Ultra-sounded Guided Regional Blockade for Lipoma Excision

NCT ID: NCT02753361

Last Updated: 2017-10-19

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

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-05-31

Study Completion Date

2016-12-07

Brief Summary

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There is limited information on using the ultrasonography for block placement concerning lipoma excision. A new type of regional blockade, performed under ultrasound, can ensure proper block placement with accurate local anesthetics deposition. Investigators hypothesized that ultrasound guidance can reduce the number of needle passes to complete the block placement. Investigators will compare namely ultrasound guided regional blockade and traditional method regarding the number of needle passes to complete the block placement.

Detailed Description

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50 patients between the ages of 18 and 60 years with American Society of Anesthesiologists (ASA) physical status I-III, scheduled for superficial subcutaneous lipoma (sized from 5 to 7 cm) excision will be enrolled in prospective comparative randomized clinical study.

Patients will be randomized into two groups: U (n = 25), in whom regional blockade was performed using US-guidance; and C (n = 25), in whom regional block was performed using the traditional method. Patients will be randomly assigned on a one-to-one ratio. Randomization will be performed by means of a computer generated random-numbers table. Group allocation will be concealed in sealed opaque envelopes that will not opened until patient consent had been obtained.

All patients will be pre-medicated with oral diazepam (7.5 mg) 30 min before the procedure, and IV fentanyl (50 ug) will be administered 5 minutes before placement of the block. Before the procedure, an IV access and standard monitoring of electrocardiogram (ECG), noninvasive blood pressure (NIBP), and peripheral oxygen saturation (SPO2) will be established.

Primary outcome includes the number of needle attempts (number of skin punctures and needle redirections) needed to complete the block placement. It will be documented by an investigator blinded to the aim of the study. Patient demographics, duration of surgery, patient's ASA physical status and other study outcomes will be documented by independent investigators who were not involved in the block placement procedure and were blinded to the group assignment.

Conditions

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Lipomas

Keywords

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Ultrasound regional blockade lipoma

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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Traditional

This will utilize the traditional method of performance of regional block

Group Type NO_INTERVENTION

No interventions assigned to this group

US-guided

In this arm, regional block will be performed under the ultrasound guidance

Group Type EXPERIMENTAL

Ultrasound guidance

Intervention Type PROCEDURE

In the second arm, ultrasound will be used to guide the regional block

Interventions

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Ultrasound guidance

In the second arm, ultrasound will be used to guide the regional block

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients between the ages of 18 and 60 years
* American Society of Anesthesiologists (ASA) physical status I-III
* Superficial subcutaneous lipoma excision surgery (sized from 5 to 7 cm)
* Able to provide informed consent
* Consent to participates
* Single procedure

Exclusion Criteria

* Unable to consent
* Do not consent to participate
* Patients with local infections in the skin over lipoma
* Patients with history of allergy to local anesthetics
* More than one procedure is being performed at the same setting
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Suez Canal University

OTHER

Sponsor Role lead

Responsible Party

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Tarek F.Tammam

Tarek F.Tammam, M.D., Ph.D, Department of Anesthesia and Intensive Care, Faculty of Medicine, Suez Canal University Hospital, Egypt

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tarek F. Tammam, Prof.

Role: STUDY_DIRECTOR

Suez Canal university,Faculty of Medicine

Locations

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Suez canal University hospital

Ismailia, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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Suez Canal University

Identifier Type: REGISTRY

Identifier Source: secondary_id

TTammam

Identifier Type: -

Identifier Source: org_study_id