Pain Clinical Trial
Official title:
Effects of Intravenous Lidocaine on Transperitoneal Laparoscopic Urological Surgery: A Prospective, Randomised, Placebo Controlled, Double-blind, Phase III Study
Verified date | March 2011 |
Source | University Hospital Inselspital, Berne |
Contact | n/a |
Is FDA regulated | No |
Health authority | Switzerland: Swissmedic |
Study type | Interventional |
Effective perioperative analgesia is the key to postoperative rehabilitation. An intriguing body of evidence suggests that short-term administration of intravenous lidocaine may produce pain relief that far exceeds both the duration of infusion and the half-life of the drug. When pain relief is provided, concomitant anal-gesic medication can be reduced, side effects from pain relieving medication minimized with a potential for a more rapid postoperative recovery and less complications. IV application of lidocaine should de-crease the duration of bowel dysfunction. We hypothesise that i.v. application of lidocaine in a standard antiarrythmic dose can significantly improve acute rehabilitation after laparoscopic urological surgery and so shorten the hospital stay (primary outcome). We expect that the intraoperative inflammatory response can significantly be reduced.
Status | Completed |
Enrollment | 76 |
Est. completion date | March 2011 |
Est. primary completion date | March 2011 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - Written informed consent - ASA 1 to 3 - Laparoscopic transperitoneal urological surgery Exclusion Criteria: - Liver insufficiency - Steroid therapy - Chronic opioid therapy - Allergy to lidocaine - Pre-existing disorder of the gastrointestinal tract - AV-block II-III, sinusbradycardia, heart insufficiency, long QT-syndrome - Pregnancy |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Supportive Care
Country | Name | City | State |
---|---|---|---|
Switzerland | Dep. of Urology, Bern University Hospital | Bern |
Lead Sponsor | Collaborator |
---|---|
University Hospital Inselspital, Berne |
Switzerland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Hospital stay | end of hospitalisation | No | |
Secondary | change in pain score | 2 and 4 h postop and 3*/d on day 1 and 2 | No | |
Secondary | changes in fatigue score | 2 and 4 h postop and 3*/d on day 1 and 2 | No | |
Secondary | PONV | 2 and 4 h postop and 3*/d on day 1 and 2 | No | |
Secondary | time to first episode of flatus and defecation | 2 and 4 h postop and 3*/d on day 1 and 2 | No | |
Secondary | changes in metabolic and inflammatory responses (cortisol, glc, CRP and procalcitonin) | preoperatively and on day 1 and 2 in the morning | No |
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