Use of an Algorithm to Determine IV Sedation Dosing During First-trimester Surgical Abortion
14 de agosto de 2015 actualizado por: Planned Parenthood League of Massachusetts
This study aims to compare an algorithm for IV sedation dosing to the current standard of care in patients undergoing first trimester surgical abortion.
The primary outcome is subjects' pain score with suction curettage on a 0-100 21-point scale.
Secondary outcomes include pain scores with cervical dilation and 15 minutes post-procedure, subjective pain ratings, incidents of side effects and adverse events, the frequency of additional doses of medication, recovery room time, and physician assessment of and satisfaction with pain control.
Investigators hypothesize that this algorithm will result in improved pain control, decreased frequency of additional medication doses, improved patient and physician satisfaction, without differences in side effects, adverse events or recovery room time.
Descripción general del estudio
Estado
Terminado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Intervencionista
Inscripción (Actual)
196
Fase
- No aplica
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
-
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Massachusetts
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Boston, Massachusetts, Estados Unidos, 02215
- Planned Parenthood
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-
Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
18 años y mayores (Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Femenino
Descripción
Inclusion Criteria:
- Women age 18 or older seeking surgical abortion at Planned Parenthood League of Massachusetts (PPLM)
- Gestational age less than or equal to 13+6, confirmed by ultrasound
- Eligible for surgical abortion according to PPLM protocols
- Eligible for IV sedation per PPLM protocol, and desiring IV sedation for pain management
Exclusion Criteria:
- Choice of local anesthesia for pain control
- Hypersensitivity to midazolam or fentanyl
- Ineligible for IV sedation per PPLM protocol
- Need for cervical ripening with either misoprostol or mechanical priming agent (laminaria/Dilapan)
- Unable or unwilling to complete required study procedures
- Previous participation in the study
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Comparador activo: Standard sedation dose
IV sedation dose calculated using current standard of care
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IV sedation dosing calculated by standard care.
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Experimental: Algorithm
IV sedation dose calculated by study algorithm
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IV sedation dosing calculated by algorithm
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Pain with suction curettage
Periodo de tiempo: Measured on Day 1 (day of enrollment), immediately (within one minute) after completion of suction curettage and speculum removal
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Subjects' pain score with suction curettage on a 0-100 21-point scale
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Measured on Day 1 (day of enrollment), immediately (within one minute) after completion of suction curettage and speculum removal
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Pain with paracervical block
Periodo de tiempo: Measured on Day 1 (day of enrollment), immediately after paracervical block
|
Pain with paracervical block will be measured (a) on a 21-point 0 to 100 scale (in increments of five), and (b) on a subjective scale of "no pain, mild pain, moderate pain or severe pain."
Pain will be measured immediately after paracervical block.
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Measured on Day 1 (day of enrollment), immediately after paracervical block
|
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Pain with cervical dilation
Periodo de tiempo: Measured on Day 1 (day of enrollment), immediately after cervical dilation
|
Pain with cervical dilation will be measured (a) on a 21-point 0 to 100 scale (in increments of five), and (b) on a subjective scale of "no pain, mild pain, moderate pain or severe pain."
Pain with cervical dilation will be measured immediately after cervical dilation.
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Measured on Day 1 (day of enrollment), immediately after cervical dilation
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Post-operative pain
Periodo de tiempo: Measured on Day 1 (day of enrollment), 15 minutes post-operatively
|
Post-operative pain will be measured (a) on a 21-point 0 to 100 scale (in increments of five), and (b) on a subjective scale of "no pain, mild pain, moderate pain or severe pain."
Pain will be measured 15 minutes post-operatively when the patient is in the recovery room.
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Measured on Day 1 (day of enrollment), 15 minutes post-operatively
|
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Patient satisfaction with pain control
Periodo de tiempo: Measured on Day 1 (day of enrollment), 15 minutes post-operatively
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Patients will be asked about their general satisfaction with pain control, what their pain was compared to what they expected, whether they would chose the same pain management strategy again, and whether they would recommend their strategy of pain management to a friend.
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Measured on Day 1 (day of enrollment), 15 minutes post-operatively
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Side effects
Periodo de tiempo: Measured on Day 1 (day of enrollment), 15 minutes post-operatively
|
Investigators will assess side effects for all patients, including nausea, vomiting, dizziness, and drowsiness.
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Measured on Day 1 (day of enrollment), 15 minutes post-operatively
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Otras medidas de resultado
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Doses given over the duration of the study
Periodo de tiempo: Measured on Day 1 (day of enrollment), intraoperatively
|
To assess whether use of the algorithm changes physician's behavior in the standard care arm, investigators will also examine doses given over the duration of the study, to see if a "learning curve" develops among the physicians based on their experience with the algorithm.
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Measured on Day 1 (day of enrollment), intraoperatively
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Physician assessment of pain control
Periodo de tiempo: Measured on Day 1 (day of enrollment), post-operatively
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Investigators will also have the physician assess patients' pain control, whether they felt the dose was appropriate and how easy or difficult it was to determine the patients' doses of pain medication.
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Measured on Day 1 (day of enrollment), post-operatively
|
Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Colaboradores
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio
1 de noviembre de 2013
Finalización primaria (Actual)
1 de julio de 2015
Finalización del estudio (Actual)
1 de julio de 2015
Fechas de registro del estudio
Enviado por primera vez
1 de noviembre de 2013
Primero enviado que cumplió con los criterios de control de calidad
19 de noviembre de 2013
Publicado por primera vez (Estimar)
25 de noviembre de 2013
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
17 de agosto de 2015
Última actualización enviada que cumplió con los criterios de control de calidad
14 de agosto de 2015
Última verificación
1 de agosto de 2015
Más información
Términos relacionados con este estudio
Otros números de identificación del estudio
- SFPRF7-6
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .