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Trial registered on ANZCTR
Registration number
ACTRN12615000372583
Ethics application status
Approved
Date submitted
10/02/2015
Date registered
23/04/2015
Date last updated
23/04/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effect of adding ketamine infusion to propofol sedation on hemodynamic changes and recovery in patients undergoing elective lower limb surgery under spinal anaesthesia
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Scientific title
Addition of ketamine infusion to propofol sedation with spinal anesthesia in patients undergoing elective lower limb surgery: Hemodynamic changes, Recovery Profile
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Secondary ID [1]
286145
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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:
sedation for elective lower limb surgery
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Condition category
Condition code
Anaesthesiology
294481
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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
Intravenous infusions of propofol alone and ketamine combined with propofol during sedation. In group P: Propofol infusion dose is 25-75 mcg/kg/min and titrated according to Ramsey Sedation Score. In group KP: Propofol was managed like in Group P and ketamine dose is 1/3 of propofol in terms of mg.
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Intervention code [1]
291152
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Treatment: Drugs
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Comparator / control treatment
In group P: Propofol infusion dose is 25-75 mcg/kg/min
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Control group
Active
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Outcomes
Primary outcome [1]
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To observe difference in terms of hemodymanic parameters which were heart rate with electrocardiogram, noninvasive systolic, diastolic, mean blood pressure, peripheral oxygen saturation with pulse oxymetry.
(composite outcome)
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Assessment method [1]
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Timepoint [1]
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All measurements done every 5 minutes during surgery.
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Primary outcome [2]
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Recovery profile assessed with mini mentel state examination
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Assessment method [2]
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Timepoint [2]
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MMSE done first preoperatively and secondly thirty minutes after the sedation ending.
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Secondary outcome [1]
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Side effects of ketamine infusion like agitation, vomiting, emergence reactions.
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Assessment method [1]
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Timepoint [1]
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During sedation and in thirty minutes of the recovery period
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Secondary outcome [2]
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Patient satisfaction were evaluated postoperatively
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Assessment method [2]
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Timepoint [2]
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Postoperative questionnaire administered post-operatively on a three-point scale (1 = bad, 2 = borderline 3 = good)
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Secondary outcome [3]
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Surgeon satisfaction were evaluated postoperatively
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Assessment method [3]
314122
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Timepoint [3]
314122
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Postoperative questionnaire administered post-operatively on a three-point scale (1 = bad, 2 = borderline 3 = good)
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Eligibility
Key inclusion criteria
25-80 years old
Both gender
Candidate of elective lower limb surgery
Do not have contraindications for spinal anesthesia
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Minimum age
25
Years
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Maximum age
80
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 a allergic reaction to propofol or ketamine, obesity (BMI greater than or equal to 35) , uncontrolled hypertension ( greater than 170/100mmHg), clinically significant cardiac, pulmonary, hepatic, renal dysfunction, psychiatric disorders, neurologic impairment were exluded from study.
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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)
Sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people administering the treatment/s
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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
Safety/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
1/07/2014
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Actual
7/07/2014
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Date of last participant enrolment
Anticipated
6/10/2014
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Actual
6/10/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
61
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
6649
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Turkey
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State/province [1]
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Ankara
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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None
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Address [1]
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None
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Country [1]
290720
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Primary sponsor type
Individual
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Name
Aysu Hayriye Tezcan
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Address
Talatpasa Avenue, Ankara Numune Education and Research Hospital, Postcode: 06100, City: Ankara
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Country
Turkey
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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]
289408
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292358
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TC Saglik Bakanligi Ilac ve Tibbi Cihaz Kurumu Klinik Arastirmalar Baskanligi
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Ethics committee address [1]
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TC SB Ilac ve Tibbi Cihaz Kurumu Street No:2176 N: 5 Postcode: 06520 Sogutozu/Cankaya/ANKARA
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Ethics committee country [1]
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Turkey
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Date submitted for ethics approval [1]
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28/05/2014
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Approval date [1]
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06/06/2014
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Ethics approval number [1]
292358
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Summary
Brief summary
We tried to evaluate the difference between two sedation drugs with the route of ; propofol alone intravenous infusion and ketamine-propofol combined intravenous infusion. We studied during lower limb surgery with spinal anesthesia. And observed patients hemodynamic values, mini mental state examination scores, postoperative events, satisfaction scores.
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Trial website
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Trial related presentations / publications
Not published or presented. Only submitted to European Journal of Anesthesia a few days ago and is under editor assessment.
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Public notes
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Contacts
Principal investigator
Name
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Dr Aysu Hayriye Tezcan
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Address
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Talatpasa Avenue, Ankara Numune Education and Research Hospital, Postcode: 06100, City:Ankara
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Country
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Turkey
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Phone
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+90 5326735711
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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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Aysu Hayriye Tezcan
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Address
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Talatpasa Avenue, Ankara Numune Education and Research Hospital, Postcode: 06100, City:Ankara
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Country
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Turkey
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Phone
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+90 5326735711
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Fax
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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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Aysu Hayriye Tezcan
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Address
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Talatpasa Avenue Ankara Numune Education and Research Hospital. Postcode: 06100, City:Ankara
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Country
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Turkey
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Phone
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+90 5326735711
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Fax
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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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