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Effect of Glycopyrrolate and Atropine on Catheter-Related Bladder Discomfort

Primary Purpose

Catheter Site Discomfort, Complications, Anesthesia

Status
Unknown status
Phase
Not Applicable
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Glycopyrrolate
Atropine
Sponsored by
Seoul National University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Catheter Site Discomfort

Eligibility Criteria

19 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients scheduled for transurethral bladder excision under general anesthesia
  • ASA I-III

Exclusion Criteria:

  • Foley catheter less than 18 Fr.
  • Patients with obstruction of urinary tract
  • Patients with neurogenic bladder
  • Patients with severe obesity
  • Patients with neurologic disorder
  • Patients with chronic pain
  • Patients with allergic history to atropine or glycopyrrolate

Sites / Locations

  • Seoul National University of HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Glycopyrrolate

Atropine

Arm Description

Glycopyrrolate will be administered as the adjuncts of neuromuscular blocker reversal agent.

Atropine will be administered as the adjuncts of neuromuscular blocker reversal agent.

Outcomes

Primary Outcome Measures

Catheter-related bladder discomfort
Catheter-related bladder discomfort will be measured at 1 hour postoperatively (0:none, 1:mild, 2:moderate, 3:severe).

Secondary Outcome Measures

Catheter-related bladder discomfort
Catheter-related bladder discomfort will be measured at 1 hour postoperatively (0:none, 1:mild, 2:moderate, 3:severe).
Hemodynamic parameters
Mean blood pressure and heart rate will be measured at 0, 1, 5, 10 minute postoperatively. Measurement at 10 minute means Mean blood pressure and heart rate at the admission of post-anesthetic care unit.
Nausea
Nausea will be measured at 0, 1, 6 and 24 hour postoperatively.
Vomiting
Vomiting will be measured at 0, 1, 6 and 24 hour postoperatively.
Dry mouth
Dry mouth will be measured at 0, 1, 6 and 24 hour postoperatively.
Flushing
Flushing will be measured at 0, 1, 6 and 24 hour postoperatively.
Blurred vision
Blurred vision will be measured at 0, 1, 6 and 24 hour postoperatively.
Dizziness
Dizziness will be measured at 0, 1, 6 and 24 hour postoperatively.
Analgesics
The amount of analgesics will be measured at 0, 1, 6 and 24 hour postoperatively.

Full Information

First Posted
August 27, 2014
Last Updated
October 27, 2014
Sponsor
Seoul National University Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT02228473
Brief Title
Effect of Glycopyrrolate and Atropine on Catheter-Related Bladder Discomfort
Official Title
Effect of Glycopyrrolate and Atropine as Adjuncts to Reversal of Non-Depolarizing Neuromuscular Blocking Agents on Postoperative Catheter-Related Bladder Discomfort
Study Type
Interventional

2. Study Status

Record Verification Date
August 2014
Overall Recruitment Status
Unknown status
Study Start Date
September 2014 (undefined)
Primary Completion Date
February 2015 (Anticipated)
Study Completion Date
March 2015 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Seoul National University Hospital

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
We want to evaluate the efficacy of the glycopyrrolate and atropine for the prevention of catheter-related bladder discomfort.
Detailed Description
The mechanism of catheter-related bladder discomfort is thought to be related to the muscarinic receptor. The adjuncts to reversal agents such as glycopyrrolate and atropine are known to block the muscarinic receptor in different ways. We want to evaluate the efficacy of the glycopyrrolate and atropine for the prevention of catheter-related bladder discomfort.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Catheter Site Discomfort, Complications, Anesthesia, Urinary Bladder Neoplasms

