Subarachnoid Administration of Levobupivacaine for Cesarean Section

NCT ID: NCT01582607

Last Updated: 2012-04-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2/PHASE3

Total Enrollment

130 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-31

Study Completion Date

2012-05-31

Brief Summary

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The purpose of the investigators study is to compare the clinical effects and side-effects of these three local anaesthetics as sole agents or with the supplementation with fentanyl for c-section, especially when administered in doses achieving approximately an ED 50.

Detailed Description

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Intrathecal (i.t.) administration of isobaric bupivacaine, ropivacaine and levobupivacaine with or without addition of fentanyl for c-section do not exist to date .

Parturients scheduled for elective caesarean section will be allocated to receive double-blindly i.t. isobaric bupivacaine 10 mg, ropivacaine 15mg , levobupivacaine 10mg or the same local anaesthetics with 10 μg fentanyl respectively. Sensory block (pin prick test) and motor block (Bromage scale) profile, intraoperative and postoperative analgesia, haemodynamics and side effects will be assessed.

Conditions

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Stillborn Caesarean Section

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Group B

subarachnoid administration of 2.0 mL (10mg) plain bupivacaine hydrochloride 0.5%

Group Type ACTIVE_COMPARATOR

Bupivacaine plain

Intervention Type DRUG

2.0 mL (10mg) plain bupivacaine hydrochloride 0.5% intrathecally

Group R

subarachnoid administration of 2.0 ml (15mg) plain ropivacaine 0.75%

Group Type ACTIVE_COMPARATOR

Ropivacaine plain

Intervention Type DRUG

2.0 ml (15mg) plain ropivacaine 0.75% intrathecally

Group LB

subarachnoid administration of 2.0 ml (10mg) plain levo-bupivacaine hydrochloride 0.5%

Group Type ACTIVE_COMPARATOR

Levobupivacaine plain

Intervention Type DRUG

2.0 ml (10mg) plain levo-bupivacaine hydrochloride 0.5% intrathecally

Group RF

subarachnoid administration of 2.0 ml (15mg) plain ropivacaine 0.75% with 0.2 ml (10 μg) fentanyl

Group Type ACTIVE_COMPARATOR

ropivacaine plain +. fentanyl

Intervention Type DRUG

2.0 ml (15mg) plain ropivacaine 0.75% with 0.2 ml (10 μg) fentanyl intrathecally

Group BF

subarachnoid administration of 2.0 ml (10mg) plain bupivacaine 0.5% with 0.2 ml (10 μg) fentanyl

Group Type ACTIVE_COMPARATOR

bupivacaine plain +fentanyl

Intervention Type DRUG

2.0 ml (10mg) plain bupivacaine 0.5% with 0.2 ml (10 μg) fentanyl intrathecally

Group LBF

subarachnoid administration of 2.0 ml (10mg) plain levo-bupivacaine 0.5% with 0.2 ml (10 μg) fentanyl

Group Type ACTIVE_COMPARATOR

Levobupivacaine plain +fentanyl

Intervention Type DRUG

2.0 ml (10mg) plain levo-bupivacaine 0.5% with 0.2 ml (10 μg) fentanyl intrathecally

Interventions

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Bupivacaine plain

2.0 mL (10mg) plain bupivacaine hydrochloride 0.5% intrathecally

Intervention Type DRUG

Ropivacaine plain

2.0 ml (15mg) plain ropivacaine 0.75% intrathecally

Intervention Type DRUG

Levobupivacaine plain

2.0 ml (10mg) plain levo-bupivacaine hydrochloride 0.5% intrathecally

Intervention Type DRUG

bupivacaine plain +fentanyl

2.0 ml (10mg) plain bupivacaine 0.5% with 0.2 ml (10 μg) fentanyl intrathecally

Intervention Type DRUG

ropivacaine plain +. fentanyl

2.0 ml (15mg) plain ropivacaine 0.75% with 0.2 ml (10 μg) fentanyl intrathecally

Intervention Type DRUG

Levobupivacaine plain +fentanyl

2.0 ml (10mg) plain levo-bupivacaine 0.5% with 0.2 ml (10 μg) fentanyl intrathecally

Intervention Type DRUG

Other Intervention Names

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Marcaine Spinal 5 mg/ml, AstraZeneca Naropeine 7.5mg/ml, AstraZeneca Chirocaine 5mg/ml, Abbott Laboratories Marcaine Spinal 5 mg/ml Fentanyl, 50μg/ml, Janssen-Cilag, Belgium Naropeine 7.5mg/ml, AstraZeneca Fentanyl, 50μg/ml, Janssen-Cilag, Belgium Chirocaine 5mg/ml, Abbott laboratories Fentanyl, 50μg/ml, Janssen-Cilag, Belgium

Eligibility Criteria

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Inclusion Criteria

* Parturients scheduled for elective c section
* Stillborn
* Normal cardiotocogram

Exclusion Criteria

* BMI\>35kg/m2
* Height \<150cm or \>185cm
* Age (\<18, \>40)
* ASA \> II
* Multiple gestation
* Pregnancy complications (eclampsia, GDP, placenta previa, \>2 previous c section)
* Contraindication to spinal anaesthesia
* Failure to educate the patient, language barrier
* Patient preferred GA
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Patras

OTHER

Sponsor Role lead

Responsible Party

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Nikolaos G. Flaris

Anesthesiologist,MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nikolaos G Flaris, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Patras

Kriton S Filos, Professor

Role: STUDY_DIRECTOR

University Hospital of Patras

Locations

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University Hospital of Patras, Department of Anesthesiology

Pátrai, Achaia, Greece

Site Status RECRUITING

Countries

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Greece

Central Contacts

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Kriton S Filos, Professor

Role: CONTACT

2610999341 ext. 0030

Facility Contacts

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Kriton S Filos, Professor

Role: primary

+302610999341

Nikolaos G Flaris, MD

Role: backup

+306936622601

Other Identifiers

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3089

Identifier Type: -

Identifier Source: org_study_id

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