Unique ID issued by UMIN | UMIN000043607 |
---|---|
Receipt number | R000049784 |
Scientific Title | Analgesic effects of ultrasound-guided maxillary nerve block and inferior alveolar nerve block for upper and lower orthognathic surgery: a randomized controlled trial |
Date of disclosure of the study information | 2021/03/13 |
Last modified on | 2021/07/19 06:40:09 |
Analgesic effects of ultrasound-guided maxillary nerve block and inferior alveolar nerve block for upper and lower orthognathic surgery: a randomized controlled trial
Analgesic effects of ultrasound-guided maxillary nerve block and inferior alveolar nerve block for upper and lower orthognathic surgery
Analgesic effects of ultrasound-guided maxillary nerve block and inferior alveolar nerve block for upper and lower orthognathic surgery: a randomized controlled trial
Analgesic effects of ultrasound-guided maxillary nerve block and inferior alveolar nerve block for upper and lower orthognathic surgery
Japan |
vertical jaw deformities
Anesthesiology | Dental medicine | Adult |
Child |
Others
NO
In this study, we will evaluate the safety of ultrasound-guided maxillary nerve block and inferior alveolar nerve block in patients undergoing vertical jaw deformities by measuring blood levels of local anesthetics and randomly assigning subjects to the block group and the control group who will not undergo block intervention. We evaluate the effects on the number of analgesics required (primary outcome), pain score, analgesic effect, and quality of postoperative recovery (secondary outcome) for 24 hours after the block. The purpose of this study is to establish a safe and effective analgesic method for orthognathic surgery.
Safety,Efficacy
Confirmatory
Not applicable
The number of times rescue analgesics are used in the 24 hours following the block.
After the block (1, 5, 15, 30, 60 min), levobupivacaine blood level, NRS at/after return, intraoperative opioid (fentanyl, remifentanil) use, pre-/postoperative QoR-40 scores, time to first analgesic use after discharge, complications of ner ve block (local anesthetic systemic toxicity, hematoma, local infection), respiratory complications in the first 24 hours after surgery
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
No treatment
Institution is not considered as adjustment factor.
2
Treatment
Medicine | Maneuver |
In the block group, bilateral ultrasound-guided maxillary and inferior alveolar nerve blocks are performed after induction of general anesthesia, and 5 mL each of 0.375% levobupivacaine is administered for a total of 20 mL. The time at which all four nerve blocks are completed is set as 0 minutes, and arterial blood samples are collected at 1, 5, 15, 30, and 60 minutes to measure the blood concentration of levobupivacaine.
In the control group, no block intervention was performed and no arterial blood sampling was done.
16 | years-old | <= |
Not applicable |
Male and Female
over 16 years of age
ASA-PS I to III
undergoing upper and lower jaw plastic surgery
Patients who are allergic to the study drug, blood coagulation disorders, chronic opioid use, pregnancy, mental disorders, patients who were not extubated in the operating room after surgery for some reason, and other patients who, at the discretion of the physician in charge, are considered inappropriate for this study.
40
1st name | Michiaki |
Middle name | |
Last name | Yamakage |
Sapporo Medical University School of Medicine
Department of Anesthesiology
0608543
S1W16, Chuo-ku, Sapporo, Hokkaido
011-688-9663
michiaki_yamakage@icloud.com
1st name | Sho |
Middle name | |
Last name | Kumita |
Sapporo Medical University School of Medicine
Department of Anesthesiology
0608543
S1W16, Chuo-ku, Sapporo, Hokkaido
011-688-9663
todonotumari@me.com
Sapporo Medical University Hospital
none
Other
Kitami Japanese Red Cross Hospital
Sapporo Medical University Hospital Institutional Review Board
S1W16, Chuo-ku, Sapporo, Hokkaido
011-611-2111
kouhou-byouin@sapmed.ac.jp
NO
札幌医科大学附属病院(北海道),北見赤十字病院(北海道)
2021 | Year | 03 | Month | 13 | Day |
Unpublished
Open public recruiting
2021 | Year | 03 | Month | 11 | Day |
2021 | Year | 03 | Month | 11 | Day |
2021 | Year | 03 | Month | 12 | Day |
2023 | Year | 03 | Month | 31 | Day |
2021 | Year | 03 | Month | 13 | Day |
2021 | Year | 07 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000049784