The Role of Timing of Dexamethasone Administration on Pain Scores and Quality of Recovery in Cesarean Section.
1 other identifier
interventional
40
1 country
2
Brief Summary
The purpose of our study was to evaluate the hypothesis that single dose dexamethasone given sixty minutes preoperatively reduces visual analog scale (VAS) pain scores and improves quality of recovery in patients undergoing elective cesarean section as compared to the same dose given immediately prior to skin incision.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable pregnancy
Started Apr 2014
Shorter than P25 for not_applicable pregnancy
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2014
CompletedFirst Submitted
Initial submission to the registry
April 8, 2014
CompletedFirst Posted
Study publicly available on registry
April 14, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2014
CompletedApril 30, 2015
April 1, 2015
7 months
April 8, 2014
April 29, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Postoperative Pain using visual analogue score.
24 hours
Secondary Outcomes (1)
Number of episodes of Nausea and Vomiting
24 hours post-operative
Study Arms (2)
Control
ACTIVE COMPARATORPatients in the intervention group will receive 0.15 mg/kg of intravenous dexamethasone (maximum dose 20mg) in 100ml normal saline 45-60 minutes prior to the OR. The control group will receive 0.15 mg/kg of intravenous dexamethasone (maximum dose 20mg) in 100ml normal saline immediately prior to skin incision.
Intervention
EXPERIMENTALPatients in the intervention group will receive 0.15 mg/kg of intravenous dexamethasone (maximum dose 20mg) in 100ml normal saline 45-60 minutes prior to the OR. The control group will receive 0.15 mg/kg of intravenous dexamethasone (maximum dose 20mg) in 100ml normal saline immediately prior to skin incision.
Interventions
The control group will receive 0.15 mg/kg of intravenous dexamethasone (maximum dose 20mg) in 100ml normal saline immediately prior to skin incision.
Patients in the intervention group will receive 0.15 mg/kg of intravenous dexamethasone (maximum dose 20mg) in 100ml normal saline 45-60 minutes prior to the OR.
Eligibility Criteria
You may qualify if:
- Over 18 years of age
- American Society of Anesthesiologists class I-III
- Presenting for elective cesarean section.
You may not qualify if:
- Contraindication to regional anesthesia
- Allergy to study drug
- Uncontrolled diabetes
- Active infection
- Adrenal axis pathology
- Active treatment with steroids
- Treatment with oral or parenteral steroids within the previous 6 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Health Sciences Center
Winnipeg, Manitoba, R3A1R9, Canada
Winnipeg Health Sciences Center
Winnipeg, Manitoba, R3Y-0A9, Canada
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Duane J Funk, MD FRCP(C)
University of Manitoba
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
April 8, 2014
First Posted
April 14, 2014
Study Start
April 1, 2014
Primary Completion
November 1, 2014
Study Completion
November 1, 2014
Last Updated
April 30, 2015
Record last verified: 2015-04