drugset / Trial / NCT03293472

Neurotoxicity of Spinal Anesthesia With Ropivacaine and Bupivacaine

NCT03293472 ↗

RandomizedParallel-groupSingle-blindTreatment

Summary

Consenting patients, scheduled for orthopaedic surgery under spinal anesthesia will be randomly assigned (1:1) to receive ropivacaine or bupivacaine as a single shot before the start of surgery, followed by bolus doses of the same local anesthetic as required during the surgery, and continuous infusion of the same local anesthetic for 24 hours postoperatively. Primary Outcome Measures: Evaluation of changes in concentrations of glutamate in the cerebrospinal fluid and in the blood. Secondary outcomes: : Evaluation of changes in concentrations of selected mediators of inflammatory response (IL-1β, IL-6, TNF and others) and selected chemokines as markers of the glia damage. Hemodynamic stability during the surgery, and efficacy of postoperative analgesia will be also evaluated.

Timeline

Start
2017-12-01
Primary completion
2019-12-30
Completion
2019-12-31

Drugs

EvaluationDrugModalityDoseRoute
Comparator Bupivacaine Other / unclassified 1 ml Intrathecal
Comparator Bupivacaine Other / unclassified 3 ml Intrathecal
Comparator Bupivacaine Other / unclassified 3.3 ml Intrathecal
Comparator Bupivacaine Other / unclassified 3.6 ml Intrathecal
Comparator Bupivacaine Other / unclassified 4 ml Intrathecal
Subject Ropivacaine Other / unclassified 1 ml Intrathecal
Subject Ropivacaine Other / unclassified 4.5 ml Intrathecal
Subject Ropivacaine Other / unclassified 5 ml Intrathecal
Subject Ropivacaine Other / unclassified 5.5 ml Intrathecal
Subject Ropivacaine Other / unclassified 6 ml Intrathecal

Indications

No indication recorded.