Protocol summary

Study aim
Comparison of the efficacy and safety of administering of Tranexamic acid and ‎Dexmedetomidine and Nitroglycerine in preventing bleeding and the quality of ‎the surgical site during septorhinoplasty under general anesthesia
Design
This study is clinical trial and double blind.105 patients candidate septorhinoplasty surgery in Amirkabir hospital will enter this study.We divide patients in 3 groups by simple randomization.Groups are parallel.
Settings and conduct
105 patients candidate septorhinoplasty surgery in Amirkabir hospital enter this study.This study is double blind. Outcome assessor and analyzer and participant do not know from grouping.Codes of group are available to analyzer and outcome assessor.
Participants/Inclusion and exclusion criteria
Inclusion criteria:18 to 60 years , suitable control for blood pressure, no addiction to opioids, , body mass index less than 35 Exclusion criteria:Not having satisfaction to perform surgery ,sensitivity to the drugs studied, need for prescribing antihypertensive medications, in addition to those used in each group ,coagulation disorders,history of cardiovascular disease, pregnancy, chronic pulmonary disease(Asthma)
Intervention groups
First group: 1 micro gram per kilogram Dexmedetomidine during 15 minutes intravenously. Second group: 10 milligram per kilogram Tranexamic acid during 15 minutes intravenously. Third group: 0.5 micro gram per kilogram Nitroglycerine during 15 minutes intravenously.
Main outcome variables
blood pressure; heart rate; oxygen saturation; recovery time; duration of surgery; amount of Propofol consumed; amount of bleeding

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20141209020258N121
Registration date: 2019-09-24, 1398/07/02
Registration timing: registered_while_recruiting

Last update: 2019-09-24, 1398/07/02
Update count: 0
Registration date
2019-09-24, 1398/07/02
Registrant information
Name
Fariba Farokhi
Name of organization / entity
Arak University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 86 3222 2003
Email address
f.farokhi@arakmu.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2019-03-06, 1397/12/15
Expected recruitment end date
2020-03-05, 1398/12/15
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of the efficacy and safety of administering of Tranexamic acid and ‎Dexmedetomidine and Nitroglycerine in preventing bleeding and the quality of ‎the surgical site during septorhinoplasty under general anesthesia
Public title
Comparison of the efficacy and safety of administering of Tranexamic acid and Dexmedetomidine and Nitroglycerine in preventing bleeding and the quality of ‎the surgical site during septorhinoplasty under general anesthesia
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
18 to 60 years Suitable control for blood pressure No addiction to opioids Body mass index less than 35
Exclusion criteria:
Not having satisfaction to perform surgery Sensitivity to the drugs studied Need for prescribing low blood pressure drugs, in addition to those used in each group Coagulation disorders History of cardiovascular disease Pregnancy Chronic pulmonary disease(Asthma)
Age
From 18 years old to 60 years old
Gender
Both
Phase
2-3
Groups that have been masked
  • Participant
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 105
Randomization (investigator's opinion)
Randomized
Randomization description
Simple individual randomization with randomization with envelopes in three groups A and B and C.‏ In this method, we selected a number of cards or letters as an intervention group 1 and the same ‎number of cards for intervention group 2 and the same ‎number of cards for the control group, then the cards were merged. One card was taken out and its ‎allocation was registered and the card was returned to the other cards after leaving. Then the cards ‎are merged again and we remove another card. This process continues to reach a random sequence ‎according to sample size.‏
Blinding (investigator's opinion)
Double blinded
Blinding description
This study is double blind. Researcher who complete questionnaire and analyzer and participant are blind (double blind). Groups A and B and C are available to analyzer and outcome assessor and participant . The drugs are prepared by the anesthesiologist and will be delivered to the student.That he is not aware of the grouping.The intern evaluates the study's implications.
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee Of Arak University Of Medical Sciences
Street address
Vice chancellor for Research, Payambar Azam Complex, Basij square, Sardasht, Arak
City
Arak
Province
Markazi
Postal code
3848176941
Approval date
2019-02-24, 1397/12/05
Ethics committee reference number
IR.ARAKMU.REC.1397.355

Health conditions studied

1

Description of health condition studied
septorhinoplasty
ICD-10 code
J33
ICD-10 code description
Nasal polyp

Primary outcomes

1

Description
Mean arterial blood pressure
Timepoint
Every 15 minutes to end of surgery
Method of measurement
Digital sphygmomanometer

2

Description
Heart rate
Timepoint
Every 15 minutes to end of surgery
Method of measurement
ECG

3

Description
Percent of oxygen saturation
Timepoint
Every 15 minutes to end of surgery
Method of measurement
Pulse oximetry

4

Description
Recovery time
Timepoint
Recovery time
Method of measurement
Chronometer

5

Description
Duration of surgery
Timepoint
End of surgery
Method of measurement
chronometer

6

Description
Amount of Propofol consumed
Timepoint
End of surgery
Method of measurement
Milligram of drug in 24 hours

7

Description
Amount of bleeding
Timepoint
During surgery
Method of measurement
Observation

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: 1 micro gram per kilogram Dexmedetomidine during 15 minutes intravenously.
Category
Treatment - Drugs

2

Description
Intervention group: 10 milligram per kilogram Tranexamic acid during 15 minutes intravenously.
Category
Treatment - Drugs

3

Description
Intervention group: 0.5 micro gram per kilogram Nitroglycerine during 15 minutes intravenously.
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Amirkabir hospital
Full name of responsible person
Dr Hesamodin Modir
Street address
Amirkabir hospital, Parastar square, Arak
City
Arak
Province
Markazi
Postal code
3814957558
Phone
+98 86 3222 2003
Fax
+98 86 3222 2003
Email
modir.he@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Dr Mohammad Arjmandzadegan
Street address
Vice chancellor for research, Payambar Azam Complex, Basij square, Sardasht, Arak
City
Arak
Province
Markazi
Postal code
3848176941
Phone
+98 86 3417 3638
Email
arjmandzadegan@arakmu.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Arak University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Dr Esmaeel Moshiri
Position
Associate professor
Latest degree
Specialist
Other areas of specialty/work
Anesthesiology
Street address
Shahid Shirodi street, Valiasr square, Valiasr hospital
City
Arak
Province
Markazi
Postal code
3814957558
Phone
+98 86 3222 2003
Fax
+98 86 3222 2003
Email
modir.he@gmail.com
Web page address

Person responsible for scientific inquiries

Contact
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Dr Hesamedin Modir
Position
Associate professor
Latest degree
Specialist
Other areas of specialty/work
Anesthesiology
Street address
Valiasr Hospital, Valiasr squre, Shahid Shirodi street
City
Arak
Province
Markazi
Postal code
3814957558
Phone
+98 86 3222 2003
Email
modir.he@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Fatemeh Faraji
Position
Medicine student
Latest degree
A Level or less
Other areas of specialty/work
General Practitioner
Street address
Payambar Azam Complex, Basij square, Sardasht, Arak
City
Arak
Province
Markazi
Postal code
3848176941
Phone
+98 86 3222 2003
Email
fa.faraji1994@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
When we publish article in journal
When the data will become available and for how long
After the article is published
To whom data/document is available
researcher in university
Under which criteria data/document could be used
If there are additional questions
From where data/document is obtainable
Dr Modir Valiasr Hospital, Valiasr squre, Shahid Shirodi street 3814957558
What processes are involved for a request to access data/document
Contact With Dr Modir at the following email address. modir.he@gmail.com
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