- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06157359
Effect of SNB on the QoR in Patients Undergoing Supratentorial Tumor Resection
November 27, 2023 updated by: Second Affiliated Hospital, School of Medicine, Zhejiang University
Effect of Scalp Nerve Block on the Quality of Recovery in Patients Undergoing Supratentorial Tumor Resection
Patients with Supratentorial tumor undergoing craniotomy have a higher risk of postoperative pain, which will affect their postoperative quality of recovery (QoR).
Although scalp nerve block (SNB) can alleviate postoperative pain, the effect on postoperative QoR in patients with supratentorial tumor undergoing craniotomy is still unclear.
This study is aimed to explore the effect of SNB on postoperative QoR in this population.
To explore the effect, we design a randomized controlled trial in which 84 patients with supratentorial tumor will be randomly assigned to either the SNB group or control group.
The primary outcome is 15-item QoR score at 24 h after surgery.
The secondary outcomes include 15-item QoR scores at 72 h after surgery, Riker Sedation-Agitation Scale, nausea and vomiting, intraoperative opioids and propofol consumption, perioperative heart rate and mean artery pressure, the duration of anesthesia and surgery, time to extubation, PACU duration, the length of postoperative days, adverse events within 72h and total medical expenses.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
84
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Lina Yu, doctor
- Phone Number: +8613958033387
- Email: zryulina@zju.edu.cn
Study Locations
-
-
Zhejiang
-
Hangzhou, Zhejiang, China
- Recruiting
- Second affiliated Hospital School of Medicine,Zhejiang University
-
Contact:
- Lina Yu, doctor
- Phone Number: +8613958033387
- Email: zryulina@zju.edu.cn
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- age between 18 and 65;
- the diagnosis was supratentorial tumor;
- scheduled for elective supratentorial craniotomy with general anesthesia ;
- the American Society of Anesthesiologists physical status I-III;
Exclusion Criteria:
- the BMI≦18kg/m2 or BMI≧30kg/m2;
- refusing to sign written informed consent;
- anticipated surgery duration is too short (<2 h) or too long (>6 h);
- liver or kidney dysfunction, severe cardiopulmonary failure or nervous system disease ;
- with other malignancies ;
- severe hematological disease and / or abnormal coagulation function;
- fever, systemic and / or scalp infection;
- tumors are metastases, aneurysms, hemangioma, or located in the skull base, or located in functional brain areas such as language and movement;
- allergy to any drug used in this study;
- a history of craniotomy tumor resection;
- preoperative usage of antiinflammatory agents or analgesics;
- pregnant women, lactating women, illiterate people, people with cognitive impairment, a history of mental illness, unable to communicate and complete the scale assessment;
- patients with severe hemodynamic disturbances or other life-threatening complications during the operation, or those transferred to the intensive care unit (ICU) after surgery.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: control group
Patients in the control group will receive general anesthesia without the nerve blocks.
|
|
Experimental: SNB group
Participants randomized to the SNB group will receive general anesthesia combined with SNB using 0.75% ropivacaine, which will be performed by the same attending anesthesiologist.
|
In the SNB group, bilateral scalp nerve blocks will performed using 20 mL of 0.75% ropivacaine after anesthesia induction.
To cover the area of surgical incision and skull clamp, seven scalp nerves including the supratrochlear, supraorbital, zygomaticotemporal, auriculotemporal, lesser occipital and greater occipital nerves, are blocked bilaterally by injecting 1-2 ml of the solution using a 25-gauge needle.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
the 15-item QoR score at 24 hours after surgery
Time Frame: up to day1 after surgery
|
The quality of postoperative recovery is assessed by QoR-15 on the first day after operation.
|
up to day1 after surgery
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
the 15-item QoR score at 72 hours after surgery
Time Frame: up to day3 after surgery
|
The quality of postoperative recovery is assessed by QoR-15 on the third day after operation.
|
up to day3 after surgery
|
postoperative pain scores
Time Frame: up to day3 after surgery
|
Pain intensity is evaluated with the numerical rating scale (0-10, 0 = no pain, 10 = unbearable pain) at 6 time points: 20 minutes after extubation, discharge from PACU, 6 hours, 12 hours, 24 hours, and 72 hours following surgery.
The worst pain score during each interval is recorded.
|
up to day3 after surgery
|
Riker Sedation-Agitation Scale
Time Frame: during in PACU, an average of 3 hours
|
Riker Sedation-Agitation Scale is assessed at 2 time points: 20 minutes after extubation and discharge from PACU.
|
during in PACU, an average of 3 hours
|
nausea and vomiting
Time Frame: up to day3 after surgery
|
Nausea and vomiting is assessed by postoperative nausea and vomiting score (0, no nausea or vomiting; 1, nausea but no vomiting; 2, vomiting once or twice; 3, vomiting on more than two occasions) at 3 time points: discharge from PACU, 24 hours, and 72 hours after operation.
|
up to day3 after surgery
|
opioids and propofol consumption
Time Frame: during operation and in PACU, an average of 8 hours
|
Total drug dose of sufentanil, remifentanil and propofol consumption is recorded during operation and in PACU.
|
during operation and in PACU, an average of 8 hours
|
mean artery pressure and heart rate
Time Frame: during operation and in PACU, an average of 8 hours
|
Mean artery pressure and heart rate are recorded at 6 time points: before anesthesia induction (T0), after placement of the skull clamp (T1), beginning of surgery (T2), end of surgery (T3), 20 minutes after extubation (T4) , and discharge from PACU (T5).
|
during operation and in PACU, an average of 8 hours
|
time to critical events
Time Frame: during hospitalization, an average of 10 days
|
The time to critical events are recorded, including the duration of anesthesia and surgery, time to extubation, PACU duration, postoperative hospital days and so on.
|
during hospitalization, an average of 10 days
|
adverse events
Time Frame: up to day3 after surgery
|
Adverse events within 72 hours after operation are recorded.
|
up to day3 after surgery
|
total medical expenses
Time Frame: during hospitalization, an average of 10 days
|
The total medical expenses is recorded during hospitalization.
|
during hospitalization, an average of 10 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
November 27, 2023
Primary Completion (Estimated)
October 31, 2024
Study Completion (Estimated)
October 31, 2024
Study Registration Dates
First Submitted
November 14, 2023
First Submitted That Met QC Criteria
November 27, 2023
First Posted (Estimated)
December 5, 2023
Study Record Updates
Last Update Posted (Estimated)
December 5, 2023
Last Update Submitted That Met QC Criteria
November 27, 2023
Last Verified
November 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Neoplasms
- Neoplasms by Site
- Brain Neoplasms
- Central Nervous System Neoplasms
- Nervous System Neoplasms
- Supratentorial Neoplasms
- Physiological Effects of Drugs
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Sensory System Agents
- Anesthetics
- Anesthetics, Local
- Ropivacaine
Other Study ID Numbers
- 2023-0826
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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