Trial Outcomes & Findings for Effects of Epidural Local Anesthetics on Propofol Induction (NCT NCT02000973)

NCT ID: NCT02000973

Last Updated: 2014-05-16

Results Overview

The effect-site concentration of propofol when loss of consciousness during propofol target-controlled infusing(TCI) induction of anesthesia.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

80 participants

Primary outcome timeframe

Before starting anesthesia to finishing endotracheal intubation

Results posted on

2014-05-16

Participant Flow

Participant milestones

Participant milestones
Measure
Normal Saline
General anesthesia combined with thoracic epidural 0.9% normal saline
Lidocaine
General anesthesia combined with thoracic epidural 1% lidocaine
Bupivacaine
General anesthesia combined with thoracic epidural 0.25% bupivacaine
Ropivacaine
General anesthesia combined with thoracic epidural 0.3% ropivacaine
Overall Study
STARTED
20
20
20
20
Overall Study
COMPLETED
20
20
20
20
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effects of Epidural Local Anesthetics on Propofol Induction

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Normal Saline
n=20 Participants
General anesthesia combined with thoracic epidural 0.9% normal saline
Lidocaine
n=20 Participants
General anesthesia combined with thoracic epidural 1% lidocaine
Bupivacaine
n=20 Participants
General anesthesia combined with thoracic epidural 0.25% bupivacaine
Ropivacaine
n=20 Participants
General anesthesia combined with thoracic epidural 0.3% ropivacaine
Total
n=80 Participants
Total of all reporting groups
Age, Continuous
54 years
STANDARD_DEVIATION 6 • n=5 Participants
57 years
STANDARD_DEVIATION 6 • n=7 Participants
57 years
STANDARD_DEVIATION 6 • n=5 Participants
58 years
STANDARD_DEVIATION 6 • n=4 Participants
56 years
STANDARD_DEVIATION 6 • n=21 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
8 Participants
n=7 Participants
9 Participants
n=5 Participants
8 Participants
n=4 Participants
35 Participants
n=21 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
12 Participants
n=7 Participants
11 Participants
n=5 Participants
12 Participants
n=4 Participants
45 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Before starting anesthesia to finishing endotracheal intubation

The effect-site concentration of propofol when loss of consciousness during propofol target-controlled infusing(TCI) induction of anesthesia.

Outcome measures

Outcome measures
Measure
Normal Saline
n=20 Participants
General anesthesia combined with thoracic epidural 0.9% normal saline 8ml
Lidocaine
n=20 Participants
General anesthesia combined with thoracic epidural 1% lidocaine 8ml
Bupivacaine
n=20 Participants
General anesthesia combined with thoracic epidural 0.25% bupivacaine 8ml
Ropivacaine
n=20 Participants
General anesthesia combined with thoracic epidural 0.3% ropivacaine 8ml
Propofol Effect-site Concentration
1.76 ug/ml
Standard Deviation 0.44
1.14 ug/ml
Standard Deviation 0.35
1.09 ug/ml
Standard Deviation 0.39
1.04 ug/ml
Standard Deviation 0.18

SECONDARY outcome

Timeframe: Before starting anesthesia to finishing endotracheal intubation

The mean arterial pressure of each patient was recorded at five different time points

Outcome measures

Outcome measures
Measure
Normal Saline
n=20 Participants
General anesthesia combined with thoracic epidural 0.9% normal saline 8ml
Lidocaine
n=20 Participants
General anesthesia combined with thoracic epidural 1% lidocaine 8ml
Bupivacaine
n=20 Participants
General anesthesia combined with thoracic epidural 0.25% bupivacaine 8ml
Ropivacaine
n=20 Participants
General anesthesia combined with thoracic epidural 0.3% ropivacaine 8ml
Mean Arterial Pressure
Baseline
96.40 mmHg
Standard Deviation 13.82
99.65 mmHg
Standard Deviation 12.41
98.95 mmHg
Standard Deviation 11.92
98.25 mmHg
Standard Deviation 13.14
Mean Arterial Pressure
20minites after epidural injection
99.55 mmHg
Standard Deviation 14.65
96.25 mmHg
Standard Deviation 10.95
95.90 mmHg
Standard Deviation 10.95
95.40 mmHg
Standard Deviation 1.94
Mean Arterial Pressure
Loss of consciousness
86.75 mmHg
Standard Deviation 16.68
81.15 mmHg
Standard Deviation 7.53
81.05 mmHg
Standard Deviation 9.19
80.95 mmHg
Standard Deviation 12.87
Mean Arterial Pressure
Before endotracheal intubation
67.15 mmHg
Standard Deviation 12.87
62.30 mmHg
Standard Deviation 12.05
61.65 mmHg
Standard Deviation 8.72
60.60 mmHg
Standard Deviation 7.97
Mean Arterial Pressure
After endotracheal intubation
96.82 mmHg
Standard Deviation 17.57
84.68 mmHg
Standard Deviation 16.25
85.82 mmHg
Standard Deviation 10.63
86.12 mmHg
Standard Deviation 12.83

