Pharmacodynamic Comparison of Truncal Blocks in Patients With or Without Metabolic Disease (Kidney Failure, Diabetes)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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Montpellier, France, 34295
- Hôpital Lapeyronnie CHU de Montpellier
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Quincy-sous-Sénart, France, 91480
- Hôpital Privé Claude Galien
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Gard
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Nîmes, Gard, France, 30029
- Centre Hospitalier Universitaire de Nîmes
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
General Inclusion Criteria:
- The patient must have given his/her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- The patient is available for 1 month of follow up
- The patient is scheduled for hand or wrist surgery
Inclusion Criteria for the "Renal Insufficiency" group
- Patient has renal insufficiency as defined by a creatine clearance of < 30ml/min without dialysis
Inclusion Criteria for the "Diabetes" group
- Patient has chronic hyperglycemia, either a fasting glycemia > 1.26 g/l (7mmol/l) for longer than 5 years and receiving an oral, well-adjusted (last HBA1c < 6.5%)), non-insulin, antidiabetic treatment
Inclusion Criteria for the "Non-exposed" group
- Patient without metabolic or neurologic disease, with creating clearance > 90ml/min
Exclusion Criteria:
- The patient is participating in another study
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection, under tutorship or curatorship
- The patient refuses to sign the consent
- It is impossible to correctly inform the patient
- The patient is pregnant
- The patient is breastfeeding
- Patient weighs less than 50 kg
- Score ASA > 4
- contra indication for locoregional anesthesia
- Severe metabolic and / or decompensated renal disease, cardiac or pulmonary decompensation
- Associated peripheral neuropathy associated with diabetes or kidney disease
- Associated central neuropathy associated (eg MS ... narrow cervical canal)
- Patients with both renal failure and diabetes
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Renal insufficiency group
Patients in this group have renal insufficiency as defined by a creatinine clearance of < 30 ml/min without dialysis.
These patients do not have diabetes.
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Patients will have a truncal block during hand or wrist surgery.
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|
Diabetic group
These patients have diabetes, but not renal insufficiency.
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Patients will have a truncal block during hand or wrist surgery.
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|
Non-exposed group
These patients have neither a neurological nor a metabolic disease and a creatine clearance of > 90 ml/min
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Patients will have a truncal block during hand or wrist surgery.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The duration of sensory block in minutes.
Time Frame: Day 0 (per-op)
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The duration of the sensory block in minutes.
The beginning of this term is defined by the end of the axillary block (last injection), and the end of this period is defined by the reappearance of sensitivity to touch in the area anesthetized.
|
Day 0 (per-op)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time necessary for completion of axillary blocks (1 / 3 upper humerus)(min)
Time Frame: Day 0 (per-op)
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Day 0 (per-op)
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Time necessary for installing sensory and motor block (min)
Time Frame: Day 0 (per-op)
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Time necessary for installing sensory and motor block (min): defined by the delay between the end of the block injection and the occurrence of insensitivity of blocked territories
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Day 0 (per-op)
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Failure of the block: yes / no
Time Frame: Day 0 (per-op)
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Failure of the block: yes / no: defined by an absence of sensory block
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Day 0 (per-op)
|
|
Presence of paresthesia: yes / no
Time Frame: Day 0 (per-op)
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Day 0 (per-op)
|
|
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Occurrence of neurological complications, yes/no
Time Frame: Day 0 (post-op)
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Neurological: occurrence of complications (paresthesia, paralysis, paresis ....) that persist (or not) until the final postoperative evaluation
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Day 0 (post-op)
|
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Occurrence of neurological complications, yes/no
Time Frame: 1 month
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Occurrence of neurological complications (paresthesia, paralysis, paresis ....)
|
1 month
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Philippe Cuvillon, MD, Centre Hospitalier Universitaire de Nîmes
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Endocrine System Diseases
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Metabolic Diseases
- Glucose Metabolism Disorders
- Nutritional and Metabolic Diseases
- Diabetes Mellitus
- Renal Insufficiency
Other Study ID Numbers
Other Study ID Numbers
- LOCAL/2010/PC-02
- 2010-024519-15 (EudraCT Number)
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