Clinical trial

Bupivacaine Versus Lidocaine Infiltration for Postoperative Pain in Thyroid Surgery: A Randomized Controlled Trial

Name
7336
Description
The purpose of this study is to compare the efficacy of Bupivicaine and Lidocaine for postoperative pain control in thyroid surgery.
Trial arms
Trial start
2022-06-01
Estimated PCD
2024-12-31
Trial end
2025-12-31
Status
Recruiting
Phase
Early phase I
Treatment
Bupivacaine 0.5% with 1:200 000 epinephrine
Bupivacaine 0.5% with 1:200 000 epinephrine. Total volume 10mL for local infiltration before neck incision.
Arms:
Bupivacaine
Other names:
Marcaine
Lidocaine 2% with 1:100 000 epinephrine
Lidocaine 2% with 1:100 000 epinephrine. Total volume 10mL for local infiltration before neck incision.
Arms:
Lidocaine
Other names:
Xylocaine
Size
210
Primary endpoint
Postoperative Pain
30 minutes after surgery
Postoperative Pain
1 hour after surgery
Postoperative Pain
2 hours after surgery
Postoperative Pain
3 hours after surgery
Postoperative Pain
4 hours after surgery
Postoperative Pain
8 hours after surgery
Postoperative Pain
12 hours after surgery
Eligibility criteria
Inclusion Criteria: * Diagnosis of thyroid disease (malignant tumors T1-T3/NX-N1a, benign tumors) * Planned for thyroid surgery with midline neck incision (total thyroidectomy, completion thyroidectomy, with or without central neck dissection) * Will be admitted for at least 12h postoperatively Exclusion Criteria: * Thyroid cancer staged as T4 (invasion, anaplastic) or requiring sternotomy * Thyroid cancer staged as N1b (cervical, retropharyngeal, superior mediastinal nodal involvement) * Previous ipsilateral thyroid surgery to operation side * Previous total thyroidectomy or completion thyroidectomy * History of neck radiation therapy * Neck dissection beyond central neck (levels 1-5) * Goiter extending beyond sternal notch (intrathoracic) or requiring sternotomy * Surgery requiring extension of incision beyond 8 cm * History of diabetes mellitus * History of renal or liver disease * History of narcotic abuse * History of chronic pain medications use in past 6 months for any condition * History of coagulation defect * Allergy to Bupivacaine or Lidocaine
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'QUADRUPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 210, 'type': 'ESTIMATED'}}
Updated at
2023-11-28

1 organization

2 products

4 indications

Indication
Anesthesia
Indication
Local