SECONDARY outcome

Timeframe: Before starting anesthesia to finishing endotracheal intubation

The heart rate of each patient was recorded at five different time points

Outcome measures

Outcome measures
Measure
Normal Saline
n=20 Participants
General anesthesia combined with thoracic epidural 0.9% normal saline 8ml
Lidocaine
n=20 Participants
General anesthesia combined with thoracic epidural 1% lidocaine 8ml
Bupivacaine
n=20 Participants
General anesthesia combined with thoracic epidural 0.25% bupivacaine 8ml
Ropivacaine
n=20 Participants
General anesthesia combined with thoracic epidural 0.3% ropivacaine 8ml
Heart Rate
Before endotracheal intubation
64.15 beats per minute
Standard Deviation 9.33
61.75 beats per minute
Standard Deviation 12.93
59.10 beats per minute
Standard Deviation 7.63
61.85 beats per minute
Standard Deviation 8.54
Heart Rate
Baseline
71.70 beats per minute
Standard Deviation 9.53
69.65 beats per minute
Standard Deviation 8.66
69.00 beats per minute
Standard Deviation 8.71
74.80 beats per minute
Standard Deviation 13.60
Heart Rate
20 minites after epidural injection
73.95 beats per minute
Standard Deviation 10.94
69.15 beats per minute
Standard Deviation 7.81
67.40 beats per minute
Standard Deviation 8.91
71.50 beats per minute
Standard Deviation 11.88
Heart Rate
Loss of consciousness
69.90 beats per minute
Standard Deviation 8.67
70.40 beats per minute
Standard Deviation 11.13
65.90 beats per minute
Standard Deviation 7.25
70.00 beats per minute
Standard Deviation 9.35
Heart Rate
After endotracheal intubation
88.00 beats per minute
Standard Deviation 12.59
76.70 beats per minute
Standard Deviation 14.24
75.10 beats per minute
Standard Deviation 10.67
79.45 beats per minute
Standard Deviation 10.99

SECONDARY outcome

Timeframe: Before starting anesthesia to finishing endotracheal intubation

The bispectral index(BIS) score of each patient was recorded at two different time points. BIS values varies from 0 to 100(0, no cerebral activity; 40 to 60, general anesthesia; 60 to 85, sedated; 85 to 100, awake).

Outcome measures

Outcome measures
Measure
Normal Saline
n=20 Participants
General anesthesia combined with thoracic epidural 0.9% normal saline 8ml
Lidocaine
n=20 Participants
General anesthesia combined with thoracic epidural 1% lidocaine 8ml
Bupivacaine
n=20 Participants
General anesthesia combined with thoracic epidural 0.25% bupivacaine 8ml
Ropivacaine
n=20 Participants
General anesthesia combined with thoracic epidural 0.3% ropivacaine 8ml
Bispectral Index Score
Baseline
96.67 units on a scale
Standard Deviation 1.63
96.70 units on a scale
Standard Deviation 1.49
97.07 units on a scale
Standard Deviation 1.41
96.94 units on a scale
Standard Deviation 1.18
Bispectral Index Score
20 minutes after epidural injection
96.20 units on a scale
Standard Deviation 2.34
90.00 units on a scale
Standard Deviation 6.33
92.43 units on a scale
Standard Deviation 4.47
89.12 units on a scale
Standard Deviation 5.61

Adverse Events

Normal Saline

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Lidocaine

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Bupivacaine

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Ropivacaine

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Jun Wang

First Hospital of China Medical University

Phone: 8602483283100

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place