Sedation using sevoflurane during spinal anaesthesia.

ISRCTN ISRCTN36581428
DOI https://doi.org/10.1186/ISRCTN36581428
Secondary identifying numbers N0287042181
Submission date
12/09/2003
Registration date
12/09/2003
Last edited
18/11/2009
Recruitment status
Stopped
Overall study status
Stopped
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Gilbert R Park
Scientific

Box 17
John Farman Intensive Care Unit
Addenbrooke's NHS Trust
Hills Road
Cambridge
CB2 2QQ
United Kingdom

Phone +44 (0)1223 217433
Email gilbertpark@doctors.org.uk

Study information

Study designRandomised double blind placebo controlled parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleSedation using sevoflurane during spinal anaesthesia. A single centre, double blind, randomised, placebo controlled study
Study objectivesSedation using sevoflurane during spinal anaesthesia
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedSurgery: Spinal anaesthesia
InterventionWe aim to compare two groups of patients undergoing spinal anaesthesia. Both groups will receive identical spinal anaesthesia. In addition, one group will receive an inhalational anaesthetic, sevoflurane, as a sedative agent. The second group (control group) will not receive additional sedation.

The patients will be visited before the operation and the technique explained to them. Two anaesthetists will be present during the procedure (anaesthetist A and anaesthetist B). In the anaesthetic room an intravenous cannula will be inserted and a spinal block performed using a 25 gauge needle and 0.5% hyperbaric bupivacaine.

Five patients will be randomly allocated into the sevoflurane or placebo (oxygen/air) group (25 in each). All patients will receive 2 l/min oxygen/air mixture from the anaesthetic machine through nasal cannulae. The anaesthetic machine will be covered so that only anaesthetist A will be able to see the sevoflurane vaporiser. He will add a fixed percentage of sevoflurane (at the moment thought to be 1-2%, but may need to be greater) to the fresh gas flow for patients allocated to the sedation group. The vaporiser will remain turned off for the non-sedation group.

Anaesthetist B will be responsible for assessing levels of sedation at all points during the anaesthetic and recovery phase. This will involve several well recognised psychomotor tests, including the Ramsay Sedation Scale, Trieger's adaptation of the Bender Motor Gestalt Test, and also a tapping test and ball bearing test as used by previous investigators including Short and Galletly. Before anaesthesia, Anaesthetist B will explain the test to the patient. The patient will be visited three times after the operation. First on the recovery ward, and later on the main ward at 4 h and 24 h after the operation. During these visits, the Trieger, tapping and ball bearing tests will be repeated and the patient will be asked to give a satisfaction rating based on a 10-cm visual analogue scale.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Sevoflurane
Primary outcome measureNot provided at time of registration
Secondary outcome measuresNot provided at time of registration
Overall study start date21/05/1999
Completion date20/05/2003
Reason abandoned (if study stopped)Lack of funding/sponsorship

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target number of participants27
Key inclusion criteria27 (ACT)(COMP)
Key exclusion criteriaDoes not match inclusion criteria
Date of first enrolment21/05/1999
Date of final enrolment20/05/2003

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Box 17
Cambridge
CB2 2QQ
United Kingdom

Sponsor information

Department of Health (UK)
Government

Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Website http://www.doh.gov.uk

Funders

Funder type

Other

Cambridge Consortium - Addenbrookes (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan