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Trial registered on ANZCTR
Registration number
ACTRN12613000657729
Ethics application status
Approved
Date submitted
8/06/2013
Date registered
14/06/2013
Date last updated
11/02/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
A study on the optimum bolus dose of alfentanil for laryngeal mask airway insertion when co-administered with a single standard dose of propofol in children
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Scientific title
A study on the optimum bolus dose of alfentanil for laryngeal mask airway insertion when co-administered with a single standard dose of propofol in children
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Secondary ID [1]
282642
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
Nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Induction of general anaesthesia in children
289344
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Condition category
Condition code
Anaesthesiology
289680
289680
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0
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Anaesthetics
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
A predetermined bolus dose of alfentanil was injected over 30 seconds, followed by propofol 2.5 mg/kg over 10 seconds. The bolus dose of alfentanil was determined by a modified Dixon’s up-and-down method, starting from 10 microg/kg (2microg/kg as a step size). Laryngeal mask insertion was attempted 90 seconds after the end of alfentanil injection and the response of patients was classified as either ‘success’ or ‘failure’.
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Intervention code [1]
287309
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Not applicable
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Comparator / control treatment
N/A-this is an observational study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
289768
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To determine the optimum bolus dose of alfentanil for laryngeal mask airway insertion the in children by using Dixon and Massey up and down method
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Assessment method [1]
289768
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Timepoint [1]
289768
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At the time of LMA insertion
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Secondary outcome [1]
303203
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The incidence and severity of injection pain of propofolThe incidence and severity of injection pain of propofol were assessed using the fourpoint scale : 0 = no pain; 1 = mild
pain (grimace); 2 = moderate pain (grimace + cry); and
3 = severe pain (cry + withdrawal).
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Assessment method [1]
303203
0
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Timepoint [1]
303203
0
during the period of intravenous induction
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Secondary outcome [2]
303204
0
Incidence of adverse events as recorded in each patient's diary/health record for the trial (e.g.laryngospasm,gapping,cough,hypotention,bradycardia)
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Assessment method [2]
303204
0
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Timepoint [2]
303204
0
during the period of LMA insertion
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Eligibility
Key inclusion criteria
ASA 1 and 2 patients of either gender of the age 3- 7 years undergoing elective surgery under general anaesthesia which can be performed with LMA insertion
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Minimum age
3
Years
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Maximum age
7
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
airway malformations, clinical evidence of patients with difficult airway, asthma or any sign of upper respiratory tract infection.
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Study design
Purpose
Psychosocial
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
up and down method
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
17/06/2013
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Actual
7/08/2014
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Date of last participant enrolment
Anticipated
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Actual
28/11/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
35
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
5135
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China
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State/province [1]
5135
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Fujian Province
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Funding & Sponsors
Funding source category [1]
287422
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Self funded/Unfunded
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Name [1]
287422
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Yusheng Yao
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Address [1]
287422
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No.134 Dongjie Street, Fujian Provincial Hospital, Fuzhou, Fujian, China, 350001
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Country [1]
287422
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China
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Primary sponsor type
Individual
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Name
Yusheng Yao
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Address
No.134 Dongjie Street,Fujian Provincial Hospital, Fuzhou, Fujian, China, 350001
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Country
China
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Secondary sponsor category [1]
286170
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Individual
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Name [1]
286170
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Yangqin Chen
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Address [1]
286170
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No.134 Dongjie Street, Fujian Provincial Hospital, Fuzhou, Fujian, China, 350001
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Country [1]
286170
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China
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
289403
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The Ethics and Committee of Fujian Provincial Hospital
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Ethics committee address [1]
289403
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No.134 Dongjie Street, Fuzhou, Fujian, China, 350001
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Ethics committee country [1]
289403
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China
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Date submitted for ethics approval [1]
289403
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10/05/2013
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Approval date [1]
289403
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06/06/2013
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Ethics approval number [1]
289403
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FJSL-2013-06-06
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Summary
Brief summary
The use of the laryngeal mask airway in children has increased with increasing day-case surgery in paediatric patients. Successful insertion of the laryngeal mask requires adequate mouth opening and sufficient depth of anaesthesia to minimise the upper airway reflexes and to prevent the untoward events of coughing, gagging and laryngospasm. Although propofol is a commonly used induction agent due to its depressant effects on airway reflexes, propofol alone does not prevent undesirable airway responses.Consequently, a potent and short-acting opioid (for example alfentanil ) is often added to facilitate laryngeal mask insertion in adults with minimal haemodynamic changes.However, the optimal bolus dose of alfentanil for children in this context has not been established. This study was designed, therefore, to determine the optimal dose of alfentanil required for the successful insertion of the laryngeal mask airway with a single bolus dose of propofol at induction (2.5 mg/kg)without a neuromuscular blocking agent in children.
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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
40630
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Dr Yusheng Yao
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Address
40630
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No.134 Dongjie Street, Fujian Provincial Hospital,Fuzhou, Fujian, China, 350001
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Country
40630
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China
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Phone
40630
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+86 13559939629
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Fax
40630
0
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Email
40630
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[email protected]
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Contact person for public queries
Name
40631
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Yusheng Yao
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Address
40631
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No.134 Dongjie Street, Fujian Provincial Hospital,Fuzhou, Fujian, China, 350001
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Country
40631
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China
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Phone
40631
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+86 13559939629
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Fax
40631
0
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Email
40631
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[email protected]
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Contact person for scientific queries
Name
40632
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Yusheng Yao
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Address
40632
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No.134 Dongjie Street, Fujian Provincial Hospital,Fuzhou, Fujian, China, 350001
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Country
40632
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China
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Phone
40632
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+86 13559939629
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Fax
40632
0
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Email
40632
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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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