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Trial registered on ANZCTR
Registration number
ACTRN12612000842864
Ethics application status
Approved
Date submitted
9/08/2012
Date registered
10/08/2012
Date last updated
16/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Plasma ropivacaine concentrations after ultrasound-guided transversus abdominis plane block, with and without adrenaline, for gynaecologic surgery
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Scientific title
Plasma ropivacaine concentrations after ultrasound-guided transversus abdominis plane block, with and without adrenaline, for gynaecologic surgery
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Secondary ID [1]
281000
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Nil
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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:
Plasma ropivacaine concentrations after ultrasound-guided transversus abdominis plane block, with and without adrenaline added.
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Condition category
Condition code
Anaesthesiology
287456
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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
Ultrasound-guided transversus abdominis plane block using ropivacine 0.2% (3mg/kg) with adrenaline 1:400,000 added, for postoperative analgesia after gynaecologic surgery
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Intervention code [1]
285458
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Treatment: Drugs
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Comparator / control treatment
Ultrasound-guided transversus abdominis plane block using ropivacine 0.2% (3mg/kg) without any adrenaline added, for postoperative analgesia after gynaecologic surgery
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Control group
Active
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Outcomes
Primary outcome [1]
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Plasma ropivacaine concentration
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Assessment method [1]
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Timepoint [1]
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10, 20, 30, 40, 50, 60, 90, 120, 150, 180 minutes after completion of the block injections.
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
Female patients more than 18 years of age undergoing elective gynaecological surgery and who are planned to receive transversus abdominis plane blocks will be included.
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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
Patients will be excluded if they have any allergy/sensitivity to local anaesthetic, infection at the site of block placement, pre-existing neurologic or muscular disease, bleeding tendency or evidence of coagulopathy, significant renal or liver dysfunction, or are pregnant.
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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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
1/09/2012
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Actual
10/09/2012
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Date of last participant enrolment
Anticipated
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Actual
18/03/2013
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Date of last data collection
Anticipated
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Actual
20/03/2013
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Sample size
Target
20
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Accrual to date
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Final
20
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Recruitment in Australia
Recruitment state(s)
NSW
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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 Prince Alfred Hospital
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Address [1]
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Missenden Rd
Camperdown NSW
2050
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
A/Prof John Loadsman
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Address
Anaesthetics
Royal Prince Alfred Hospital
Missenden Rd
Camperdown NSW
2050
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Ethics Review Committee, Royal Prince Alfred Hospital
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Ethics committee address [1]
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Research Development Office Royal Prince Alfred Hospital Missenden Rd Camperdown NSW 2050
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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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10/04/2012
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Approval date [1]
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05/07/2012
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Ethics approval number [1]
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X12-0115 & HREC/12/RPAH/197
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Summary
Brief summary
This study will investigate the effect of including a small amount of adrenaline in the local anaesthetic (ropivacaine) solution used for the abdominal wall nerve blocks commonly performed now to provide pain relief after abdominal surgery. Ropivacaine is commonly used for these nerve blocks because it is a longer-acting local anaesthetic. Adrenaline is a naturally occurring substance in the human body. It is commonly added to local anaesthetics to increase the duration of their effect, and to reduce the rate local anaesthetic is taken up into the blood stream (to limit the risk of side effects to the local anaesthetic). The specific purpose of this study is to determine how much, if at all, the inclusion of adrenaline reduces uptake of the local anaesthetic ropivacaine, with these particular blocks, and thus whether or not it increases the safety. Currently, adrenaline is routinely added to local anaesthesics for certain types of nerve blocks but its potential safety benefit in abdominal wall blocks using ropivacaine is unclear.
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Trial website
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Trial related presentations / publications
Loadsman J, Chan R, Pather S, Kam P. Plasma Ropivacaine Concentrations after Ultrasound-Guided Transversus Abdominis Plane Block, With and Without Adrenaline, for Gynaecologic Surgery. Australian Society of Anaesthetists National Scientific Congress, Canberra, Australian Capital Territory, Australia. September 2013.
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Public notes
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Contacts
Principal investigator
Name
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A/Prof John Loadsman
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Address
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Dept of Anaesthetics Royal Prince Alfred Hospital Missenden Rd Camperdown NSW 2050
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Country
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Australia
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Phone
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+61 2 95156111
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Fax
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+61 2 95192455
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Email
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http://anaes.med.usyd.edu.au/mail/messagejl.html
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Contact person for public queries
Name
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John Loadsman
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Address
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Dept of Anaesthetics
Royal Prince Alfred Hospital
Missenden Rd
Camperdown NSW 2050
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Country
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Australia
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Phone
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+61 2 95156111
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Fax
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+61 2 95192455
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Email
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http://anaes.med.usyd.edu.au/mail/messagejl.html
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Contact person for scientific queries
Name
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John Loadsman
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Address
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Dept of Anaesthetics
Royal Prince Alfred Hospital
Missenden Rd
Camperdown NSW 2050
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Country
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Australia
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Phone
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+61 2 95156111
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Fax
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+61 2 95192455
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Email
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http://anaes.med.usyd.edu.au/mail/messagejl.html
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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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