E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Elective cholecystectomy |
Colecistectomía electiva |
|
E.1.1.1 | Medical condition in easily understood language |
Gallbladder surgical removal |
Extirpación quirúrgica de la vesícula biliar |
|
E.1.1.2 | Therapeutic area | Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Anesthesia and Analgesia [E03] |
MedDRA Classification |
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 compare two commonly used analgesic techniques in anesthesia for laparoscopic cholecystectomy and to assess if there are some differences between them as to the need of use additional analgesic (morphic chloride) in the immediate postoperative period (first 4 postoperative hours) |
Comparar dos técnicas analgésicas empleadas de forma habitual en la anestesia para la colecistectomía laparoscópica y evaluar si existen diferencias entre ellas en cuanto a las necesidades de administración de analgésicos mayores (cloruro mórfico) en el período postoperatorio inmediato (primeras 4 horas postoperatorias). |
|
E.2.2 | Secondary objectives of the trial |
(1) To assess postoperative pain intensity, according to Visual Analog Scale (VAS) at rest and with mobilization or cough. Where 0= no pain and 10= the worst imaginable pain, depending on the block method made in the operating room.
(2) To evaluate the time from patient's recovery admission to the first analgesia request.
(3) To determine incidence and intensity of postoperative nausea or vomit, as well as antiemetic intake and if there are some differences depending on the block method made.
(4) To record complications during surgery and postoperatively such as conversion to open surgery (it will imply patient withdrawal), bleeding, infection, or need of reintervention. |
(1) Evaluar la intensidad del dolor postoperatorio, según la Escala Visual Analógica (EVA) en reposo y con la movilización o la tos: 0= no dolor hasta 10 (el peor dolor imaginable) en función del bloqueo realizado en el quirófano
(2) Evaluar el tiempo transcurrido desde el ingreso del paciente en recuperación hasta la primera demanda de analgesia
(3) Determinar la incidencia e intensidad de náuseas o vómitos postoperatorios, así como el consumo de antieméticos y si existen diferencias en función del bloqueo realizado
(4) Recoger las complicaciones surgidas durante la cirugía y en el postoperatorio tales como reconversión a cirugía abierta, imposibilidad de la extubación en quirófano (que supondrá la retirada del paciente del estudio), sangrado, infección, o necesidad de reintervención. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
(1) Age between 18 and 85 years.
(2) Laparoscopic elective cholecystectomy intervention with planned hospital admission.
(3) ASA Physical Status Classification System < IV |
(1) Edad entre 18 y 85 años.
(2) intervención de colecistectomía electiva por vía laparoscópica con ingreso hospitalario previsto
(3) sistema de clasificación de riesgo anestésico ASA < IV |
|
E.4 | Principal exclusion criteria |
(1) Patient refusal (2) known hypersensitivity to any of the medications used in this study (3) opiates chronic use (4) epilepsy (5) psychomotor delay (6) morbid obesity (defined as BMI> 40) (7) obstructive sleep apnea syndrome (8) presence of a heart rhythm block that requires a pacemaker implant (9) liver failure (defined as total preoperative serum bilirubin > 2 mg / dl) (10) renal insufficiency (defined as estimated renal glomerular filtration rate ≤ 50 ml / min / 1.73 m2) (11) pregnancy (12) local skin infection at the puncture site level |
1) Negativa del paciente, (2) hipersensibilidad conocida a alguna de las medicaciones empleadas en el estudio, (3) uso crónico de opiáceos, (4) epilepsia, (5) retraso psicomotriz, (6) obesidad mórbida (definida como IMC> 40), (7) síndrome de apnea obstructiva del sueño, (8) presencia de un bloqueo del ritmo cardiaco que requiera el implante de un marcapasos, (9) insuficiencia hepática (definida como bilirrubina sérica preoperatoria total >2 mg/dl), (10) insuficiencia renal (definida como filtrado glomerular estimado renal ≤ 50 ml/min/1.73 m2), (11) embarazo (12) infección local en la piel a nivel de las zonas de punción. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
- Total morphine dose (mg), required by patients in the period studied. - Number of patients who required morphic chloride administration in the period studied. |
- Dosis de morfina total (mg), requerida por los pacientes en el período estudiado. - Número de pacientes que requieren adminsitración de cloruro mórfico en el período estudiado |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
The evaluation of the study endpoints will be carried out in the first four hours of the postoperative period. |
La evaluación de las variables del estudio se realizará en las primeras cuatro horas de postoperatorio. |
|
E.5.2 | Secondary end point(s) |
- Postoperative pain intensity, according to Visual Analog Scale (VAS) at rest and with mobilization or cough. Where 0= no pain and 10= the worst imaginable pain. - Time from patient's recovery admission to the first analgesia request. - Incidence and intensity of postoperative nausea or vomit, as well as antiemetic intake (Ondansetron). - Total dose of remifentanil used intraoperatively. - The duration of operation in minutes. - The duration of the stay in the postoperative Recovery room (in hours) and in the hospital (in days). - Complications during surgery and postoperatively such as conversion to open surgery (it will imply patient withdrawal), bleeding, infection, or need of reintervention (it will imply patient withdrawal, as well). |
- La intensidad del dolor postoperatorio, según la la Escala Visual Analógica (EVA) en reposo y con la movilización o la tos (0= no dolor hasta 10= el peor dolor imaginable). - El tiempo transcurrido desde el ingreso del paciente en recuperación hasta la primera demanda de analgesia. - La incidencia e intensidad de náuseas o vómitos postoperatorios, así como el consumo de antiemético (ondansetrón). - La dosis total de remifentanilo empleada en el intraoperatorio. - La duración de operación en minutos. - La duración de la estancia en la sala de Recuperación postoperatoria (en horas) y en el hospital (en días). - Las complicaciones surgidas durante la cirugía y en el postoperatorio, tales como reconversión a cirugía abierta, imposibilidad de la extubación en quirófano (que supondrá la retirada del paciente del estudio), sangrado, infección, o necesidad de reintervención (que también supondrá la retirada del paciente del estudio). |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
- The VAS will be evaluated at admission; every 30 minutes during the first two postoperative hours and every hour during the staying in the recovery unit. - The other variables of the study will be carried out in the first four hours of the postoperative period. |
- Se evaluará la EVA al ingreso; cada 30 minutos durante las dos primeras horas postoperatorias y cada hora durante su estancia en la unidad de recuperación - Las demás variables del estudio se realizarán en las primeras cuatro horas de postoperatorio. |
|
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 | No |
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 | Yes |
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 |
Se comparará el mismo analgésico en diferentes métodos de bloqueo |
Same analgesic will be compared in different ways of block |
|
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
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |