Nefopam Versus Ondansteron for Prevention of Post Spinal Shivering.

NCT ID: NCT04870541

Last Updated: 2021-05-03

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-01

Study Completion Date

2021-12-01

Brief Summary

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Spinal anesthesia affects the homeostatic systems resulting in intraoperative hypothermia and subsequently shivering. In fact, shivering may be seen after this technique in 30 to 40% of cases . Ondansetron and Nefopam have been used to prevent intraoperative shivering . However, no prospective, randomized, double-blind study has been conducted to this date in order to compare nefopam with ondansetron in the prevention of post-spinal anesthesia shivering.

The primary objective of this prospective, randomized, double-blind study is to compare the incidence and intensity of shivering after spinal anesthesia for non-obstetric surgery in 2 groups of patients.

Group A: Patients receiving 8 mg of ondansetron diluted in 20 ml of 0.9% normal saline over 30 minutes as they arrive to the operating theater(75 patients).

• Group B: Patients receiving 20 mg of nefopam diluted in 20 ml of 0.9% normal saline over 30 minutes as they arrive to the operating theater (75 patients)

Detailed Description

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Conditions

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Shivering Adverse Effects in the Therapeutic Use of Anaesthetic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Patients receiving Ondansetron

Group Type ACTIVE_COMPARATOR

Ondansetron 8mg

Intervention Type DRUG

Patients receiving 8 mg of ondansetron diluted in 20 ml of 0.9% normal saline over 30 minutes as they arrive to the operating theater(75 patients).

Patients receiving Nefopam

Group Type ACTIVE_COMPARATOR

Nefopam Injectable Solution

Intervention Type DRUG

Patients receiving 20 mg of nefopam diluted in 20 ml of 0.9% normal saline over 30 minutes as they arrive to the operating theater (75 patients)

Interventions

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Ondansetron 8mg

Patients receiving 8 mg of ondansetron diluted in 20 ml of 0.9% normal saline over 30 minutes as they arrive to the operating theater(75 patients).

Intervention Type DRUG

Nefopam Injectable Solution

Patients receiving 20 mg of nefopam diluted in 20 ml of 0.9% normal saline over 30 minutes as they arrive to the operating theater (75 patients)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* age between 18 and 65 years
* scheduled for a surgery under spinal anesthesia

Exclusion Criteria

* pregnant or breastfeeding (for the women), if they are
* Allergy to any of the drugs to be used
* Long QT syndrome
* Hepatic insufficiency
* Renal failure
* Parkinson's disease
* Epilepsy
* Glaucoma
* Phenylketonuria
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Saint-Joseph University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Universite Saint Joseph , Hotel Dieu de France

Beirut, , Lebanon

Site Status RECRUITING

Countries

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Lebanon

Central Contacts

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Christine Dagher, MD

Role: CONTACT

+9613477332

Facility Contacts

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Christine Dagher, MD

Role: primary

+9613477332

References

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Kang P, Park SK, Yoo S, Hur M, Kim WH, Kim JT, Bahk JH. Comparative effectiveness of pharmacologic interventions to prevent shivering after surgery: a network meta-analysis. Minerva Anestesiol. 2019 Jan;85(1):60-70. doi: 10.23736/S0375-9393.18.12813-6. Epub 2018 Sep 18.

Reference Type BACKGROUND
PMID: 30226340 (View on PubMed)

Crowley LJ, Buggy DJ. Shivering and neuraxial anesthesia. Reg Anesth Pain Med. 2008 May-Jun;33(3):241-52. doi: 10.1016/j.rapm.2007.11.006.

Reference Type BACKGROUND
PMID: 18433676 (View on PubMed)

Mathews S, Al Mulla A, Varghese PK, Radim K, Mumtaz S. Postanaesthetic shivering--a new look at tramadol. Anaesthesia. 2002 Apr;57(4):394-8. doi: 10.1046/j.1365-2044.2002.2457_3.x.

Reference Type BACKGROUND
PMID: 11949644 (View on PubMed)

Lv M, Wang X, Qu W, Liu M, Wang Y. Nefopam for the prevention of perioperative shivering: a meta-analysis of randomized controlled trials. BMC Anesthesiol. 2015 Jun 9;15:87. doi: 10.1186/s12871-015-0068-y.

Reference Type BACKGROUND
PMID: 26055978 (View on PubMed)

Rai S, Verma S, Pandey HP, Yadav P, Patel A. Role of butorphanol and ondansetron premedication in reducing postoperative shivering after general and spinal anesthesia: A randomized comparative study from North India. Anesth Essays Res. 2016 May-Aug;10(2):319-23. doi: 10.4103/0259-1162.172724.

Reference Type BACKGROUND
PMID: 27212768 (View on PubMed)

Marashi SM, Soltani-Omid S, Soltani Mohammadi S, Aghajani Y, Movafegh A. Comparing Two Different Doses of Intravenous Ondansetron With Placebo on Attenuation of Spinal-induced Hypotension and Shivering. Anesth Pain Med. 2014 Mar 18;4(2):e12055. doi: 10.5812/aapm.12055. eCollection 2014 May.

Reference Type BACKGROUND
PMID: 24790900 (View on PubMed)

Tsai YC, Chu KS. A comparison of tramadol, amitriptyline, and meperidine for postepidural anesthetic shivering in parturients. Anesth Analg. 2001 Nov;93(5):1288-92. doi: 10.1097/00000539-200111000-00052.

Reference Type BACKGROUND
PMID: 11682416 (View on PubMed)

Other Identifiers

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HDF15891

Identifier Type: -

Identifier Source: org_study_id

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