Trial Outcomes & Findings for Evaluation of the Duration of Bupivacaine Spinal Block in Orthopedic Procedures With and Without Epinephrine Wash (NCT NCT02619409)

NCT ID: NCT02619409

Last Updated: 2023-06-06

Results Overview

Duration of the sensory block at the T12 dermatome will be assessed in the post operative phase

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

30 participants

Primary outcome timeframe

12 hours

Results posted on

2023-06-06

Participant Flow

Participant milestones

Participant milestones
Measure
Bupivacaine Only
The bupivacaine only group will receive bupivacaine 0.5% 3cc plus sterile saline 0.1cc. Bupivacaine Only: The bupivacaine only group will receive bupivacaine 0.5% 3cc plus sterile saline 0.1cc.
EPI25 Group
The EPI25 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.025cc, and sterile saline 0.075cc. EPI25: The EPI25 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.025cc, and sterile saline 0.075cc.
EPI50 Group
The EPI50 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.05cc, and sterile saline 0.05cc. EPI50 group: The EPI50 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.05cc, and sterile saline 0.05cc
EPI75 Group
The EPI75 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.075 cc, and sterile saline 0.025%. EPI75 group: The EPI75 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.075cc, and sterile saline 0.025%.
EPI100 Group
The EPI100 group will receive bupivacaine 0.5% 3cc, and epinephrine 1:1000 0.1cc EPI100 group: The EPI100 group will receive bupivacaine 0.5% 3cc, and epinephrine 1:1000 0.1cc.
Overall Study
STARTED
6
6
6
6
6
Overall Study
COMPLETED
6
6
6
6
6
Overall Study
NOT COMPLETED
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Evaluation of the Duration of Bupivacaine Spinal Block in Orthopedic Procedures With and Without Epinephrine Wash

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bupivacaine Only
n=6 Participants
The bupivacaine only group will receive bupivacaine 0.5% 3cc plus sterile saline 0.1cc. Bupivacaine Only: The bupivacaine only group will receive bupivacaine 0.5% 3cc plus sterile saline 0.1cc.
EPI25 Group
n=6 Participants
The EPI25 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.025cc, and sterile saline 0.075cc. EPI25: The EPI25 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.025cc, and sterile saline 0.075cc.
EPI50 Group
n=6 Participants
The EPI50 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.05cc, and sterile saline 0.05cc. EPI50 group: The EPI50 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.05cc, and sterile saline 0.05cc
EPI75 Group
n=6 Participants
The EPI75 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.075 cc, and sterile saline 0.025%. EPI75 group: The EPI75 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.075cc, and sterile saline 0.025%.
EPI100 Group
n=6 Participants
The EPI100 group will receive bupivacaine 0.5% 3cc, and epinephrine 1:1000 0.1cc EPI100 group: The EPI100 group will receive bupivacaine 0.5% 3cc, and epinephrine 1:1000 0.1cc.
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
70 years
n=5 Participants
63 years
n=7 Participants
58 years
n=5 Participants
67 years
n=4 Participants
59 years
n=21 Participants
64 years
n=8 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
2 Participants
n=4 Participants
5 Participants
n=21 Participants
20 Participants
n=8 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
4 Participants
n=4 Participants
1 Participants
n=21 Participants
10 Participants
n=8 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
1 Participants
n=8 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
0 Participants
n=21 Participants
7 Participants
n=8 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
5 Participants
n=7 Participants
4 Participants
n=5 Participants
4 Participants
n=4 Participants
6 Participants
n=21 Participants
22 Participants
n=8 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants

PRIMARY outcome

Timeframe: 12 hours

Duration of the sensory block at the T12 dermatome will be assessed in the post operative phase

Outcome measures

Outcome measures
Measure
Bupivacaine Only
n=6 Participants
The bupivacaine only group will receive bupivacaine 0.5% 3cc plus sterile saline 0.1cc. Bupivacaine Only: The bupivacaine only group will receive bupivacaine 0.5% 3cc plus sterile saline 0.1cc.
EPI25 Group
n=6 Participants
The EPI25 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.025cc, and sterile saline 0.075cc. EPI25: The EPI25 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.025cc, and sterile saline 0.075cc.
EPI50 Group
n=6 Participants
The EPI50 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.05cc, and sterile saline 0.05cc. EPI50 group: The EPI50 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.05cc, and sterile saline 0.05cc
EPI75 Group
n=6 Participants
The EPI75 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.075 cc, and sterile saline 0.025%. EPI75 group: The EPI75 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.075cc, and sterile saline 0.025%.
EPI100 Group
n=6 Participants
The EPI100 group will receive bupivacaine 0.5% 3cc, and epinephrine 1:1000 0.1cc EPI100 group: The EPI100 group will receive bupivacaine 0.5% 3cc, and epinephrine 1:1000 0.1cc.
Duration of Sensory Block
3.41 hours
Standard Deviation 1.37
2.81 hours
Standard Deviation 0.42
3.23 hours
Standard Deviation 0.72
3.12 hours
Standard Deviation 0.61
3.22 hours
Standard Deviation 1.02

PRIMARY outcome

Timeframe: 12 hours

(hip felxion) of the non operative leg

Outcome measures

Outcome measures
Measure
Bupivacaine Only
n=6 Participants
The bupivacaine only group will receive bupivacaine 0.5% 3cc plus sterile saline 0.1cc. Bupivacaine Only: The bupivacaine only group will receive bupivacaine 0.5% 3cc plus sterile saline 0.1cc.
EPI25 Group
n=6 Participants
The EPI25 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.025cc, and sterile saline 0.075cc. EPI25: The EPI25 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.025cc, and sterile saline 0.075cc.
EPI50 Group
n=6 Participants
The EPI50 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.05cc, and sterile saline 0.05cc. EPI50 group: The EPI50 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.05cc, and sterile saline 0.05cc
EPI75 Group
n=6 Participants
The EPI75 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.075 cc, and sterile saline 0.025%. EPI75 group: The EPI75 group will receive bupivacaine 0.5% 3cc, epinephrine 1:1000 0.075cc, and sterile saline 0.025%.
EPI100 Group
n=6 Participants
The EPI100 group will receive bupivacaine 0.5% 3cc, and epinephrine 1:1000 0.1cc EPI100 group: The EPI100 group will receive bupivacaine 0.5% 3cc, and epinephrine 1:1000 0.1cc.
Duration of Motor Block
3.74 hours
Standard Deviation 1.13
3.36 hours
Standard Deviation 0.47
3.39 hours
Standard Deviation 0.60
4.06 hours
Standard Deviation 0.98
5.20 hours
Standard Deviation 1.41

Adverse Events

Bupivacaine Only

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

EPI25 Group

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

EPI50 Group

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

EPI75 Group

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

EPI100 Group

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

Dr. Eric Bolin

Medical University of South Carolina

Phone: 8437922322

Results disclosure agreements

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