5 Versus 10 Sprays of Lignocaine for Pharyngeal Anaesthesia During Bronchoscopy
A Randomized Controlled Trial to Evaluate the Efficacy of Topical Pharyngeal Anaesthesia Using 5 vs 10 Sprays of 10% Lignocaine During Flexible Bronchoscopy
1 other identifier
interventional
300
1 country
2
Brief Summary
Flexible bronchoscopy is one of the most widely performed procedures for diagnosis of various bronchopulmonary diseases. Most patients tolerate the procedure well although cough is often reported as a distressing symptom. It is likely that the acceptance of bronchoscopy would be significantly improved with control of cough. Topical lignocaine is administered during bronchoscopy for local anaesthesia. There is uncertainty regarding the adequate dose of lignocaine sprays for pharyngeal anaesthesia during flexible bronchoscopy. This study would help to determine the optimal dose of lignocaine sprays for pharyngeal anaesthesia during flexible bronchoscopy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2019
Typical duration for not_applicable
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
First Submitted
Initial submission to the registry
March 8, 2019
CompletedFirst Posted
Study publicly available on registry
March 11, 2019
CompletedStudy Start
First participant enrolled
April 1, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2021
CompletedJanuary 15, 2021
January 1, 2021
2.7 years
March 8, 2019
January 13, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Operator rated overall procedure satisfaction
Visual Analogue Scale score (VAS) between 0 to 100
At study completion at approximately 4 months
Secondary Outcomes (5)
Operator rated cough
At study completion at approximately 4 months
Time from bronchoscope introduction to reaching the vocal cords
At study completion at approximately 4 months
Patient willingness to return for repeat bronchoscopy
At study completion at approximately 4 months
Cumulative lignocaine dose
At study completion at approximately 4 months
Complications
At study completion at approximately 4 months
Study Arms (2)
5 sprays
ACTIVE COMPARATOR5 sprays of 10% lignocaine administered for topical anaesthesia during flexible bronchoscopy
10 sprays
EXPERIMENTAL10 sprays of 10% lignocaine administered for topical anaesthesia during flexible bronchoscopy
Interventions
Eligibility Criteria
You may qualify if:
- All adults ≥ 18 yrs of age undergoing flexible bronchoscopy
You may not qualify if:
- Uncontrolled hypertension Systolic Blood Pressure \>180 mm Hg
- Symptomatic coronary artery disease
- Pregnancy
- Not giving informed consent for the procedure
- Hypoxemia (oxygen saturation \[by pulse oximetry\] \< 92% with Fio2 of ≥ 0.3
- Bronchoscopy performed through an artificial airway
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
AIIMS
New Delhi, 110029, India
AIIMS Rishikesh
Rishikesh, India
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Randeep Guleria, MD DM
AIIMS, New Delhi
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Group allocation by opaque sealed envelopes. Participant and bronchoscopist shall be unaware of the number of sprays administered.
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr Karan Madan, Assistant Professor, Department of Pulmonary Medicine and Sleep Disorders
Study Record Dates
First Submitted
March 8, 2019
First Posted
March 11, 2019
Study Start
April 1, 2019
Primary Completion
December 1, 2021
Study Completion
December 1, 2021
Last Updated
January 15, 2021
Record last verified: 2021-01
Data Sharing
- IPD Sharing
- Will not share