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Trial registered on ANZCTR
Registration number
ACTRN12610000910000
Ethics application status
Approved
Date submitted
25/10/2010
Date registered
26/10/2010
Date last updated
26/10/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
Are the intraperitoneal ropivacaine instillation and ropivacaine infiltration at the port site effective in relieving the postoperative pain after laparoscopic cholecystectomy?
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Scientific title
In patients undergoing laparoscopic cholecystectomy, are intraperitoneal ropivacaine instillation and ropivacaine infiltration at the port site effective in terms of visceral pain, parietal pain, and shoulder tip pain?
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Secondary ID [1]
252946
0
none
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Universal Trial Number (UTN)
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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:
pain following laparoscopic cholecystectomy
258478
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Condition category
Condition code
Anaesthesiology
258643
258643
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0
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Pain management
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Oral and Gastrointestinal
258644
258644
0
0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Surgery
258645
258645
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0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
arm 1:both infiltration at the port site and intraperitoneal instillation: 20ml of a solution containing ropivacaine (2 mg/ml) was infiltrated at the port site before insertion of trocar and 100 ml of ropivacaine solution (2 mg/kg) was infused intraperitoneally immediately after the creation of the pneumoperitoneum and 10 min before the beginning of surgery..
arm 2: intraperitoneal instillation: 20ml normal saline was infiltrated at the port site before insertion of trocar, and 100 ml of ropivacaine solution (2 mg/kg) was infused intraperitoneally immediately after the creation of the pneumoperitoneum and 10 min before the beginning of surgery..
arm 3: infiltration at the port site:20ml of a solution containing ropivacaine (2 mg/ml) was infiltrated at the port site before insertion of trocar and 100 ml of normal saline solution was infused intraperitoneally immediately after the creation of the pneumoperitoneum and 10 min before the beginning of surgery..
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Intervention code [1]
257474
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Treatment: Drugs
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Comparator / control treatment
Control group: 20ml normal saline was infiltrated at the port site before insertion of trocar received 100 ml of normal saline solution was infused intraperitoneally immediately after the creation of the pneumoperitoneum and 10 min before the beginning of surgery.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Visceral Pain score assessed using visual analogue scale
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Assessment method [1]
259488
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Timepoint [1]
259488
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at 2hr, 4hr, 8hr, 12hr, 24hr postoperatively
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Primary outcome [2]
259489
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Parietal Pain score assessed using visual analogue scale
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Assessment method [2]
259489
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Timepoint [2]
259489
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at 2hr, 4hr, 8hr, 12hr, 24hr postoperatively
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Primary outcome [3]
259490
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Shoulder tip Pain score assessed using visual analogue scale
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Assessment method [3]
259490
0
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Timepoint [3]
259490
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at 2hr, 4hr, 8hr, 12hr, 24hr postoperatively
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Secondary outcome [1]
266075
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Frequency to push the button of patient controlled analgesia machine recordedy computerized patient controlled analgesia machine
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Assessment method [1]
266075
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Timepoint [1]
266075
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at 2hr, 4hr, 8hr, 12hr, 24hr postoperatively
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Secondary outcome [2]
266076
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fentanyl consumption recorded by nurse
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Assessment method [2]
266076
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Timepoint [2]
266076
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at 2hr, 4hr, 8hr, 12hr, 24hr postoperatively
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Eligibility
Key inclusion criteria
patients undergoin laparscopic cholecystectomy
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
body weight lower than 45 kg or greater than 100 kg, history of severe underlying cardiovascular, pulmonary, renal or hepatic disease, or allergy to local anaesthetics
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The details of the series are kept in a set of sealed envelopes, each bearing only the case number on the outside. After admitting into the operating room and just before the induction of anaesthesia, the numbered envelope was opened and the card inside determined which group the patient would be affiliated to.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomization into one of the four groups was based on Excel random-number generation.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/05/2008
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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
80
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
2990
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Korea, Republic Of
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State/province [1]
2990
0
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Funding & Sponsors
Funding source category [1]
257926
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University
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Name [1]
257926
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Chung-Ang University
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Address [1]
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224-1 Heukseok-dong, Dongjak-gu Seoul, 156-755
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Country [1]
257926
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Korea, Republic Of
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Primary sponsor type
University
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Name
Chung-Ang University
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Address
224-1 Heukseok-dong, Dongjak-gu Seoul, 156-755
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Country
Korea, Republic Of
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Secondary sponsor category [1]
257117
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None
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Name [1]
257117
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Address [1]
257117
0
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Country [1]
257117
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259938
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Institutional Board of Chung-Ang University School of Medicine
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Ethics committee address [1]
259938
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Chung-Ang University College of Medicine 224-1 Heukseok-dong, Dongjak-gu Seoul, 156-755, Korea
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Ethics committee country [1]
259938
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Korea, Republic Of
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Date submitted for ethics approval [1]
259938
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08/03/2008
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Approval date [1]
259938
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08/04/2008
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Ethics approval number [1]
259938
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c2009014(201)
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Summary
Brief summary
The parietal component is incisional pain experienced at the port sites and visceral component is deep intra-abdominal pain related to diaphragmatic irritation caused by pnemoperitoneum and postcholecystectomy wound. Shoulder tip pain is presumably referred pain related to distension of diaphragm caused by pneumoperitoneum and resultant phrenic nerve neuropraxia.The aim of our prospective, randomized, double-blind study was to evaluate the intensity of visceral, parietal and shoulder tip pain, and to determine the efficacy of peritrocal injection and intraperitoneal instillation of ropivacaine on each pain.
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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
31827
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Address
31827
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Country
31827
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Phone
31827
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Fax
31827
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Email
31827
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Contact person for public queries
Name
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Hyun Kang
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Address
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Department of Anaesthesiology and Pain Medicine Chung-Ang University College of Medicine 224-1 Heukseok-dong, Dongjak-gu Seoul, 156-755, Korea
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Country
15074
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Korea, Republic Of
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Phone
15074
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+82-2-6299-2571, 2579, 2586
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Fax
15074
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+82-2-6299-2585
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Email
15074
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[email protected]
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Contact person for scientific queries
Name
6002
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Hyun Kang
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Address
6002
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Department of Anaesthesiology and Pain Medicine Chung-Ang University College of Medicine 224-1 Heukseok-dong, Dongjak-gu Seoul, 156-755, Korea
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Country
6002
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Korea, Republic Of
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Phone
6002
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+82-2-6299-2571, 2579, 2586
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Fax
6002
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+82-2-6299-2585
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Email
6002
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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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