Effect of 2% Lignocaine Solution in Pain During Removal of Nasal Pack

NCT ID: NCT03602287

Last Updated: 2018-09-24

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-01

Study Completion Date

2018-08-01

Brief Summary

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To evaluate the efficacy of rehydration of Merocel nasal packs with 2% Lignocaine on reducing pain and discomfort during nasal pack removal in patients undergoing septoplasty.

Detailed Description

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This study will be carried out in patients who have undergone septoplasty for deviated nasal septum under general anesthesia, and who are categorized as American Society of Anesthesiologists (ASA) grade I to II. Consent will be obtained from the patient for the same.

Septoplasty will be carried out under general anesthesia and in all patients Merocel nasal packs (expandable polyvinyl acetate nasal packing) that expand upon contact with fluid will be used.

The postoperative analgesia will include Ibuprofen 400mg + Paracetamol 500mg combination thrice daily and Ketorolac 30mg intravenous when needed. The packs will be removed on the second postoperative day, 48 hours after packing.

During nasal pack removal, the subjects will be randomly divided into 2 groups: the Lignocaine group (2% lignocaine HCl) and the Normal saline group (0.9% NaCl) using simple random sampling by lottery method. Subjects won't know which group they belong to and what medication they will be receiving. A 23-gauge needle will be used for direct application of the treatment to the Merocel, with care taken not to touch the patient.

In the Lignocaine group, 2.5 ml of 2% of lignocaine is diluted with 2.5 ml of distilled water, and the 5ml solution will be injected into the Merocel pack 15 minutes before removal of the pack. Nothing will be done to the opposite nostril, which would act as a control.

In the Normal saline group, 5 ml of normal saline was injected into the Merocel pack 15 minutes before removal of the pack. Nothing will be done to the opposite nostril.

All patients will be blinded to which group they belong and which solution was being kept in their pack.

All patients will be asked to evaluate the severity of pain during removal of nasal packing by Visual Analogue Scale (VAS) (range, 0-10; 0 = no pain and 10 = intolerable pain).

Adverse events such as vomiting and nausea will be recorded. These procedures will be done by the same team to minimize observer variations.

Conditions

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Nasal Pack Removal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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2% lignocaine

In the Lignocaine group, 2.5 ml of 2% of lignocaine is diluted with 2.5 ml of distilled water, and the 5ml solution will be injected into the Merocel pack 15 minutes before removal of the pack. Nothing will be done to the opposite nostril, which would act as a control.

Group Type ACTIVE_COMPARATOR

Lignocaine 2% Injection 20Ml Vial (Product)

Intervention Type DRUG

2.5 ml of 2% of lignocaine is diluted with 2.5 ml of distilled water, and the 5ml solution will be injected into the Merocel pack 15 minutes before removal of the pack

Normal saline

In the Normal saline group, 5 ml of normal saline was injected into the Merocel pack 15 minutes before removal of the pack. Nothing will be done to the opposite nostril.

Group Type PLACEBO_COMPARATOR

Normal saline

Intervention Type DRUG

5 ml of normal saline was injected into the Merocel pack 15 minutes before removal of the pack

Interventions

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Lignocaine 2% Injection 20Ml Vial (Product)

2.5 ml of 2% of lignocaine is diluted with 2.5 ml of distilled water, and the 5ml solution will be injected into the Merocel pack 15 minutes before removal of the pack

Intervention Type DRUG

Normal saline

5 ml of normal saline was injected into the Merocel pack 15 minutes before removal of the pack

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Symptomatic deviated nasal septum undergone Septoplasty surgery with bilateral anterior nasal packing

Exclusion Criteria

* History of previous nasal surgeries
* Nasal polyposis
* Allergic rhinitis
* Chronic sinusitis
* Patient with neurological and psychiatric disease
* Patient with sensitivity to anesthetic agent in study
* Patients unwilling to enroll in the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dhulikhel Hospital

OTHER

Sponsor Role lead

Responsible Party

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Dr Ashish Dhakal

Lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ashish Dhakal

Role: PRINCIPAL_INVESTIGATOR

Dhulikhel Hospital

Locations

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Dhulikhel Hospital

Dhulikhel, Kavre, Nepal

Site Status

Countries

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Nepal

Other Identifiers

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14/18

Identifier Type: -

Identifier Source: org_study_id

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