| Unique ID issued by UMIN | UMIN000027008 |
|---|---|
| Receipt number | R000030969 |
| Scientific Title | Randomized blind group comparison test on urinary catheter discomfort alleviation effect by xylocaine concentration when urinary catheter with lumen for medical solution administration is used |
| Date of disclosure of the study information | 2017/04/17 |
| Last modified on | 2018/02/11 13:36:58 |
Randomized blind group comparison test on urinary catheter discomfort alleviation effect by xylocaine concentration when urinary catheter with lumen for medical solution administration is used
Randomized blind group comparison trial of reduction of urethral discomfort by NMOC catheter
Randomized blind group comparison test on urinary catheter discomfort alleviation effect by xylocaine concentration when urinary catheter with lumen for medical solution administration is used
Randomized blind group comparison trial of reduction of urethral discomfort by NMOC catheter
| Japan |
Patient planned to use a urethral catheter at the perioperative period
| Surgery in general | Gastrointestinal surgery | Hepato-biliary-pancreatic surgery |
| Vascular surgery | Chest surgery | Endocrine surgery |
| Breast surgery | Oto-rhino-laryngology | Orthopedics |
| Urology | Anesthesiology | Oral surgery |
| Plastic surgery | Intensive care medicine | Adult |
Malignancy
NO
A side slit urethral catheter called NMOC - 3 WAY catheter has been approved and released to alleviate urethral catheter discomfort. There is a report that the NMOC-3 WAY catheter can improve urinary catheter discomfort, which allows a surface anesthetic such as xylocaine to be injected into the urethral mucosa from a side slit for chemical solution. By using the NMOC - 3 WAY catheter, it can be expected to prevent disturbance caused by catheter stimulation after surgery, reduce discomfort during catheter insertion, and so on. However, there is no data concerning the concentration and amount of xylocaine injected from the side tube, and it is administered by judgment of each anesthesiologist.
Generally 1% xylocaine or 2% xylocaine is used. When 2% xylocaine is used, the risk of local anesthetic poisoning increases. There is a possibility that 1% xylocaine may not be effective enough. Therefore, in order to investigate whether xylocaine concentration injected from the side tube of the NMOC-3 WAY catheter has a different effect, a prospective randomized test is conducted. NMOC - 3 WAY catheters have not been reported clinically examined scientific articles. Therefore, it is unknown whether administration of xylocaine injected from the side tube is really effective, so it is necessary to compare it with the salty group. Compared with three groups of physiological saline (placebo) group, 1% xylocaine group, 2% xylocaine group.
There is a report that postoperative pain exacerbates delirium and delirium affects the patient's life prognosis. In this clinical trial, there is a possibility of decreasing the incidence of delirium after surgery by relieving discomfort of the urinary catheter. Delirium is also evaluated in secondary evaluation items.
Safety,Efficacy
Not applicable
VAS scale of urinary catheter discomfort before exiting the operating room and before bedtime on the day of surgery.
VAS scale of wound pain before exit from the operating room and before bedtime on the day of surgery.
CAM-ICU score of delirium on the night of surgery, general state before surgery, surgical invasion, changes in vital signs during and after surgery
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
Active
3
Treatment
| Medicine | Device,equipment |
It is classified into three groups with chemical liquid injected from the side tube of NMOC-3 WAY catheter.
Saline solution (Placebo) 5 ml
It is classified into three groups with chemical liquid injected from the side tube of NMOC-3 WAY catheter.
1% Xylocaine 5 ml
It is classified into three groups with chemical liquid injected from the side tube of NMOC-3 WAY catheter.
2 % Xylocaine 5 ml
| 20 | years-old | <= |
| Not applicable |
Male
Patients who undergo general anesthesia without epidural anesthesia for surgery of gastrointestinal surgery, orthopedic surgery, urology, respiratory surgery.
Male patient who intends to place a urinary catheter.
Patients whose age at registration is 20 years or older.
Patients who are class 1 (normal health patients) or class 2 (patients with mild systemic diseases and whose daily activities are restricted) in the ASA-PS (ASA physical status) classification.
Patients who have written consent for this study.
Patients who undergo urethral surgery.
Patients with a history of hypersensitivity to xylocaine or amide type local anesthetic.
Patients who have suffered a feeling after having undergone surface anesthesia in dental practice.
Persons who can bear arrhythmia on the electrocardiogram or patients taking oral antiarrhythmic drugs.
Patient who has consciousness disorder or who has difficulty communicating and may not obtain a valid evaluation.
Patients with moderate renal failure or liver failure.
Patients who underwent epidural anesthesia.
Patients taking opioid analgesics.
Patients who have difficulty communicating after surgery.
Patients with delirium and delirium treatment medicine.
Emergency operation.
Patients who did not obtain consent to this study.
90
| 1st name | |
| Middle name | |
| Last name | Suita koukyou |
Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
086-235-7778
passkey55555@gmail.com
| 1st name | |
| Middle name | |
| Last name | Suita koukyou |
Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
086-235-7778
passkey55555@gmail.com
National Hospital Organization Fukuyama Medical Center
National Hospital Organization Fukuyama Medical Center
Other
NO
| 2017 | Year | 04 | Month | 17 | Day |
Published
Completed
| 2016 | Year | 09 | Month | 21 | Day |
| 2016 | Year | 11 | Month | 17 | Day |
| 2017 | Year | 12 | Month | 31 | Day |
| 2017 | Year | 12 | Month | 31 | Day |
| 2017 | Year | 12 | Month | 31 | Day |
| 2018 | Year | 03 | Month | 20 | Day |
| 2017 | Year | 04 | Month | 16 | Day |
| 2018 | Year | 02 | Month | 11 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030969