Mandibular Neoplasms Clinical Trial
Official title:
Inferior Alveolar Nerve Block for Intraoperative Analgesia for Maxillofacial Cancer Surgery Requiring Unilateral Mandibular Resection-A Randomized Controlled Study
Verified date | November 2016 |
Source | Tata Memorial Centre |
Contact | n/a |
Is FDA regulated | No |
Health authority | India: Institutional Review Board |
Study type | Interventional |
Mandibular resection which is an important component of maxillofacial cancer surgery is an extremely painful procedure associated with severe sympathetic response needing high doses of opioids. Inferior alveolar nerve block is a common nerve block used by dentists for mandibular dental extractions. The aim of this trial is to study the effect of this block for intraoperative analgesia in maxillofacial cancer surgeries requiring unilateral mandibular resection.
Status | Completed |
Enrollment | 50 |
Est. completion date | October 2016 |
Est. primary completion date | October 2016 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 75 Years |
Eligibility |
Inclusion Criteria: - All patients between the age of 18 and 75 yrs classified as ASA I and II physical status requiring maxillofacial cancer surgery requiring unilateral mandibular resection and unilateral neck dissection Exclusion Criteria: - - surgery involving upper alveolar / maxillary resection - patients with BMI below 18kg/m2 and above 30kg/m2 - allergy to local anaesthetic agent - Inability to give inferior alveolar nerve block due to any cause e.g. restricted mouth opening, obscured landmark or infection at site - pregnant women - patients unable to give valid consent e.g. patients with learning difficulties - patients on medications for hypertension - patients with preoperative pain requiring regular pain medications - uncontrolled haemodynamic status e.g. baseline arterial blood pressure above 160 /90 and baseline HR above 100 /min |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
India | Tata Memorial Hospital | Mumbai |
Lead Sponsor | Collaborator |
---|---|
Tata Memorial Centre |
India,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | IV fentanyl requirement during primary tumour removal | The total IV fentanyl dose required during primary tumour removal will be noted | From start to finish ofprimary tumour removal procedure | No |
Secondary | IV fentanyl requirement during neck dissection and primary tumour removal | The total IV fentanyl dose required during neck dissection and primary tumour removal will be noted | From start to finish of neck dissection and primary tumour removal | No |
Secondary | Maximum change in heart rate from baseline during primary tumour removal | From start to finish of primary tumour removal procedure | No | |
Secondary | Maximum change in blood pressure from baseline during primary tumour removal | From start to finish of primary tumour removal procedure | No | |
Secondary | Need for rescue analgesics or vasoactive agents during primary tumour removal | From start to finish of primary tumour removal procedure | No |
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