E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
spinal anesthesia for open inguinal hernia repair or lower limb surgery |
spinaal anesthesie voor open liesbreukchirurgie of ingrepen aan de onderste ledematen |
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E.1.1.1 | Medical condition in easily understood language |
spinal anesthesia for open inguinal hernia repair or lower limb surgery |
ruggenprik voor open liesbreukchirurgie of ingrepen aan de onderste ledematen |
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E.1.1.2 | Therapeutic area | Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Anesthesia and Analgesia [E03] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 18.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10041538 |
E.1.2 | Term | Spinal anesthesia |
E.1.2 | System Organ Class | 100000004865 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
to obtain information on the level of anesthesia and moter block with prilotekal and the duration of anesthesia on that level with varying dosages |
informatie te krijgen over de hoogte en duur van het anesthetisch en motorisch blok met prilotekal bij verschillende doseringen |
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E.2.2 | Secondary objectives of the trial |
duration to first voiding postoperatively, quality of per- and postoperative analgesia and patient satisfaction |
informatie te krijgen over moment tot eerste mictie, per en postoperatieve analgesie en patienttevredenheid |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
patients 18 year and older planned for spinal anesthesie in day case surgery |
patienten van 18 jaar en ouder gepland voor spinaal anesthesie in dagchirurgie |
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E.4 | Principal exclusion criteria |
pregnancy allergy to prilocaine |
zwangerschap allergie voor prilocaine |
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E.5 End points |
E.5.1 | Primary end point(s) |
Maximum block height (sensibility and motor) Time of regression to T10, L1 and S2 (sensibility) Time of regression of motor block Time to spontaneous urination or catherisation
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bereikte maximale blokhoogte en uitbreiding motorisch blok tijd tot regressie van blok tot T10, L1 en S2 tijd tot verdwijnen motorisch blok tijdstip tot spontane mictie of catheterisatie.
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
1. height of the anesthetic block (sensibility and motor) every 5 minutes up till incision. 2. As far as possible during surgery every 15 minutes
3. height of the anesthetic block (sensibility and motor) on arrival in the recovery room and then every 15 minutes 4.height of the anesthetic block (sensibility and motor) on the ward every 30 minutes until discharge or complete resolution of block 5. voiding based on patient report or urinary catheterization
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1.De blokhoogte iedere 5 min tot incisie, de mate van motorisch blok tot incisie. 2. Voor zover praktisch uitvoerbaar zal peroperatief de blokhoogte bij iedere 15 minuten worden gecontroleerd. 3. De blokhoogte en de mate van motorisch blok bij aankomst op de verkoever en vervolgens iedere 15 minuten. 4. Op de afdeling is het streven dit minimaal iedere 30 minuten te registreren tot ontslag. 5. tijdstip eerste mictie volgens opgave patient of catheterisatie |
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E.5.2 | Secondary end point(s) |
the amount of fluid infused during and after surgery and the amount of fluids taken postoperatively bladder volume pre and postoperatively and at discharge if the patient did not urinate yet time of first urine production. If the patient does not urinate during admission, he/she will be asked to record the time at home bladder catheterisation if necessary and volume additional analgesics per and postoperatively use of vasopressors patient satisfaction with the procedure time of discharge, night admission if necessary and reason for night admission
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De vochtinname in de 6u voor de ingreep 5. De hoeveelheid infusie per en postoperatief en de vochtinname postoperatief. 6. de blaasinhoud pre en postoperatief en bij ontslag indien er nog geen mictie heeft plaatsgevonden. 7. het tijdstip van eerste mictie. Indien de patient voor ontslag nog een mictie heeft gehad wordt hij/zij verzocht het tijdstip te noteren. 8. blaascatheterisatie indien nodig en het urinevolume bij die catheterisatie 9. toegediende analgetica per en postoperatief 10. tevredenheid van de patient over de procedure. 11. ontslagtijdstip, evt nachtopname en reden voor de opname |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
during admission in day care |
gedurende opname in dagbehandeling |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
andere dosis |
different dose |
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E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 5 |
E.8.9.1 | In the Member State concerned days | 0 |