Trial Outcomes & Findings for Intravenous Sedation Versus General Anesthesia in Patients Undergoing Minor Gynecologic Surgery (NCT NCT01890707)

NCT ID: NCT01890707

Last Updated: 2020-01-02

Results Overview

The patients self reported quality of recovery - 40 scores as completed 24 hours after the surgical procedure. 40 questions regarding the recovery of patients on a 1 poor-5 excellent scale. Total score on scale 40 (poor recovery)-200 (excellent recovery)

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

19 participants

Primary outcome timeframe

24 hours

Results posted on

2020-01-02

Participant Flow

Subjects will be recruited up to 14 days prior to surgery, by either the anesthesiology or the gynecology investigators. A preoperative anesthetic assessment will be completed. Once consent for the study has been obtained subjects will be randomly allocated into 2 groups, using a computer generated table of random numbers.

Participant milestones

Participant milestones
Measure
Deep Sedation
Deep sedation Deep Sedation: IV administration of Propofol,initial rate 100ug/kg/min, titrated to maintain BIS 65-75,Fentanyl,Ketamine,1mcg/kg,0.5mg/kg,additional 10mg increments for analgesia/movement.
General Anesthesia
Administration of general anesthesia. Propofol given IV, succinylcholine and rocuronium given IV and Sevoflurane via the endotracheal tube. General Anesthesia: Administer: Fentanyl:1mcg/kg prior to induction, additional doses to maintain blood pressure and heart rate within 20% of preoperative values, Propofol:2mg/kg,succinylcholine, 0.5mg/kg,to be followed with Rocuronium if necessary,bolus: 0.4mg/kg, Sevoflurane and oxygen to be titrated to maintain BIS value of 40-60.
Overall Study
STARTED
11
8
Overall Study
COMPLETED
10
7
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Deep Sedation
Deep sedation Deep Sedation: IV administration of Propofol,initial rate 100ug/kg/min, titrated to maintain BIS 65-75,Fentanyl,Ketamine,1mcg/kg,0.5mg/kg,additional 10mg increments for analgesia/movement.
General Anesthesia
Administration of general anesthesia. Propofol given IV, succinylcholine and rocuronium given IV and Sevoflurane via the endotracheal tube. General Anesthesia: Administer: Fentanyl:1mcg/kg prior to induction, additional doses to maintain blood pressure and heart rate within 20% of preoperative values, Propofol:2mg/kg,succinylcholine, 0.5mg/kg,to be followed with Rocuronium if necessary,bolus: 0.4mg/kg, Sevoflurane and oxygen to be titrated to maintain BIS value of 40-60.
Overall Study
Lost to Follow-up
1
1

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Deep Sedation
n=10 Participants
Deep sedation Deep Sedation: IV administration of Propofol,initial rate 100ug/kg/min, titrated to maintain BIS 65-75,Fentanyl,Ketamine,1mcg/kg,0.5mg/kg,additional 10mg increments for analgesia/movement.
General Anesthesia
n=7 Participants
Administration of general anesthesia. Propofol given IV, succinylcholine and rocuronium given IV and Sevoflurane via the endotracheal tube. General Anesthesia: Administer: Fentanyl:1mcg/kg prior to induction, additional doses to maintain blood pressure and heart rate within 20% of preoperative values, Propofol:2mg/kg,succinylcholine, 0.5mg/kg,to be followed with Rocuronium if necessary,bolus: 0.4mg/kg, Sevoflurane and oxygen to be titrated to maintain BIS value of 40-60.
Total
n=17 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=10 Participants
0 Participants
n=7 Participants
0 Participants
n=17 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=10 Participants
07 Participants
n=7 Participants
17 Participants
n=17 Participants
Age, Categorical
>=65 years
0 Participants
n=10 Participants
0 Participants
n=7 Participants
0 Participants
n=17 Participants
Age, Continuous
34.3 Years
STANDARD_DEVIATION 3.46 • n=10 Participants
35 Years
STANDARD_DEVIATION 7.3 • n=7 Participants
34.5 Years
STANDARD_DEVIATION 5.4 • n=17 Participants
Sex: Female, Male
Female
10 Participants
n=10 Participants
7 Participants
n=7 Participants
17 Participants
n=17 Participants
Sex: Female, Male
Male
0 Participants
n=10 Participants
0 Participants
n=7 Participants
0 Participants
n=17 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
10 participants
n=10 Participants
7 participants
n=7 Participants
17 participants
n=17 Participants
Height Inches
67.1 Inches
STANDARD_DEVIATION 2.3 • n=10 Participants
64 Inches
STANDARD_DEVIATION 1.85 • n=7 Participants
65.8 Inches
STANDARD_DEVIATION 2.16 • n=17 Participants
Kilogram Weight
73.9 Kilogram Weight
STANDARD_DEVIATION 13.8 • n=10 Participants
64.6 Kilogram Weight
STANDARD_DEVIATION 6.3 • n=7 Participants
70.07 Kilogram Weight
STANDARD_DEVIATION 12.23 • n=17 Participants
Gestational Age
19.17 Weeks
STANDARD_DEVIATION 2.13 • n=10 Participants
19.85 Weeks
STANDARD_DEVIATION 2.58 • n=7 Participants
19.45 Weeks
STANDARD_DEVIATION 2.35 • n=17 Participants

PRIMARY outcome

Timeframe: 24 hours

The patients self reported quality of recovery - 40 scores as completed 24 hours after the surgical procedure. 40 questions regarding the recovery of patients on a 1 poor-5 excellent scale. Total score on scale 40 (poor recovery)-200 (excellent recovery)

Outcome measures

Outcome measures
Measure
Deep Sedation
n=10 Participants
Deep sedation Deep Sedation: IV administration of Propofol,initial rate 100ug/kg/min, titrated to maintain BIS 65-75,Fentanyl,Ketamine,1mcg/kg,0.5mg/kg,additional 10mg increments for analgesia/movement.
General Anesthesia
n=7 Participants
Administration of general anesthesia. Propofol given IV, succinylcholine and rocuronium given IV and Sevoflurane via the endotracheal tube. General Anesthesia: Administer: Fentanyl:1mcg/kg prior to induction, additional doses to maintain blood pressure and heart rate within 20% of preoperative values, Propofol:2mg/kg,succinylcholine, 0.5mg/kg,to be followed with Rocuronium if necessary,bolus: 0.4mg/kg, Sevoflurane and oxygen to be titrated to maintain BIS value of 40-60.
Quality of Recovery - 40 Scores
183.4 Units on a scale
Standard Deviation 13.86
177.2 Units on a scale
Standard Deviation 16.84

Adverse Events

Deep Sedation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

General Anesthesia

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Shireen Ahmad MD

Northwestern University

Phone: 312-472-3585

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place