Effectiveness of Continous Adjuvant Lidocaine on General Anaesthesia on Tumor Craniotomy Surgery

NCT ID: NCT06249113

Last Updated: 2024-02-16

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-16

Study Completion Date

2024-01-10

Brief Summary

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This study aims to investigate the effect of adjuvant continuous lidocaine in General Anesthesia on Depth of Anesthesia (qCON), Pain Response (qNOX), and Blood Sugar Levels in Elective Primary Tumor Craniotomy Surgery

Detailed Description

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Craniotomy for resection of brain tumors is frequently performed in neurosurgical practice. Craniotomy surgery is currently starting to use the Enhanced Recovery After Surgery (ERAS) protocol, namely for intraoperative pain management. Intraoperative pain can be evaluated through intraoperative hemodynamic conditions or can also use qCON and qNOX parameters and blood sugar levels. Perioperative pain management in the form of continuous intravenous lidocaine shows a role in reducing intraoperative pain. However, the use of intravenous lidocaine in ERAS protocols is still debated. So this study aims to use general anesthesia with continuous IV lidocaine adjuvant general anesthesia to affect depth of anesthesia (qCONtm) and intraoperative pain response in the form of values (qNOXtm), and blood sugar levels during elective primary tumor craniotomy.

The method is a Double-Blinded Randomized Control Trial. 60 patients aged 18-65 years who were diagnosed with craniotomy supratentorial tumor were randomly allocated to either Adjuvant Continuous Lidocaine (intervention group) or Normal Saline 0.9% (control group). Both drugs are given in a 20 ml syringe. The primary outcome measure of the study was the intraoperative of qCON, qNOX, and Blood Sugar. While the secondary outcome was the intraoperative hemodynamic.

All patients will be induced by general anesthesia using fentanyl 3 μg/kg IV as coinduction and propofol 1 mg/kg until the patient falls asleep. After induction, patients who receive lidocaine will receive a continuous intravenous infusion of 2 mg/kg/hour of lidocaine while other patients are given 0.9% NaCl as control. All patients data of hemodynamics, qCon, QNox, and blood glucose recorded and will be analyze.

Conditions

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Surgery Anesthesia; Functional Haemodynamic Instability

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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NaCl 0.9% continous intravenous on tumor craniotomy surgery

NaCl 0.9% continous intravenous on general anesthesia during tumor craniotomy surgery

Group Type PLACEBO_COMPARATOR

NaCl 0.9%

Intervention Type DRUG

NaCl 0.9% continous intravenous on tumor craniotomy surgery

Adjuvant lidocaine continous intravenous on tumor craniotomy surgery

Adjuvant lidocaine continous intravenous on general anesthesia during tumor craniotomy surgery

Group Type ACTIVE_COMPARATOR

Adjuvant lidocaine continous

Intervention Type DRUG

Adjuvant lidocaine continous intravenous on tumor craniotomy surgery

Interventions

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NaCl 0.9%

NaCl 0.9% continous intravenous on tumor craniotomy surgery

Intervention Type DRUG

Adjuvant lidocaine continous

Adjuvant lidocaine continous intravenous on tumor craniotomy surgery

Intervention Type DRUG

Other Intervention Names

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Normal Saline Lidocaine Intravenous

Eligibility Criteria

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Inclusion Criteria

* Adult patients aged 18 - 65 years with a diagnosis of brain tumor supratentorial who will undergo craniotomy by opening the dura
* ASA physical status 1-3
* Surgery using a head pin
* The level of consciousness was assessed with the Glasgow Coma Scale 15

Exclusion Criteria

1. The patient's family or guardian refuses informed consent included in the research
2. The patient has atrioventricular block
3. There is a midline shift \> 5.4 mm
4. Diagnosis of glioblastoma multiforme or metastases
5. History of allergies to drugs used in the study
6. The patient routinely consumes or is administered class of drugs adrenergic agonists or antagonists (e.g., beta blockers, α-2 agonists, vasodilator, vasoconstrictor or inotropic).
7. The patient has been regularly consuming analgesic agents for the past 2 weeks.
8. The patient has a history of cardiac arrhythmia, kidney or liver disease based on the results of the history and confirmed by further examination.
9. Suffering from diabetes mellitus or taking anti-drugs hyperglycemia based on preoperative assessment.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Indonesia University

OTHER

Sponsor Role lead

Responsible Party

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Arief Cahyadi

Anestesiologist, Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Arief Cahyadi, Specialist

Role: PRINCIPAL_INVESTIGATOR

Indonesia University

Locations

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Cipto Mangunkusumo Central National Hospital

Jakarta Pusat, DKI Jakarta, Indonesia

Site Status

Countries

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Indonesia

References

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Related Links

Access external resources that provide additional context or updates about the study.

http://oamjms.eu/index.php/mjms/article/view/6371

Neuro-anesthetic Management of Craniotomy-surgery in Removal Tumor Multiple Meningioma Patients: A Case Report

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4810508/

Effects of indexes of consciousness (IoC1 and IoC2) monitoring on remifentanil dosage in modified radical mastectomy: a randomized trial

http://www.agriculturejournals.cz/pdfs/vet/2016/02/01.pdf

Acute stress-induced changes in hormone and lipid levels in mouse plasma

http://macc.perdatin.org/index.php/my-journal/article/view/208

Efek Pemberian Lidokain Intravena Kontinu Intraoperasi terhadap Kebutuhan Isofluran dan Pemakaian Fentanil pada Operasi Dekompresi dan Stabilisasi Posterior Vertebra

Other Identifiers

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IndonesiaUAnes1001

Identifier Type: -

Identifier Source: org_study_id

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