Tizanidine and Superficial Cervical Block on Pain After Thyroidectomy

NCT ID: NCT02725359

Last Updated: 2016-12-20

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-30

Study Completion Date

2016-12-31

Brief Summary

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Thyroid surgery is a quite painful procedure performed in a sensitive skin area of the human body. Unless pain is treated adequately thyroid surgery may cause severe postoperative pain and discomfort for the patients.

a2-Agonists are sympatholytic and centrally acting antihypertensive agents. In addition to their hypotensive effect, a2-agonists are also used in anesthetic practice for their sedative and analgesic effects. Tizanidine is a centrally acting a2-agonist with muscle relaxant, sedative and anxiolytic properties. This drug is widely used for the treatment of spasticity and has recently been used to treat musculoskeletal pain conditions.

Ultrasound (US) guidance during regional anesthesia practices has been a revolutionary advancement to improve success and safety of regional anesthesia. Analgesic effect of US guidance superficial cervical plexus block (SCPB) in patients undergoing thyroid surgery has not been reported yet.

The aim of this study was to evaluate the analgesic effect of preemptive oral single dose tizanidine and US guidance SCPB in patients undergoing elective thyroid surgery. The investigators hypothesis that: Tizanidine and US guided SCPB can reduce the pain scores, analgesic consumption, analgesic related side effects.

Detailed Description

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Conditions

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Thyroidectomy

Keywords

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Thyroidectomy pain Tizanidine Postoperative analgesia Ultrasound guided Superficial cervical plexus block

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Placebo

Group Placebo (Group P) will receive placebo 1 hour before surgery and bilateral superficial cervical block with saline 10 ml each side

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Group Placebo: will receive a placebo pill 1 hour before surgery

Saline

Intervention Type DRUG

USG guided SCPB with saline bilaterally 10 ml each side

Tizanidine

Group Tizanidine (Group T) will receive 6 mg tizanidine 1 hour before surgery and bilateral superficial cervical block with %0.25 bupivacaine 10ml each side

Group Type EXPERIMENTAL

Tizanidine

Intervention Type DRUG

Group T: 6 mg tizanidine1 hour before surgery

Bupivacaine

Intervention Type DRUG

Group Bupivacaine will receive USG guided SCPB with %0,25 bupivacaine bilaterally 10 ml each side

Bupivacaine

Group Bupivacaine will receive placebo 1 hour before surgery and bilateral superficial cervical block with %0.25 bupivacaine 10ml each side

Group Type ACTIVE_COMPARATOR

Placebo

Intervention Type DRUG

Group Placebo: will receive a placebo pill 1 hour before surgery

Bupivacaine

Intervention Type DRUG

Group Bupivacaine will receive USG guided SCPB with %0,25 bupivacaine bilaterally 10 ml each side

Interventions

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Placebo

Group Placebo: will receive a placebo pill 1 hour before surgery

Intervention Type DRUG

Tizanidine

Group T: 6 mg tizanidine1 hour before surgery

Intervention Type DRUG

Bupivacaine

Group Bupivacaine will receive USG guided SCPB with %0,25 bupivacaine bilaterally 10 ml each side

Intervention Type DRUG

Saline

USG guided SCPB with saline bilaterally 10 ml each side

Intervention Type DRUG

Other Intervention Names

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Placebo pill Sirdalud MR Saline block

Eligibility Criteria

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Inclusion Criteria

* American Society of Anesthesiologist's physiologic state I-III patients undergoing thyroidectomy

Exclusion Criteria

* chronic pain
* bleeding disorders
* renal or hepatic insufficiency
* patients on chronic non-steroidal anti-inflammatory medications
* recurrent goiter
* emergency cases
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ataturk University

OTHER

Sponsor Role lead

Responsible Party

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Ali Ahiskalioglu

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ali Ahiskalioglu, Ass.Prof.

Role: PRINCIPAL_INVESTIGATOR

Ataturk University Anesthesiology and Reanimation

Locations

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Ataturk University

Yakutiye, Erzurum, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Talakoub R, Abbasi S, Maghami E, Zavareh SM. The effect of oral tizanidine on postoperative pain relief after elective laparoscopic cholecystectomy. Adv Biomed Res. 2016 Feb 8;5:19. doi: 10.4103/2277-9175.175905. eCollection 2016.

Reference Type BACKGROUND
PMID: 26962521 (View on PubMed)

Gurkan Y, Tas Z, Toker K, Solak M. Ultrasound guided bilateral cervical plexus block reduces postoperative opioid consumption following thyroid surgery. J Clin Monit Comput. 2015 Oct;29(5):579-84. doi: 10.1007/s10877-014-9635-x. Epub 2014 Oct 26.

Reference Type BACKGROUND
PMID: 25344881 (View on PubMed)

Ahiskalioglu A, Yayik AM, Oral Ahiskalioglu E, Dostbil A, Doymus O, Karadeniz E, Ari MA, Sengoz F, Alici HA, Celik EC. Ultrasound-guided bilateral superficial cervical block and preemptive single-dose oral tizanidine for post-thyroidectomy pain: a randomized-controlled double-blind study. J Anesth. 2018 Apr;32(2):219-226. doi: 10.1007/s00540-018-2468-x. Epub 2018 Feb 21.

Reference Type DERIVED
PMID: 29468508 (View on PubMed)

Yazicioglu D, Caparlar C, Akkaya T, Mercan U, Kulacoglu H. Tizanidine for the management of acute postoperative pain after inguinal hernia repair: A placebo-controlled double-blind trial. Eur J Anaesthesiol. 2016 Mar;33(3):215-22. doi: 10.1097/EJA.0000000000000371.

Reference Type BACKGROUND
PMID: 26555871 (View on PubMed)

Other Identifiers

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AUTF ANESTHESIA

Identifier Type: -

Identifier Source: org_study_id