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Trial registered on ANZCTR
Registration number
ACTRN12615000505505
Ethics application status
Approved
Date submitted
20/03/2015
Date registered
20/05/2015
Date last updated
12/02/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
The Relationship between Sleep Quality and Target Effect-site Propofol Concentration during Transvaginal Oocyte Retrieval
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Scientific title
The Relationship between Sleep Quality and Target Effect-site Propofol Concentration of Target-Controlled Infusion in Adult Female Patients Receiving Transvaginal Oocyte Retrieval
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Secondary ID [1]
286388
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Nil
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Universal Trial Number (UTN)
U1111-1168-5080
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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:
Sleep quality
294532
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Propofol required during Transvaginal Oocyte Retrieval
294533
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Condition category
Condition code
Anaesthesiology
294841
294841
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0
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Anaesthetics
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Reproductive Health and Childbirth
295203
295203
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0
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Fertility including in vitro fertilisation
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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
For the female adult patients who receive transvaginal oocyte retrieval, we use propofol target-controlled infusion as sedation. The initial TCI effect-site concentrations of propofol (Ceprop) was set at 4.0 microgram/ml and Ceprop was adjusted in steps of 0.2 microgram/ml to keep Entropy value at between 40 and 60. The propofol infusion begin before the insertion of the ultrasound probe and stopped when the probe was removed from the vagina. Later, the patients were assigned to two groups based on the result of Pittsburgh Sleep Quality Index. Patients with total score less than or equal to 5 was included in the group of good sleep quality and total score greater than 5 was assigned to the group of poor sleep quality. The data collected will be analyzed to decide whether poor sleep quality results in low target effect-site propofol concentration required for adequate sedation during transvaginal oocyte retrieval or not.
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Intervention code [1]
291456
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Relationship between sleep quality measured by using Pittsburgh Sleep Quality Index and the TCI effect-site concentrations of propofol required for loss of consciousness (loss of response to verbal commands) recorded by TCI device.
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Assessment method [1]
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Timepoint [1]
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Pittsburgh Sleep Quality questionnaire completed by the patients before the procedure and target effect-site propofol concentration recorded at the time of anesthesia induction
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Secondary outcome [1]
313702
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Total propofol comsuption recorded by a TCI device
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Assessment method [1]
313702
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Timepoint [1]
313702
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At the end of the transvaginal oocyte retrieval
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Secondary outcome [2]
313703
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Total sedation time recorded by a timer. Sedation begins when the patients lose response to verbal commands and ends when the patient could react to verbal commands.
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Assessment method [2]
313703
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Timepoint [2]
313703
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At the end of the transvaginal oocyte retrieval
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Secondary outcome [3]
313704
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Post-procedure complication including nausea, vomiting,and pruritus observed by nurse in post anesthesia care unit. A phone interview will be performed after the patient goes home.
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Assessment method [3]
313704
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Timepoint [3]
313704
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within one week after the intervention
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Secondary outcome [4]
314674
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Emergence time recorded by a timer. Emergence time was defined as the time required for the patient to react to verbal commands after TCI was stopped.
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Assessment method [4]
314674
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Timepoint [4]
314674
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At the end of the transvaginal oocyte retrieval
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Eligibility
Key inclusion criteria
Female patients assessed as the American Society of Anesthesiologists (ASA) physical status classification system class I and II who are ready for transvaginal oocyte retrieval
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Minimum age
20
Years
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
(1) refusal to provide informed consent,
(2) allergy to intravenous propofol, fentanyl, or lidocaine,
(3) hepatic, renal, or neurological dysfunction
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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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
15/06/2015
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Actual
6/07/2015
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Date of last participant enrolment
Anticipated
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Actual
25/01/2016
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
192
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Recruitment outside Australia
Country [1]
6766
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Taiwan, Province Of China
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State/province [1]
6766
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Funding & Sponsors
Funding source category [1]
290960
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Hospital
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Name [1]
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Changhua Christian Hospital, Taiwan (R.O.C.)
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Address [1]
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135 Nanxiao St. Changhua City, Changhua County 500, Taiwan (R.O.C.)
