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Trial registered on ANZCTR
Registration number
ACTRN12618000963224
Ethics application status
Approved
Date submitted
4/04/2018
Date registered
7/06/2018
Date last updated
18/12/2018
Date data sharing statement initially provided
18/12/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Sugammadex Effects on Children's Awakening from Adenotonsillectomy Surgery
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Scientific title
The Effects Of Sugammadex On Emergence Agitation In Children Undergoing Adenotonsillectomy
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Secondary ID [1]
294372
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none
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Universal Trial Number (UTN)
U1111-1211-0577
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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:
emergence agitation
307104
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Condition category
Condition code
Anaesthesiology
306213
306213
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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
Using 2 mg/kg single dose sugammadex as an intravenous formula at the end of the surgery . No strategies to monitor about the drug
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Intervention code [1]
300676
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Treatment: Drugs
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Comparator / control treatment
Neostigmine group It will be administered at the end of the surgery 50 mcgr/kg intravenously single dose only. No strategies to monitor about the drug
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Control group
Active
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Outcomes
Primary outcome [1]
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patients with PAED score>=10 were defined as agitated
proportion of participants with a PAED score>=10 will be certain at the end of the clinical trial.
(PAED: paediatric anaesthesia emergence delirium)
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Assessment method [1]
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Timepoint [1]
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first 15 minutes in the recovery room
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Primary outcome [2]
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patients with agitation scale (AS)>3 were defined as agitated
Number of participants with an agitation scale (AS) score greater than 3 will be certain at the end of the clinical trial
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Assessment method [2]
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Timepoint [2]
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first 15 minutes in the recovery room
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Secondary outcome [1]
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laryngobronchospasm risk after extubation. It will be evaluated with pulse oxymeter decreasing and chest physical examination as stridor and rales.
Number of participants wit laryngobronchospasm will be certain at the end of the clinical trial.
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Assessment method [1]
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Timepoint [1]
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at the time of extubation and the first 15 minutes in the recovery room
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Eligibility
Key inclusion criteria
90 children between 3-15 years who had no other additional disease (ASA1) scheduled to undergo adenotonsillectomy
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Minimum age
3
Years
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Maximum age
15
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
ASA 2 and over
Need for a second surgery because of bleeding
drug allergies
any respiratory tract infection
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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)
allocation will be concealed by sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
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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
Safety/efficacy
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Statistical methods / analysis
Proportion test was used to compare the agitation rates of the two groups.
P<0.05 values were considered statistically significant.
R Core Team (2016) was used for all the statistical analyzes.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
7/06/2018
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Actual
7/06/2018
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Date of last participant enrolment
Anticipated
13/07/2018
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Actual
30/07/2018
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Date of last data collection
Anticipated
13/07/2018
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Actual
30/07/2018
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Sample size
Target
90
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Accrual to date
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Final
90
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Recruitment outside Australia
Country [1]
10225
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Turkey
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State/province [1]
10225
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Mugla
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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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Mugla Sitki Kocman University Training and Research Hospital
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Address [1]
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Kötekli Mahallesi Mugla Sitki Koçman Üniversitesi Egitim ve Arastirma Hastanesi Anesteziyoloji ve Reanimasyon Anabilim Dali Mugla 48000, Türkiye
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Country [1]
299013
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Turkey
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Primary sponsor type
Individual
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Name
Semra Gumus Demirbilek
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Address
Kötekli Mahallesi Mugla Sitki Koçman Üniversitesi Egitim ve Arastirma Hastanesi Anesteziyoloji ve Reanimasyon Anabilim Dali Mugla 48000, Türkiye
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Country
Turkey
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Secondary sponsor category [1]
298239
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Individual
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Name [1]
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Ezgi Dinçer
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Address [1]
298239
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Kötekli Mahallesi Mugla Sitki Koçman Üniversitesi Egitim ve Arastirma Hastanesi Anesteziyoloji ve Reanimasyon Anabilim Dali Mugla 48000, Türkiye
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Country [1]
298239
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Turkey
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Mugla Sitki Kocman University Clinical Trials Ethics Committee
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Ethics committee address [1]
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Mugla Sitki Kocman University Clinical Trials Ethical Committee Mugla Sitki Kocman University Mdical faculty Dean office 48000 MUGLA /TURKEY
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Ethics committee country [1]
299951
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Turkey
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Date submitted for ethics approval [1]
299951
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03/02/2016
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Approval date [1]
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10/02/2016
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Ethics approval number [1]
299951
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VII
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Summary
Brief summary
Safe and adequate return of airway reflexes and cognitive functions during recovery period after general anaesthesia is important especially in short-term paediatric surgeries. The most stressful experience for children during perioperative period is anaesthesia induction but awakening in foreign environment without parents is similarly stressful. We purposed to search if sugammadex causes or increases emergence agitation and laryngospasm due to fast termination of the neuromuscular blockage and quick awakening. Ninety ASA 1 children between 3-15 years will be included the study randomized and prospectively and will be premedicated with midazolam0.5 mg/kg orally. Standard monitoring procedures per the American Society of Anaesthesiologists and train of four (TOF)monitoring will be performed. For induction sevoflurane %8 and N2O-O2 %50 or in children which have vascular access propofol 2-3 mg/kg, fentanyl 1 µg/kg, lidocaine 1 mg/kg and rocuronium 0.6 mg/kg will be administered. Anesthesia will be maintained with sevoflurane and N2O-O2. Dexamethasone 0.1 mg/kg, paracetamol 15 mg/kg and ondansetron 0.1 mg/kg will be applied. When the operation finish, inhalation anaesthetics will be stopped and when TOF is %25, neostigmine 50 µg/kg and atropine 0.20 µg/kg(n=45) or sugammadex 2 mg/kg will be applied randomly (double-blinded). Time between TOF %25-90, total anaesthesia, operation and eye-opening times will be recorded. All will be evaluated with agitation scale (AS) and paediatric anaesthesia emergence delirium (PAED) scale in the recovery room. We will call agitated which had AS>3 and PAED>=10.
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Trial website
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Trial related presentations / publications
.
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Public notes
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Attachments [1]
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/AnzctrAttachments/374750-Anesthesia protocol.docx
(Protocol)
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Contacts
Principal investigator
Name
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Prof Semra Gümüs Demirbilek
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Address
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Mugla Sitki Kocman University , 48000 Kotekli, MUGLA
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Country
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Turkey
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Phone
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+905367648718
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Fax
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+902522111000
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Email
82058
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[email protected]
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Contact person for public queries
Name
82059
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Semra Gümüs Demirbilek
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Address
82059
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Mugla Sitki Kocman University , 48000 Kotekli, MUGLA
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Country
82059
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Turkey
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Phone
82059
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+905367648718
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Fax
82059
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+902522111000
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Email
82059
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[email protected]
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Contact person for scientific queries
Name
82060
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Semra Gumus Demirbilek
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Address
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Mugla Sitki Kocman University , 48000 Kotekli, MUGLA
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Country
82060
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Turkey
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Phone
82060
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+905367648718
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Fax
82060
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+902522111000
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Email
82060
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
all of the individual participant data collected during the trial
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When will data be available (start and end dates)?
Beginning 3 months and ending 5 years following main results
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Available to whom?
only researchers who provide a methodologically sound proposal
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Available for what types of analyses?
any purpose
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How or where can data be obtained?
access subject to approvals by Principal Investigator, requirement to sign data access agreement
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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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