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Trial registered on ANZCTR
Registration number
ACTRN12613000829718
Ethics application status
Approved
Date submitted
22/07/2013
Date registered
26/07/2013
Date last updated
18/11/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effect of regional anaesthesia on the vessels of the upper limb in patients operated for vascular access
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Scientific title
Effect of brachial plexus block on regional hemodynamics of the upper limb in patients operated for vascular access : Supraclavicular approach versus infraclavicular approach
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Secondary ID [1]
282881
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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:
regional hemodynamics of the upper limb after brachial plexus block
289700
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Condition category
Condition code
Anaesthesiology
290022
290022
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0
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Other anaesthesiology
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Common management for both groups will include the following:
1. No pre-medication
2. Standard monitoring: ECG, non invasive blood pressure, oxymetry.
3. Peripheral venous cannulation
Supraclavicular (SB) group:
Supraclavicular block
15 ml lidocaine 2% + 15 ml bupivacaine 0.5% in a double point injection ultrasound guided supraclavicular brachial plexus block
Infraclavicular (IB) group:
Infraclavicular block
15 ml lidocaine 2% + 15 ml bupivacaine 0.5% in a triple point injection ultrasound guided infraclavicular brachial plexus block
The duration of each procedure is approximately 15 minutes
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Intervention code [1]
287583
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Treatment: Devices
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Intervention code [2]
287584
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Treatment: Surgery
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Comparator / control treatment
Infraclavicular block
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Control group
Active
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Outcomes
Primary outcome [1]
290072
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brachial artery blood flow measured with ultrasound-doppler at mid arm
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Assessment method [1]
290072
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Timepoint [1]
290072
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T0: before performing the block
T15: 15 minutes after the procedure is completed
T30: 30 minutes after the procedure is completed
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Primary outcome [2]
290073
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cephalic vein diameter measured with ultrasound at mid arm
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Assessment method [2]
290073
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Timepoint [2]
290073
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T0: before performing the block
T15: 15 minutes after the procedure is completed
T30: 30 minutes after the procedure is completed
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Primary outcome [3]
290074
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brachial artery pulsatility and resistivity indexes measured with ultrasound-doppler at mid arm
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Assessment method [3]
290074
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Timepoint [3]
290074
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T0: before performing the block
T15: 15 minutes after the procedure is completed
T30: 30 minutes after the procedure is completed
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Secondary outcome [1]
303888
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Success rate for surgical anaesthesia : seccess is defined by the absence of pain at skin incision
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Assessment method [1]
303888
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Timepoint [1]
303888
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40 minutes, after the procedure is completed
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Eligibility
Key inclusion criteria
Patients requiring hemodialysis and scheuled to elective confection of humeral-cephalic arteriovenous fistula under regional anaesthesia
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Minimum age
18
Years
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Maximum age
No limit
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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
1. Patient refusal
2. Allergy to local anesthetics
3. Existing neurological disorders, neuropathy of the operative extremity
4. Infection at site of needle puncture
5. Coagulation disorders
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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)
Subjects for the study will be recruited from the operating list
Allocation to study groups will use sealed opaque envelops.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated random number
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Masking / blinding
Open (masking not 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
Not Applicable
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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
8/06/2013
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Actual
1/07/2013
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Date of last participant enrolment
Anticipated
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Actual
15/08/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
5239
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Tunisia
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State/province [1]
5239
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Funding & Sponsors
Funding source category [1]
287669
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Hospital
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Name [1]
287669
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Military Hospital of Tunis
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Address [1]
287669
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Montfleury 1089 Tunis
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Country [1]
287669
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Tunisia
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Primary sponsor type
Hospital
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Name
Military Hospital of Tunis
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Address
Montfleury 1089 Tunis
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Country
Tunisia
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Secondary sponsor category [1]
286405
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None
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Name [1]
286405
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Address [1]
286405
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Country [1]
286405
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
289633
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Military Hospital of Tunis Local Ethics Committee
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Ethics committee address [1]
289633
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Military Hospital of Tunis Monfleury 1089 Tunis
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Ethics committee country [1]
289633
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Tunisia
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Date submitted for ethics approval [1]
289633
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Approval date [1]
289633
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04/06/2013
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Ethics approval number [1]
289633
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063/013
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Summary
Brief summary
To determine whether ultrasound guided supraclavicular block provides more important increase in brachial artery blood flow and more important vasodilation of the cephalic vein than infraclavicular block. If the primary hypothesis is confirmed, this study will provide evidence supporting the use of the supraclavicular block for the confection of humeral-cephalic arteriovenous fistula.
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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
41646
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Dr Radhouane Bousselmi
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Address
41646
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Military Hospital of Tunis
15 Avenue de la Republique
2000
Bardo
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Country
41646
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Tunisia
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Phone
41646
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+216 22 622 495
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Fax
41646
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Email
41646
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[email protected]
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Contact person for public queries
Name
41647
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Radhouane Bousselmi
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Address
41647
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Military Hospital of Tunis
15 Avenue de la Republique
2000
Bardo
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Country
41647
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Tunisia
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Phone
41647
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+216 22 622 495
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Fax
41647
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Email
41647
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[email protected]
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Contact person for scientific queries
Name
41648
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Radhouane Bousselmi
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Address
41648
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Military Hospital of Tunis
15 Avenue de la Republique
2000
Bardo
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Country
41648
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Tunisia
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Phone
41648
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+216 22 622 495
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Fax
41648
0
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Email
41648
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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.
Download to PDF