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
76 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Glycopyrrolate
Arm Type
Experimental
Arm Description
Glycopyrrolate will be administered as the adjuncts of neuromuscular blocker reversal agent.
Arm Title
Atropine
Arm Type
Active Comparator
Arm Description
Atropine will be administered as the adjuncts of neuromuscular blocker reversal agent.
Intervention Type
Drug
Intervention Name(s)
Glycopyrrolate
Intervention Description
Glycopyrrolate will be administered.
Intervention Type
Drug
Intervention Name(s)
Atropine
Intervention Description
Atropine will be administered.
Primary Outcome Measure Information:
Title
Catheter-related bladder discomfort
Description
Catheter-related bladder discomfort will be measured at 1 hour postoperatively (0:none, 1:mild, 2:moderate, 3:severe).
Time Frame
1 hour postoperatively
Secondary Outcome Measure Information:
Title
Catheter-related bladder discomfort
Description
Catheter-related bladder discomfort will be measured at 1 hour postoperatively (0:none, 1:mild, 2:moderate, 3:severe).
Time Frame
0, 6 and 24 hour postoperatively
Title
Hemodynamic parameters
Description
Mean blood pressure and heart rate will be measured at 0, 1, 5, 10 minute postoperatively. Measurement at 10 minute means Mean blood pressure and heart rate at the admission of post-anesthetic care unit.
Time Frame
0, 1, 5, 10 minute postoperatively
Title
Nausea
Description
Nausea will be measured at 0, 1, 6 and 24 hour postoperatively.
Time Frame
0, 1, 6 and 24 hour postoperatively
Title
Vomiting
Description
Vomiting will be measured at 0, 1, 6 and 24 hour postoperatively.
Time Frame
0, 1, 6 and 24 hour postoperatively
Title
Dry mouth
Description
Dry mouth will be measured at 0, 1, 6 and 24 hour postoperatively.
Time Frame
0, 1, 6 and 24 hour postoperatively
Title
Flushing
Description
Flushing will be measured at 0, 1, 6 and 24 hour postoperatively.
Time Frame
0, 1, 6 and 24 hour postoperatively
Title
Blurred vision
Description
Blurred vision will be measured at 0, 1, 6 and 24 hour postoperatively.
Time Frame
0, 1, 6 and 24 hour postoperatively
Title
Dizziness
Description
Dizziness will be measured at 0, 1, 6 and 24 hour postoperatively.
Time Frame
0, 1, 6 and 24 hour postoperatively
Title
Analgesics
Description
The amount of analgesics will be measured at 0, 1, 6 and 24 hour postoperatively.
Time Frame
0, 1, 6 and 24 hour postoperatively

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients scheduled for transurethral bladder excision under general anesthesia ASA I-III Exclusion Criteria: Foley catheter less than 18 Fr. Patients with obstruction of urinary tract Patients with neurogenic bladder Patients with severe obesity Patients with neurologic disorder Patients with chronic pain Patients with allergic history to atropine or glycopyrrolate
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Hyun-Chang Kim, MD
Phone
82-10-2886-2876
Email
onidori1979@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hee-Pyoung Park, PhD
Organizational Affiliation
Seoul National University of Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Seoul National University of Hospital
City
Seoul, Korea, Republic of
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hee-Pyoung Park, PhD
Phone
+82-10-2971-7647
Email
hppark@snu.ac.kr
First Name & Middle Initial & Last Name & Degree
Hyun-Chang Kim, MD
First Name & Middle Initial & Last Name & Degree
Hee-Pyoung Park, PhD

12. IPD Sharing Statement

Citations:
PubMed Identifier
26254585
Citation
Kim HC, Lim SM, Seo H, Park HP. Effect of glycopyrrolate versus atropine coadministered with neostigmine for reversal of rocuronium on postoperative catheter-related bladder discomfort in patients undergoing transurethral resection of bladder tumor: a prospective randomized study. J Anesth. 2015 Dec;29(6):831-5. doi: 10.1007/s00540-015-2064-2. Epub 2015 Aug 9.
Results Reference
derived

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Effect of Glycopyrrolate and Atropine on Catheter-Related Bladder Discomfort

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