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The Hemostatic and Hemodynamic Effects of Adrenaline During Endoscopic Sinus Surgery

Primary Purpose

Chronic Sinusitis

Status
Unknown status
Phase
Phase 3
Locations
Canada
Study Type
Interventional
Intervention
1% lidocaine with 1:100,000 adrenaline
1% lidocaine with 1:200,000 adrenaline
Sponsored by
University of Toronto
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Sinusitis focused on measuring Endoscopic sinus surgery

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • recurrent acute sinusitis, chronic sinusitis, or nasal polyposis

Exclusion Criteria:

  • bleeding disorders, under age of 18, history of cardiac disease or on antihypertensive medications

Sites / Locations

  • University of Toronto

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

1% lidocaine with 1:100000 adrenaline

1% lidocaine with 1:200,000 adrenaline

Arm Description

high dose adrenaline

low dose

Outcomes

Primary Outcome Measures

Reduction of Intraoperative bleeding

Secondary Outcome Measures

hemodynamic fluctuation

Full Information

First Posted
February 26, 2009
Last Updated
June 29, 2010
Sponsor
University of Toronto
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1. Study Identification

Unique Protocol Identification Number
NCT00852410
Brief Title
The Hemostatic and Hemodynamic Effects of Adrenaline During Endoscopic Sinus Surgery
Official Title
The Hemostatic and Hemodynamic Effects of Adrenaline During Endoscopic Sinus Surgery: Randomized Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
June 2010
Overall Recruitment Status
Unknown status
Study Start Date
March 2009 (undefined)
Primary Completion Date
April 2010 (Anticipated)
Study Completion Date
April 2010 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
University of Toronto

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Obtaining adequate hemostasis is crucial during endoscopic sinus surgery. Submucosal injection of local anaesthetic containing adrenaline has frequently been used to improve surgical milieu. However, injection of adrenaline has potential side effects including tachycardia, hypertension as well as inducing arrhythmia. The aim of this randomized clinical trial is to assess the hemodynamic and hemostatic effects of two different concentrations of adrenaline in local anaesthetic used during endoscopic sinus surgery.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Sinusitis
Keywords
Endoscopic sinus surgery

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
140 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1% lidocaine with 1:100000 adrenaline
Arm Type
Active Comparator
Arm Description
high dose adrenaline
Arm Title
1% lidocaine with 1:200,000 adrenaline
Arm Type
Active Comparator
Arm Description
low dose
Intervention Type
Drug
Intervention Name(s)
1% lidocaine with 1:100,000 adrenaline
Intervention Description
high dose
Intervention Type
Drug
Intervention Name(s)
1% lidocaine with 1:200,000 adrenaline
Intervention Description
1% lidocaine with 1:200,000 adrenaline
Primary Outcome Measure Information:
Title
Reduction of Intraoperative bleeding
Time Frame
during surgery
Secondary Outcome Measure Information:
Title
hemodynamic fluctuation
Time Frame
during surgery

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: recurrent acute sinusitis, chronic sinusitis, or nasal polyposis Exclusion Criteria: bleeding disorders, under age of 18, history of cardiac disease or on antihypertensive medications
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ali Moshaver, MD
Phone
250-276-5050
Email
moshaver@yahoo.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ali Moshaver, MD
Organizational Affiliation
University of Toronto
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Toronto
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M6R 1B5
Country
Canada
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ali Moshaver, MD
Phone
250-276-5050
Email
moshaver@yahoo.com
First Name & Middle Initial & Last Name & Degree
Ali Moshaver, MD

12. IPD Sharing Statement

Citations:
PubMed Identifier
19841339
Citation
Moshaver A, Lin D, Pinto R, Witterick IJ. The hemostatic and hemodynamic effects of epinephrine during endoscopic sinus surgery: a randomized clinical trial. Arch Otolaryngol Head Neck Surg. 2009 Oct;135(10):1005-9. doi: 10.1001/archoto.2009.144.
Results Reference
derived

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The Hemostatic and Hemodynamic Effects of Adrenaline During Endoscopic Sinus Surgery

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