The Effect of Administration of Low Dose Adrenaline During Surgery on Bleeding During Hip Surgery

NCT ID: NCT01708642

Last Updated: 2015-02-18

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

106 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Study Completion Date

2013-09-30

Brief Summary

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The purpose of this study is to evaluate the effect of intraoperative administration of low-dose adrenaline on intraoperative blood loss in patients undergoing hip surgery.

Detailed Description

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Hip arthroplasty is associated with bleeding, anemia and the need for allogeneic transfusion. Administration of low-dose adrenaline activates the coagulation system and may decrease intraoperative and immediate postoperative bleeding. Thus, the aim of this study is to evaluation whether intraoperative IV-administration of low-dose adrenaline reduces bleeding in elective total hip arthroplasty.

Conditions

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Intraoperative Blood Loss

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Adrenaline

Intraoperative low-dose adrenaline infusion

Group Type EXPERIMENTAL

Adrenaline

Intervention Type DRUG

Adrenaline infusion 0.05 microgram / kg / minute

Placebo

Placebo: Isotonic Saline

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Intraoperative isotonic saline infusion as placebo for adrenaline.

Interventions

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Adrenaline

Adrenaline infusion 0.05 microgram / kg / minute

Intervention Type DRUG

Placebo

Intraoperative isotonic saline infusion as placebo for adrenaline.

Intervention Type DRUG

Other Intervention Names

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Ephinephrine

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years.
* Scheduled for primary unilateral hip arthroplasty
* Able to give consent

Exclusion Criteria

* Allergy towards adrenaline
* Current treatment with: ADP receptor inhibitors or Vitamin K antagonists (within 5 days), Factor Xa inhibitors or Thrombin inhibitors (within 1 day), heparin (excluding low molecular weight heparin for perioperative thromboprophylaxis).
* Current treatment with tricyclic antidepressants
* Use of MAO inhibitors (within previous 14 days) or COMT inhibitors (within 2 days).
* Acute coronary syndrome / myocardial infarction within the previous 6 months.
* not willing to accept blood transfusion
* Participation in other clinical trial within previous 30 days
* Women of childbearing age (without menopause for at least 12 months)
* Glaucoma
* Pheochromocytoma
* Low serum K+ (\< 3.0 mmol/L)
* Thyrotoxicosis
* Digoxin intoxication
* Alcohol og drug abuse (investigators judgement)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rigshospitalet, Denmark

OTHER

Sponsor Role lead

Responsible Party

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Oeivind Jans

M.D, Research Fellow

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Pär I Johanssion, M.D., DMsc.

Role: STUDY_CHAIR

Rigshospitalet, Section for transfusion medicine

Oeivind Jans, M.D.

Role: PRINCIPAL_INVESTIGATOR

Rigshospitalet, Section for Surgical Pathophysiology

Locations

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Gentofte Hospital, Department of Anaesthesia

Hellerup, , Denmark

Site Status

Hvidovre Hospital, Department of orthopaedic surgery

Hvidovre, , Denmark

Site Status

Vejle Sygehus, Department of orthopedic surgery

Vejle, , Denmark

Site Status

Countries

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Denmark

References

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Jans O, Grevstad U, Mandoe H, Kehlet H, Johansson PI. A randomized trial of the effect of low dose epinephrine infusion in addition to tranexamic acid on blood loss during total hip arthroplasty. Br J Anaesth. 2016 Mar;116(3):357-62. doi: 10.1093/bja/aev408. Epub 2016 Jan 27.

Reference Type DERIVED
PMID: 26821696 (View on PubMed)

Other Identifiers

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2012-002889-12

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

RH-4074-OJ2

Identifier Type: -

Identifier Source: org_study_id

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