Comparison of Effects of Scalp Block and Intravenous Esmolol on Hemodynamic Response Following the Skull Pins Application for Elective Supratentorial Craniotomy

NCT ID: NCT06268275

Last Updated: 2024-02-20

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

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-19

Study Completion Date

2024-02-13

Brief Summary

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The goal of this clinical trial is to compare hemodynamic response (MAP, SBP, DBP and HR) between scalp block and intravenous esmolol while skull pins application in patients undergoing elective supratentorial craniotomy under general anesthesia.

Detailed Description

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Conditions

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Hemodynamic Instability

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

RCT
Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Group S

Receive 30 ml of 0.25% bupivacaine with 1% lidocaine (1:1) with adrenaline 1:200,000 infiltration for 10 minutes before skull pins application.

Group Type EXPERIMENTAL

Scalp block

Intervention Type PROCEDURE

Receive 30 ml of 0.25% bupivacaine with 1% lidocaine (1:1) with adrenaline 1:200,000 infiltration for 10 minutes before skull pins application.

Group E

Receive intravenous esmolol 1 mg/kg bolus over 1 minute before skull pins application.

Group Type ACTIVE_COMPARATOR

Esmolol

Intervention Type DRUG

Receive Intravenous esmolol 1 mg/kg bolus over 1 minute before skull pins application

Interventions

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Scalp block

Receive 30 ml of 0.25% bupivacaine with 1% lidocaine (1:1) with adrenaline 1:200,000 infiltration for 10 minutes before skull pins application.

Intervention Type PROCEDURE

Esmolol

Receive Intravenous esmolol 1 mg/kg bolus over 1 minute before skull pins application

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 18-65 years old
* BMI 18-30 kg/m2
* American Society of Anesthesiologists (ASA) status I-III
* Elective supratentorial craniotomy under general anesthesia
* Required application of skull pins

Exclusion Criteria

* Poor controlled hypertensive condition (Baseline BP ≥ 160/110 mmHg)
* Thrombocytopenia / Coagulopathy
* Preoperative atrioventricular block (More than 2nd degree AV block)
* Emergency surgery
* Posterior fossa / Intracranial aneurysm surgery
* Pregnancy
* Chronic use of pain control
* Contraindication to beta-blockers
* Allergy to the drugs used in the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Khon Kaen University

OTHER

Sponsor Role lead

Responsible Party

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Akkhara Olanvoravuth

Akkhara Olanvoravuth

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Khon Kaen University

Khon Kaen, Naimuang, Muang, Thailand

Site Status

Countries

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Thailand

References

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Reference Type BACKGROUND

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Other Identifiers

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HE651314

Identifier Type: -

Identifier Source: org_study_id

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