Home » Trials » SLCTR/2013/016


The effects of epidural magnesium on perioperative treatment in patients undergoing thoracic surgery

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SLCTR Registration Number

SLCTR/2013/016


Date of Registration

11 Apr 2013

The date of last modification

Mar 03, 2019


Trial Status



Application Summary


Scientific Title of Trial

The effects of epidural magnesium on perioperative treatment in patients undergoing thoracic surgery


Public Title of Trial

The effects of epidural magnesium on perioperative treatment in patients undergoing thoracic surgery


Disease or Health Condition(s) Studied

Postoperative pain in thoracic surgery


Scientific Acronym

None


Public Acronym

None


Brief title

Pain management and stress response


Universal Trial Number

None


Any other number(s) assigned to the trial and issuing authority

None


Trial Details


What is the research question being addressed?

Does epidural magnesium during thoracotomy modulate or diminish cumulative doses of anaesthetics, muscle relaxants and analgetics intra- and postoperatively, modulate neuroendocrine stress response, incidence of perioperative complications and chronic postoperative pain?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Placebo


Assignment

Parallel


Purpose

Supportive care


Study Phase

Not Available


Intervention(s) planned

Patients undergoing thoracic surgery will be randomized into 2 groups. The first group will receive continuous epidural infusion of 10%MgSO4. The second group will receive continuous epidural infusion of 0.9% NaCl. During 48 hours postoperatively the first group will receive continuous epidural infusion of local anesthetic, opioid and 10% MgSO4 and the second group continuous epidural infusion of local anesthetic and opioid.


Inclusion criteria

Adult patients, ASA class I-III undergoing elective thoracic surgery


Exclusion criteria

Patients with renal or hepatic failure, patients with neuromuscular disorders, AV block II-III degree, morbidly obese and patients preoperatively treated with opioids or calcium channel blockers



Primary outcome(s)

1.
  1. Intraoperative cumulative doses of anesthetic (propofol), muscle relaxant (rocuronium) and analgesic (sufentanil)
  2. Cumulative epidural doses of local anesthetic (levobupivacain) and analgetic (sufentanil) during first 48hours.
  3. Plasma levels of magnesium
  4. Plasma levels of cortisol
[
  1. At the end of the operative period
  2. At the end of 48 hours
  3. Plasma level of magnesium: preoperatively, at the end of the procedure and every 8 hours during first 24 hours.
  4. Plasma level of cortisol: before premedication, 1 hour after the start of the operation, 1 hour after the end of the operation and first postoperative day
]

Secondary outcome(s)

1.
  1. Pain perception using changes in VAS and TORDA scores
  2. Incidence of chronic postthoracotomy pain
[
  1. VAS and TORDA scores will be evaluated every 4 hours during first 48 hours post operatively
  2. Incidence of chronic post-thoracotomy pain will be evaluated 6 months after the surgical procedure
]

Target number/sample size

70 patients (35 in each arm)


Countries of recruitment

Croatia


Anticipated start date

2013-04-12


Anticipated end date

2013-08-08


Date of first enrollment


Date of study completion


Recruitment status

Recruiting


Funding source

None


Regulatory approvals



State of Ethics Review Approval


Status

Approved


Date of Approval

2013-03-21


Approval number

380-59-10106-13-195/86


Details of Ethics Review Committee

Name: Ethics Committee of the Zagreb University Hospital Centre and School of Medicine
Institutional Address:Zagreb, Croatia
Telephone:Not Available
Email: Not Available

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Jana Kogler M.D.

Department of Anesthesiology and Intensive Care, University Hospital Center Zagreb, Joradonovac 104, 10 000 Zagreb, Croatia
0038512385221 0038512421601


jkogler1974@yahoo.com

Contact Person for Public Queries

Jana Kogler M.D.

Department of Anesthesiology and Intensive Care, University Hospital Center Zagreb, Joradonovac 104, 10 000 Zagreb, Croatia
0038512385221 0038512421601


jkogler1974@yahoo.com


Primary study sponsor/organization

Department of Anesthesia and Intensive Care

University Hospital Center Zagreb, Jordanovac 104, 10 000 Zagreb, Croatia
0038512385214 0038512421601

jkogler1974@yahoo.com

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?


IPD sharing plan description


Study protocol available


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results