Comparison Between Vapocoolant Spray and Eutectic Mixture of Local Anesthetics in Reducing Pain From Spinal Injection

NCT ID: NCT03134391

Last Updated: 2017-08-18

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

NA

Total Enrollment

97 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-08-01

Study Completion Date

2017-05-31

Brief Summary

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This study aimed to evaluate the effect of vapocoolant spray and EMLA in reducing pain from spinal injection

Detailed Description

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Approval from Ethical Committee of Faculty of Medicine Universitas Indonesia was acquired prior conducting the study. Subjects were given informed consent before enrolling the study and randomized into two groups (Vapocoolant spray group and eutectic mixture local anesthetics (EMLA) group). Intravenous (IV) cannulae with Ringer Acetate fluid, non-invasive blood pressure monitor, and pulse-oxymetry were set on the subjects in the operation room. Vital signs were recorded. Patients were positioned in sitting position and were instructed to flex their head and bend their back. Identification of intervertebral space L4-5 were performed. Asepsis and antisepsis procedure were performed. The Vapocoolant spray group received vapocoolant spray at a distance of 10 cm for 2 seconds and we waited for 10 seconds. The EMLA group received EMLA cream which consisted of 2.5% lidocaine and 2.5 % prilocaine in 2 ml of water/oil emulsion and then they received tegaderm as the dressing for 45-60 minutes before the cream was wiped off. Spinal injection using 27G needle were performed after the intervention to each groups. Needle bevels were aligned parallel to dura fibres. Patients' visual analog score (VAS) and movements were recorded. Evaluation was only done in the first injection attempt, and was followed until the depth of the needle was around 5 mm. After the injection was successfully performed, patients' position were changed into supine position. Evaluation and recording were performed by person who was blinded from the intervention. Vital signs were recorded for every 3 minutes in the first 15 minutes, and then every 5 minutes until the end of the procedure.

Conditions

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Adult Patient Undergoing Elective Surgery With Spinal Anesthesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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vapocoolant spray

Subjects received Vapocoolant spray before spinal anesthesia

Group Type ACTIVE_COMPARATOR

Vapocoolant spray, EMLA

Intervention Type DRUG

Subjects were given vapocoolant spray to reduce pain from spinal injection; subjects were given EMLA to reduce pain from spinal injection

EMLA

Subjects received EMLA before spinal anesthesia

Group Type ACTIVE_COMPARATOR

Vapocoolant spray, EMLA

Intervention Type DRUG

Subjects were given vapocoolant spray to reduce pain from spinal injection; subjects were given EMLA to reduce pain from spinal injection

Interventions

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Vapocoolant spray, EMLA

Subjects were given vapocoolant spray to reduce pain from spinal injection; subjects were given EMLA to reduce pain from spinal injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* woman aged \>18 years old
* American Society of Anesthesiologists (ASA) physical status I-III who were planned to undergo one-day care elective surgery at operating room in spinal anesthesia
* patients who were planned to undergo brachytherapy

Exclusion Criteria

* Subjects with history of allergy to anesthetic agents
* unstable hemodynamic
* history of active psychotropic drug consumption
* spinal anesthesia contraindications such as local infection, severe coagulopathy, severe hypovolemia, or increased intracranial pressure
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Indonesia University

OTHER

Sponsor Role lead

Responsible Party

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Riyadh Firdaus

Anesthesiologist Consultant

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Cipto Mangunkusumo Cental National Hospital

Jakarta, DKI Jakarta, Indonesia

Site Status

Countries

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Indonesia

References

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Bujedo BM. Current evidence for spinal opioid selection in postoperative pain. Korean J Pain. 2014 Jul;27(3):200-9. doi: 10.3344/kjp.2014.27.3.200. Epub 2014 Jun 30.

Reference Type BACKGROUND
PMID: 25031805 (View on PubMed)

Bujedo BM, Santos SG, Azpiazu AU. A review of epidural and intrathecal opioids used in the management of postoperative pain. J Opioid Manag. 2012 May-Jun;8(3):177-92. doi: 10.5055/jom.2012.0114.

Reference Type BACKGROUND
PMID: 22798178 (View on PubMed)

Kim SH, Jeon DH, Chang CH, Lee SJ, Shin YS. Spinal anesthesia with isobaric tetracaine in patients with previous lumbar spinal surgery. Yonsei Med J. 2009 Apr 30;50(2):252-6. doi: 10.3349/ymj.2009.50.2.252.

Reference Type RESULT
PMID: 19430559 (View on PubMed)

Related Links

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https://synapse.koreamed.org/DOIx.php?id=10.4097/kjae.2008.54.4.395&vmode=PUBREADER

Kim YJ, Jung MH, Choi YR, Park HJ, Won RS, Lee JY, et al. The analgesic efficacy of a 5% eutectic mixture of lidocaine and prilocaine prior to insertion of spinal and epidural block. Korean J of Anesthesiol. 2008;54(4):395-9.

Other Identifiers

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IndonesiaUAnes012

Identifier Type: -

Identifier Source: org_study_id

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