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Country [1]
290960
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Taiwan, Province Of China
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Primary sponsor type
Hospital
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Name
Changhua Christian Hospital, Taiwan (R.O.C.)
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Address
135 Nanxiao St. Changhua City, Changhua County 500, Taiwan (R.O.C.)
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Country
Taiwan, Province Of China
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Secondary sponsor category [1]
289642
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None
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Name [1]
289642
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Address [1]
289642
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Country [1]
289642
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292558
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ChangHua Christian Hospital Institutional Review Board
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Ethics committee address [1]
292558
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4F., No.20, Jianbao St., Changhua City, Changhua County 500, Taiwan (R.O.C.)
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Ethics committee country [1]
292558
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Taiwan, Province Of China
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Date submitted for ethics approval [1]
292558
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12/03/2015
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Approval date [1]
292558
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12/05/2015
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Ethics approval number [1]
292558
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150310
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Summary
Brief summary
The majority of oocyte retrievals are currently performed through a transvaginal approach with ultrasonographic guidance. When receiving this procedure, most patients will suffered from painful sensation and move their legs during insertion of transvaginal ultrasound probe and aspiration needle. We anesthesiologists provide proper sedation and analgesics in order to keep patient’s steady position so that obstetricians can perform oocyte retrieval smoothly. Target controlled infusion (TCI) is considered the best way to maintain perioperative sedation since the device enable the drug concentration in the blood or plasma, or at the effect site, to be controlled continuously. According to past animal studies, sleep deprivation potentiated the ability of certain inhalation agent (isoflurane) and intravenous anesthetics (propofol) to produce loss of righting reflex in deprived rats. Besides, recent studies indicated that propofol may induces sedation by increasing firing of GABAergic neurons in the VLPO (ventrolateral preoptic nucleus) which was also known as a key area in non-rapid eye movement (NREM) sleep-promoting pathway. However, the presence of regulatory interactions between anesthesia and sleep was not confirmed currently. Thus, we design this study trying to figure out the relationship between sleep quality and target effect-site propofol concentration of TCI during a patient receiving transvaginal oocyte retrieval. Pittsburgh Sleep Quality Index was used to evaluate the patients’ sleep quality and the questionnaire will be completed before the procedure. During oocyte retrieval, Entropy monitoring will be set to assess anesthetic depth and the predicted Ceprop as well as time required for loss of consciouness (loss of response to verbal commands), total sedation time, propofol comsuption, and emergence time will be recorded. After the procedure was completed, the patients were assigned to two groups based on the result of Pittsburgh Sleep Quality Index. Patients with total score less than or equal to 5 was included in the group of good sleep quality and total score greater than 5 was assigned to the group of poor sleep quality. The data collected will be analyzed to decide whether poor sleep quality results in low target effect-site propofol concentration required for adequate sedation during transvaginal oocyte retrieval or not.
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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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Dr Yi-Jer Hsieh
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Address
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Department of Anesthesiology, Changhua Christian Hospital.
135 Nanxiao St. Changhua City, Changhua County 500, Taiwan (R.O.C.)
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Country
55926
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Taiwan, Province Of China
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Phone
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+886 4 723 8595
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Fax
55926
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Email
55926
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[email protected]
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Contact person for public queries
Name
55927
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Chia-Ching Wu
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Address
55927
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Department of Anesthesiology, Changhua Christian Hospital.
135 Nanxiao St. Changhua City, Changhua County 500, Taiwan (R.O.C.)
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Country
55927
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Taiwan, Province Of China
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Phone
55927
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+886 4 723 8595
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Fax
55927
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Email
55927
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[email protected]
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Contact person for scientific queries
Name
55928
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Chia-Ching Wu
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Address
55928
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Department of Anesthesiology, Changhua Christian Hospital.
135 Nanxiao St. Changhua City, Changhua County 500, Taiwan (R.O.C.)
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Country
55928
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Taiwan, Province Of China
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Phone
55928
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+886 4 723 8595
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Fax
55928
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Email
55928
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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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