Protocol summary

Study aim
Comparison of 10 and 12 mg doses of intrathecal bupivacaine %0.5 on sensory block level and postdural puncture headache in patients under repeated spinal after failed spinal anesthesia in Cesarean Section
Design
In this double-blind study, 40 patients aged 18-46 years old with a cesarean section at Fatemiyeh Hospital of Hamadan were enrolled in the study after obtaining informed consent
Settings and conduct
The study will be conducted at Fatemieh Hospital in Hamadan.Patients will be randomly divided into two groupsو In group A, patients undergoing spinal anesthesia with 10 mg bupivacaine 0.5 % and in group B, they undergo spinal anesthesia with 12 mg bupivacaine 0.5%.
Participants/Inclusion and exclusion criteria
Inclusion criteria:Patient's consent to participate in the study; No history for diabetes, high blood pressure, heart disease; Patients who have failed spinal anesthesia and undergo general anesthesia. Exclusion criteria:Patients with contraindications of spinal anesthesia (ICP increase, shock, history of coagulation problems ..).
Intervention groups
In group A, patients undergoing spinal anesthesia with 10 mg bupivacaine 0.5 % and in group B, they undergo spinal anesthesia with 12 mg bupivacaine 0.5%.
Main outcome variables
sensory block, Headache

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20120915010841N20
Registration date: 2019-09-06, 1398/06/15
Registration timing: retrospective

Last update: 2019-09-06, 1398/06/15
Update count: 0
Registration date
2019-09-06, 1398/06/15
Registrant information
Name
Nahid Manuchehrian
Name of organization / entity
Hamedan University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 81 1827 7012
Email address
manouchehrian@umsha.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2018-06-23, 1397/04/02
Expected recruitment end date
2019-06-23, 1398/04/02
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of 10 and 12 mg doses of intrathecal bupivacaine %0.5 on sensory block level and postdural puncture headache in patients under repeated spinal after failed spinal anesthesia in C/S.
Public title
Comparison of 10 and 12 mg doses of intrathecal bupivacaine %0.5 on sensory block level and postdural puncture headache in patients under repeated spinal
Purpose
Diagnostic
Inclusion/Exclusion criteria
Inclusion criteria:
Patient's consent to participate in the study No history for diabetes, high blood pressure, heart disease Patients who have failed spinal anesthesia and undergo general anesthesia
Exclusion criteria:
Patients with contraindications of spinal anesthesia (ICP increase, shock, history of coagulation problems ..)
Age
From 18 years old to 48 years old
Gender
Female
Phase
2
Groups that have been masked
  • Participant
  • Investigator
  • Data analyser
Sample size
Target sample size: 40
Randomization (investigator's opinion)
Randomized
Randomization description
In this study , a randomized block design with four replications is used. we provide four paper sheets . We write two letters A and on two other sheets of letter B. We mix the papers together and put them in the drawer of the table.With each of the qualified patients, one of the papers is taken out randomly and will be assigned to one of the two Bupivacaine 10 and Bupivacaine 12 mg groups, depending on whether the drawn sheet is either A or B. After the random drawn out of four sheets, all the papers will be returned to the drawer and again the above procedure will continue for the next four patients until it reaches the sample volume.
Blinding (investigator's opinion)
Double blinded
Blinding description
Participants knew the purpose of the study, but did not know which dose of bupivacaine would receive and the researcher did not know the dose.
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Hamadan University of Medical Sciences
Street address
Mahdieh Street
City
Hamadan
Province
Hamadan
Postal code
6517838678
Approval date
2019-06-15, 1398/03/25
Ethics committee reference number
IR.UMSHA.REC.1398.232

Health conditions studied

1

Description of health condition studied
Spinal anesthesia in cesarean section
ICD-10 code
Z38.01
ICD-10 code description
Single liveborn infant, delivered by cesarean

Primary outcomes

1

Description
Quality motor block
Timepoint
5-10-15 and30 minutes after analgesia
Method of measurement
Bromage scure

2

Description
Sensory block quality
Timepoint
5-10-15 and30 minutes after analgesia
Method of measurement
visual analgesic scale

3

Description
Headache
Timepoint
A week after surgery
Method of measurement
visual analgesic scale

Secondary outcomes

1

Description
Nausea & vomiting
Timepoint
after delivery
Method of measurement
Observation

2

Description
new born Apgar
Timepoint
1&5 minutes after delivery
Method of measurement
Apgar Score

Intervention groups

1

Description
Intervention group: patients undergoing spinal anesthesia with 10 mg bupivacaine 0.5 %.
Category
Treatment - Drugs

2

Description
Intervention group: patients undergoing spinal anesthesia with 12 mg bupivacaine 0.5%.
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Fatemieh Hospital
Full name of responsible person
Nahid Manouchehrian
Street address
Pasdaran Street
City
Hamadan
Province
Hamadan
Postal code
65177-89971
Phone
+98 81 3827 7012
Email
manouchehrian@umsha.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Hamedan University of Medical Sciences
Full name of responsible person
Dr. Saeed Bashirian
Street address
Fahmide Street
City
Hamadan
Province
Hamadan
Postal code
65177-89971
Phone
+98 81 3827 7012
Email
bashirian@umsha.ac.ir
Grant name
Hamedan University of Medical Sciences
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Hamedan 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
Hamedan University of Medical Sciences
Full name of responsible person
Dr. Nahid Manouchehrian
Position
associated professor of anesthesia Department
Latest degree
Subspecialist
Other areas of specialty/work
Anesthesiology
Street address
Pasdaran Street, Fatemieh Hospital
City
Hamadan
Province
Hamadan
Postal code
65177-89971
Phone
+98 81 3827 7012
Email
manouchehrian@umsha.ac

Person responsible for scientific inquiries

Contact
Name of organization / entity
Hamedan University of Medical Sciences
Full name of responsible person
Dr. Nahid Manouchehrian
Position
Associated professor of Anesthesia Department
Latest degree
Subspecialist
Other areas of specialty/work
Anesthesiology
Street address
Pasdaran Street
City
hamadan
Province
Hamadan
Postal code
65177-89971
Phone
+98 81 3827 7012
Email
manouchehrian@umsha.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Hamedan University of Medical Sciences
Full name of responsible person
Dr. Nahid Manouchehrian
Position
Associated professor of Anesthesia Department
Latest degree
Subspecialist
Other areas of specialty/work
Anesthesiology
Street address
Pasdaran Street
City
hamadan
Province
Hamadan
Postal code
65177-89971
Phone
+98 81 3827 7012
Email
manouchehrian@umsha.ac

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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