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Trial registered on ANZCTR
Registration number
ACTRN12610000459022
Ethics application status
Approved
Date submitted
29/05/2010
Date registered
4/06/2010
Date last updated
12/07/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
How does local anesthetic airway topicalisation, for awake fiberbreoptic intubation (AFOI), affect patient reaction time?
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Scientific title
The Psychometric effect of topical lignocaine on healthy volunteers in an awake fibre optic course, tested by complex reaction time and balance and related to plasma lignocaine levels.
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Secondary ID [1]
251900
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nil
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Universal Trial Number (UTN)
U1111-1115-3912
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
psychometric effect of lignocaine
257491
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Condition category
Condition code
Anaesthesiology
257642
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Lignocaine topicalization for awke fibre optic intubation.
a)"Spray as you Go" topicalization with Micro Atomizer Device (MAD)
b)Dose titrated to comfort with instumentation.
(Difference in dose noted and related to Psychometric effects and plasma levels.)
c)Max dose less than 9mg/kg as per safety guidelines
d)Duration from start of topicalization to intubation 30 minutes on average.
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Intervention code [1]
256585
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Treatment: Drugs
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Comparator / control treatment
Each participant is their own controll with complex reaction time test and balance test pre and post exposure to lignocaine.
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Control group
Active
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Outcomes
Primary outcome [1]
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Psychometric test pre and post exposure.
(Composite Primary Outcome)
(1)Complex Reaction time test: Reaction time measured to the identification of a simple object.
Example: Picture of a dog with the word "DOG" next to it. True/False option with the reaction time to answer masured.
(2)Balance test scored to 10
stand with feet together =2
arms at 90 deg from side =2
bend one knee to 90 deg = 2
look up =2
close eyes =2
Loss of 1 point for loss of balance with correction
Loss of 2 points with loss of ballance without correction
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Assessment method [1]
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Timepoint [1]
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*pre exposure for baseline
*post exposure immediately and at 60min (correlates with maximum plasma level)
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Secondary outcome [1]
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relation of plasme lignocaine concentration to psychometric outcomes
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Assessment method [1]
264394
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Timepoint [1]
264394
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pre exposure and at 60 min
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Eligibility
Key inclusion criteria
voluntary participants in an awake fibre optic course
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Known intolerance or allergy to any study drug. (Lidocaine)
2. Active psychosis or history of schizophrenia
3. Pregnancy
4. Severe heart disease, liver disease, diabetes or asthma.
5. Epilepsy
6. History of epistaxis or nasal problems
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Healthy volunteers on an airway teaching course that would have exposure to topicalized lignocaine without the study being conducted.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
19/06/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
12
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Fremantle Hospital
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Address [1]
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Alma St
Fremantle
WA 6969
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Fremantle Hospital
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Address
Alma St
Fremantle
WA 6969
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
256338
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Address [1]
256338
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Country [1]
256338
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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HUMAN RESEARCH ETHICS COMMITTEE /SOUTH METROPOLITAN AREA HEALTH SERVICE
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Ethics committee address [1]
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Level 3 Colonial House, Royal Perth Hospital, GPO Box X2213, Perth WA 6847
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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08/06/2010
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Approval date [1]
259102
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Ethics approval number [1]
259102
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Summary
Brief summary
Awake fibreoptic intubation (AFOI) is the method of choice for intubation and securing of a potentially difficult airway. Routine practice worldwide involves ‘topicalisation’ (numbing) of the airway with Local Anaesthetic (LA) to enable a fiber optic camera to be advanced through the airway and into the trachea, usually with the patient awake and under no sedative influence. Currently there are no data on the effects of the LA used this way on cognitive or motor function, and patients are allowed to return home shortly after such a procedure. There is no advice given with regards to driving or operating heavy machinery despite anesthetists who have had this procedure describing ‘funny feelings’ following administration of topical LA and multiple studies that report subjective feeelings of dizzines, tingling, euphoria and dysphoria We wish to assess the impact of LA on reaction time (and hence both neural and motor function) following volunteer participation in an AFOI Course that we run half yearly for anesthetists
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr. J.M.D. van Riet
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Address
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C/o Anaesthetic Department
Fremantle Hospital
Alma St
Fremantle WA 6969
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Country
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Australia
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Phone
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0061 08 9431 3333
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr. J.M.D. van Riet
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Address
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C/o Anaesthetic Department
Fremantle Hospital
Alma St
Fremantle WA 6969
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Country
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Australia
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Phone
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0061 08 9431 3333
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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