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A Study of Methods to Reduce Anxiety in Preoperative Elective Surgical Patients

Primary Purpose

Anxiety

Status
Completed
Phase
Phase 4
Locations
Australia
Study Type
Interventional
Intervention
Midazolam
Normal Saline
Bair Hugger
Sponsored by
Melbourne Health
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Anxiety focused on measuring anxiety, midazolam, forced-air warming

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients aged between 18 and 70 years
  • male and female
  • presenting for elective surgery
  • requiring general anaesthesia
  • ASA 1-3

Exclusion Criteria:

  • Cardiothoracic and intracranial surgery
  • Day case surgery
  • Pre-existing anxiety disorder
  • Patients on psychotropic drugs preoperatively Febrile patients T > 37.5 degrees Celsius Allergy to midazolam Obstructive Sleep Apnoea diagnosed on sleep study

Sites / Locations

  • Royal Melbourne Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Active Comparator

Active Comparator

Arm Label

1

2

3

Arm Description

Single un-warmed cotton blanket over body and limbs, and reassurance, during preoperative period in anaesthetic room

Single un-warmed cotton blanket over body and limbs, reassurance and intravenous midazolam 30 µg/kg i.v, during preoperative period in anaesthetic room

Single un-warmed cotton blanket, reassurance and forced-air warming with a Bair Hugger, during preoperative period in anaesthetic room

Outcomes

Primary Outcome Measures

Visual analog scale score for anxiety

Secondary Outcome Measures

Thermal comfort
Recovery from anaesthesia
Satisfaction with care

Full Information

First Posted
May 28, 2013
Last Updated
May 30, 2013
Sponsor
Melbourne Health
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1. Study Identification

Unique Protocol Identification Number
NCT01866605
Brief Title
A Study of Methods to Reduce Anxiety in Preoperative Elective Surgical Patients
Official Title
A Study of Methods to Reduce Anxiety in Preoperative Elective Surgical Patients
Study Type
Interventional

2. Study Status

Record Verification Date
February 2009
Overall Recruitment Status
Completed
Study Start Date
July 2008 (undefined)
Primary Completion Date
May 2009 (Actual)
Study Completion Date
May 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Melbourne Health

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Patients are often anxious immediately before surgery. The investigators hypothesis is that a warming blanket is as effective as the sedative midazolam in allaying anxiety before surgery.
Detailed Description
The investigators are randomising patients aged 18-70 having elective surgery to 1) a cotton blanket and reassurance as required; 2) midazolam, a cotton blanket and reassurance as required; and 3) forced-air warming, a cotton blanket and reassurance as required. The primary endpoint is a visual analog scale of anxiety.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anxiety
Keywords
anxiety, midazolam, forced-air warming

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
120 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Placebo Comparator
Arm Description
Single un-warmed cotton blanket over body and limbs, and reassurance, during preoperative period in anaesthetic room
Arm Title
2
Arm Type
Active Comparator
Arm Description
Single un-warmed cotton blanket over body and limbs, reassurance and intravenous midazolam 30 µg/kg i.v, during preoperative period in anaesthetic room
Arm Title
3
Arm Type
Active Comparator
Arm Description
Single un-warmed cotton blanket, reassurance and forced-air warming with a Bair Hugger, during preoperative period in anaesthetic room
Intervention Type
Drug
Intervention Name(s)
Midazolam
Intervention Description
Intravenous midazolam 0.3 mg/kg
Intervention Type
Drug
Intervention Name(s)
Normal Saline
Intervention Description
Normal saline injection will be given to groups not receiving midazolam
Intervention Type
Device
Intervention Name(s)
Bair Hugger
Intervention Description
Forced air warming
Primary Outcome Measure Information:
Title
Visual analog scale score for anxiety
Time Frame
During immediate pre-operative phase
Secondary Outcome Measure Information:
Title
Thermal comfort
Time Frame
During immediate pre-operative phase
Title
Recovery from anaesthesia
Time Frame
During immediate post-operative phase
Title
Satisfaction with care
Time Frame
During immediate post-operative phase

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients aged between 18 and 70 years male and female presenting for elective surgery requiring general anaesthesia ASA 1-3 Exclusion Criteria: Cardiothoracic and intracranial surgery Day case surgery Pre-existing anxiety disorder Patients on psychotropic drugs preoperatively Febrile patients T > 37.5 degrees Celsius Allergy to midazolam Obstructive Sleep Apnoea diagnosed on sleep study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kate Leslie, MD
Organizational Affiliation
Melbourne Health
Official's Role
Principal Investigator
Facility Information:
Facility Name
Royal Melbourne Hospital
City
Parkville
State/Province
Victoria
ZIP/Postal Code
3050
Country
Australia

12. IPD Sharing Statement

Learn more about this trial

A Study of Methods to Reduce Anxiety in Preoperative Elective Surgical Patients

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