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Trial registered on ANZCTR
Registration number
ACTRN12613000054718
Ethics application status
Approved
Date submitted
9/01/2013
Date registered
16/01/2013
Date last updated
16/01/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effect of Rocuronium and Sugammadex on Myalgia and Headache After Electro-Convulsive Therapy
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Scientific title
Does Rocuronium-sugammadex reduce Myalgia and headache after ECT in patients with major depression?
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Secondary ID [1]
281743
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no
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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:
Myalgia after electroconvulsive therapy (ECT)
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Headache after electroconvulsive therapy (ECT)
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Major depression
288103
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Condition category
Condition code
Anaesthesiology
288425
288425
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0
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Pain management
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Mental Health
288426
288426
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0
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Twenty one patients for group R undergoing ECT were included in the study. Anesthesia induction was provided with propofol 1 mg/kg IV and rocuronium 0,3 mg/kg IV in the Group R (n=21). Electroshock was applied after obtaining full muscular relaxation. Sugammadex 4 mg/kg IV was administered to after the motor seizure. Receiving ECT three times a week to complete an average of 6 to 12 treatments. The first three ECT sessions were included in the study. The patients were evaluated as regards the time of start of spontaneous respiration following the induction, time of opening the eyes in response to verbal stimuli, and VAS scores for myalgia and headache at hours 2, 6, 12 and 24 following the ECT.
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Intervention code [1]
286281
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Treatment: Drugs
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Comparator / control treatment
Twenty Four for group S patients undergoing ECT were included in the study. Anesthesia induction was provided with propofol 1 mg/kg intravenously (IV) and succinylcholine 1 mg/kg IV in the Group S (n=24), Electroshock was applied after obtaining full muscular relaxation. Receiving ECT three times a week to complete an average of 6 to 12 treatments. The first three ECT sessions were included in the study. The patients were evaluated as regards the time of start of spontaneous respiration following the induction, time of opening the eyes in response to verbal stimuli, and VAS scores for myalgia and headache at hours 2, 6, 12 and 24 following the ECT.
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Control group
Active
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Outcomes
Primary outcome [1]
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Compare the effects of succinylcholine and rocuronium-sugammadex on visual analogue scale (VAS) myalgia and headache after ECT
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Assessment method [1]
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Timepoint [1]
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Visual analogue scale (VAS) myalgia and headache was measured after 2, 6, 12 and 24 hours following each ECT session.
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Secondary outcome [1]
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the awakening time (spontaneous respiration and opening the eyes in response to verbal stimuli) in group R and group S.
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Assessment method [1]
300546
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Timepoint [1]
300546
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Measured from the time of anaesthesia induction until awakening time.
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Eligibility
Key inclusion criteria
who would receive ECT three times a week due to major depression, without a history of ECT in the past, between 18-65 years of age, and had a physical status of ASA I and II. Of the 6-12 sessions of ECT, the first three were included in the study.
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Minimum age
18
Years
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Maximum age
65
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
Patients with neuromuscular, cardio-vascular and renal disease, and those who were pregnant and patients with pre-existing chronic pain were excluded from the study.
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Study design
Purpose of the study
Prevention
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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?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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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
1/02/2012
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Actual
6/02/2012
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Date of last participant enrolment
Anticipated
15/06/2012
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Actual
20/07/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
48
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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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Recruitment outside Australia
Country [1]
4783
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Turkey
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State/province [1]
4783
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Gazizantep
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Gaziantep University
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Address [1]
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Gaziantep University Medical Faculty,
Department of Anesthesiology and Reanimation ,
27310 Sahinbey,
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Country [1]
286532
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Turkey
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Primary sponsor type
University
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Name
Gaziantep University
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Address
Gaziantep University Medical Faculty,
Department of Anesthesiology and Reanimation ,
27310 Sahinbey,
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Country
Turkey
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Secondary sponsor category [1]
285320
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None
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Name [1]
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Address [1]
285320
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Country [1]
285320
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
Abstract Introduction: Myalgia and headache are frequently observed conditions after electroconvulsive therapy (ECT). In this study, we aimed to compare the effects of succinylcholine and rocuronium-sugammadex on myalgia and headache after ECT. Material and Method: Forty five patients undergoing ECT were included in the study. Anesthesia induction was provided with propofol 1 mg/kg and succinylcholine 1 mg/kg in the Group S (n=24), and with propofol 1 mg/kg and rocuronium 0,3 mg/kg in the Group R (n=21). Electroshock was applied after obtaining full muscular relaxation. Sugammadex 4 mg/kg was administered to the group R after the motor seizure. The first three ECT sessions of all the patients were evaluated as regards the time of start of spontaneous respiration following the induction, time of opening the eyes in response to verbal stimuli, and VAS scores for myalgia and headache at hours 2, 6, 12 and 24 following the ECT. Results: There were no significant differences as regards demographic data and hemodynamic data upon comparison of the two groups. The times for the start of the spontaneous respiration and opening the eyes in response to verbal stimuli were found significantly shorter in all the three sessions in the Group R as compared to the Group S (p<0,002). MyalgiaVAS scores at hours 2, 6 and 12 and the headache VAS scores at hours 2 and 6 were significantly higher in the Group S as compared to the Group R (p<0,015). Conclusion: We concluded that the rate of myalgia and headache after ECT was significantly lower in group R than in group S and also the awakening time (spontaneous respiration and opening the eyes in response to verbal stimuli) in group R was significantly shorter than in group S. Key Words: Electroconvulsive therapy, succinylcholine, sugammadex, myalgia, headache
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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
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Dr Vahap Saricicek
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Address
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Gaziantep University Medical Faculty,
Department of Anesthesiology and Reanimation ,
27310 Sahinbey,
Gaziantep, TURKEY
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Country
36894
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Turkey
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Phone
36894
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+90 5335491664
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Fax
36894
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Email
36894
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[email protected]
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Contact person for public queries
Name
36895
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Vahap saricicek
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Address
36895
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Gaziantep University Medical Faculty,
Department of Anesthesiology and Reanimation ,
27310 Sahinbey,
Gaziantep, TURKE
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Country
36895
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Turkey
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Phone
36895
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+90 5335491664
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Fax
36895
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Email
36895
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[email protected]
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Contact person for scientific queries
Name
36896
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Levent Sahin
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Address
36896
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Gaziantep University Medical Faculty,
Department of Anesthesiology and Reanimation ,
27310 Sahinbey,
Gaziantep, TURKE
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Country
36896
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Turkey
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Phone
36896
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+90 3423606060-77804
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Fax
36896
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Email
36896
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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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