Use of an Algorithm to Determine IV Sedation Dosing During First-trimester Surgical Abortion
14 août 2015 mis à jour par: 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.
Aperçu de l'étude
Statut
Complété
Les conditions
Intervention / Traitement
Type d'étude
Interventionnel
Inscription (Réel)
196
Phase
- N'est pas applicable
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
-
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Massachusetts
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Boston, Massachusetts, États-Unis, 02215
- Planned Parenthood
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-
Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
18 ans et plus (Adulte, Adulte plus âgé)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Femelle
La description
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 d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Comparateur actif: 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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Expérimental: Algorithm
IV sedation dose calculated by study algorithm
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IV sedation dosing calculated by algorithm
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Pain with suction curettage
Délai: 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
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Pain with paracervical block
Délai: 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.
|
Measured on Day 1 (day of enrollment), immediately after paracervical block
|
|
Pain with cervical dilation
Délai: 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
|
|
Post-operative pain
Délai: 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.
|
Measured on Day 1 (day of enrollment), 15 minutes post-operatively
|
|
Patient satisfaction with pain control
Délai: Measured on Day 1 (day of enrollment), 15 minutes post-operatively
|
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
Délai: 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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Autres mesures de résultats
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Doses given over the duration of the study
Délai: 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
Délai: 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
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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Collaborateurs
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude
1 novembre 2013
Achèvement primaire (Réel)
1 juillet 2015
Achèvement de l'étude (Réel)
1 juillet 2015
Dates d'inscription aux études
Première soumission
1 novembre 2013
Première soumission répondant aux critères de contrôle qualité
19 novembre 2013
Première publication (Estimation)
25 novembre 2013
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
17 août 2015
Dernière mise à jour soumise répondant aux critères de contrôle qualité
14 août 2015
Dernière vérification
1 août 2015
Plus d'information
Termes liés à cette étude
Autres numéros d'identification d'étude
- SFPRF7-6
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .