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Actual
7/09/2011
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
120
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Royal Women's Hospital
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Address [1]
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Flemington Rd
Parkville, Vic. 3052
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr James Griffiths
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Address
Department of Anaesthesia
Royal Women's Hospital
Flemington Rd
Parkville, Vic. 3052
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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A/Prof Daryl Williams
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Address [1]
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Department of Anaesthesia
Royal Melbourne Hospital
Parkville, Vic 3052
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Ethics and Research Committees, Royal Women's Hospital
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Ethics committee address [1]
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Royal Women's Hospital Flemington Rd Parkville, Vic 3052
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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01/10/2009
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Ethics approval number [1]
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09/37
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Summary
Brief summary
The trial aims to assess whether in women undergoing simple gynaecological laparoscopy, the Proseal (TM) airway device reduces post-operative pain and/or nausea and vomiting. We will also assess whether the device reduces sore throat or hoarse voice.
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Trial website
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Trial related presentations / publications
Griffiths JD, Nguyen M, Lau H, Grant S, Williams D. A Prospective Randomised Comparison of the LMA-ProSeal (Trademark) versus endotracheal tube on the severity of post-operative pain following gynaecological laparoscopy. Anaesth Intensive Care 2013; 41: 46-50
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Public notes
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Contacts
Principal investigator
Name
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Dr James Griffiths
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Address
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Royal Womens Hospital
20 Flemington Rd
Parkville Vic 3052
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Country
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Australia
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Phone
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+61383452000
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr James Griffiths
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Address
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Department of Anaesthesia
Royal Women's Hospital
Flemington Rd
PARKVILLE Vic 3052
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Country
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Australia
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Phone
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+61383452000
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Fax
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+61383452379
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr James Griffiths
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Address
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Department of Anaesthesia
Royal Women's Hospital
Flemington Rd
PARKVILLE Vic 3052
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Country
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Australia
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Phone
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+61383452000
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Fax
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+61383452379
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Email
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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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