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Safety and EfficacyNCT05556889

Safety and Analgesic Efficacy of a Modified Auriculotemporal Nerve Block

A study testing a modified auriculotemporal nerve blockade and Traditional auriculotemporal nerve blockade in people with Safety and Efficacy and Scalp Nerve Block, run by Tongji Hospital at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

1. Efficacy of a modified auriculotemporal nerve blockade for patients undergoing supratentorial craniotomy 2. Safety of a modified auriculotemporal nerve blockade for patients undergoing supratentorial craniotomy Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Safety and Efficacy, Scalp Nerve Block
What is being tested?
a modified auriculotemporal nerve blockade and Traditional auriculotemporal nerve blockade
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
252 participants
Where
1 siteChina
Study dates
1 Jan 2022to 30 Dec 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients undergoing supratentorial craniotomy under general anesthesia;
  • 18-65 years old;
  • ASA I or II.

Who cannot join

  • Emergency surgery;
  • Be allergic to ropivacaine;
  • Participating in other clinical investigation within 30 days;
  • Skin infection at the puncture site;
  • Patients taking analgesic drugs before surgery;
  • Persons addicted to alcohol or drugs;
Show all 12Show fewer
  • Patients with severe liver and kidney dysfunction;
  • Patients with coagulation disorder;
  • Pregnant and lactating women;
  • Patients with consciousness disorder before surgery;
  • Those who have undergone neurosurgery within the last 6 months;
  • Patients who were unable to understand the NRS before surgery.

Trial locations and contacts

1 site in 1 country.

China1 site, 1 recruiting
  • Tongji Hospital

    Wuhan, Hubei, 430030

    Gao Feng, Doctor, 13971587381 ext. 86, fgao@tjh.tjmu.edu.cn

    Recruiting

Other trials in China

About this study

Official title: Safety and Analgesic Efficacy of a Modified Auriculotemporal Nerve Block: a Prospective, Randomized, Double-blind, Traditional Controlled Study

  1. Efficacy of a modified auriculotemporal nerve blockade for patients undergoing supratentorial craniotomy
  2. Safety of a modified auriculotemporal nerve blockade for patients undergoing supratentorial craniotomy
Read the detailed description

Scalp nerve block for supratentorial craniotomy patients can effectively reduce the consumption of perioperative analgesic drugs, avoid the occurrence of hypertension and tachycardia, relieve postoperative pain, improve postoperative recovery quality of patients. Scalp nerve block is safe and has fewer complications due to the small amount of local anesthetic. For auriculotemporal nerve block, temporary block of adjacent facial nerve is one of the most likely complications, with an incidence of 8.6%, and usually can be recovered within 24 hours, since the facial nerve was located in the anterior and lower part of the tragus, 1 cm deep in the skin. Therefore, improving nerve block methods and reducing the dosage of local anesthetics may reduce the risk of facial nerve block. The investigators proposed helix feet in front of the zygomatic arch as anatomy marks of auriculotemporal nerve block, and the modified auriculotemporal nerve blockade is implemented as follows: Zygomatic arch level, posterior to the superficial temporal artery, the vertical puncture depth is about 0.5 -1 cm, and 2 ml of local anesthetics are injected after withdrawing without blood. The study intends to compare a modified auriculotemporal nerve block method with the traditional way, reflecting on perioperative hemodynamical fluctuation, postoperative analgesia effect and incidence of facial nerve paralysis. This will verify the safety and analgesic efficacy of the modified nerve block method proposed in this study, and then provide a basis for improving the quality of perioperative management during neurosurgery.

Being tested
a modified auriculotemporal nerve blockade, Traditional auriculotemporal nerve blockade
Keywords
Auriculotemporal nerve block, Scalp nerve block, safety and efficacy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • a modified auriculotemporal nerve blockadeProcedure or surgery

    Helix feet in front of the zygomatic arch is served as anatomy marks of auriculotemporal nerve block, and the modified auriculotemporal nerve blockade is implemented as follows: Zygomatic arch level, posterior to the superficial temporal artery, the vertical puncture depth is about 0.5 -1 cm, and 2 ml of local anesthetics are injected after withdrawing without blood.

  • Traditional auriculotemporal nerve blockadeProcedure or surgery

    Traditional auriculotemporal nerve blockade

Study groups in NCT05556889
Study groupRoleWhat they receive
a modified auriculotemporal nerve blockadeExperimentalHelix feet in front of the zygomatic arch is served as anatomy marks of auriculotemporal nerve block, and the modified auriculotemporal nerve blockade is implemented as follows: Zygomatic arch level, posterior to the superficial temporal artery, the vertical puncture depth is about 0.5 -1 cm, and 2 ml of local anesthetics are injected after withdrawing without blood.
Receives: Procedure: a modified auriculotemporal nerve blockade
Traditional auriculotemporal nerve blockadeOtherThe traditional method of auriculotemporal nerve block is to inject the needle 1~1.5 cm vertically at the level of tragus and posterior of superficial temporal artery, and inject 2-3 ml of local anesthetics after pumping back without blood
Receives: Procedure: Traditional auriculotemporal nerve blockade

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. numerical rating scale (NRS) score in both groups 2 hours after surgery

    2 hours after supratentorial craniotomy, the participants subjectively determine the patient's pain scores using a 0 to 10 NRS (0 = no pain; 10 = unbearable pain), to evaluate the efficacy of the modified method.

    Measured: 2 hours after supratentorial craniotomy

  2. numerical rating scale (NRS) score in both groups 8 hours after surgery

    8 hours after supratentorial craniotomy, the participants subjectively determine the patient's pain scores using a 0 to 10 NRS (0 = no pain; 10 = unbearable pain), to evaluate the efficacy of the modified method.

    Measured: 8 hours after supratentorial craniotomy

  3. numerical rating scale (NRS) score in both groups 24 hours after surgery

    24 hours after supratentorial craniotomy, the participants subjectively determine the patient's pain scores using a 0 to 10 NRS (0 = no pain; 10 = unbearable pain), to evaluate the efficacy of the modified method.

    Measured: 24 hours after supratentorial craniotomy

  4. incidence of facial paralysis in both two groups

    within 24 hours after supratentorial craniotomy, the investigators evaluate facial nerve function of awakened participants (Diagnostic criteria for facial paralysis: unable to raise the eyebrows on the same side, unable to frown, unable to close eyes completely, or unable to smile due to facial paralysis on the same side), and record the number of patients who suffer from facial paralysis, and then calculate the incidence as: the number of patient suffering from facial paralysis/the total number in corresponding group

    Measured: within 24 hours after supratentorial craniotomy

Secondary outcomes (32)
  1. mean arterial pressure (MAP) before anesthesia induction

    MAP before anesthesia induction

    Measured: before anesthesia induction

  2. heart rate (HR) before anesthesia induction

    HR before anesthesia induction

    Measured: before anesthesia induction

  3. MAP 3 minutes after tracheal intubation

    MAP 3 minutes after tracheal intubation

    Measured: 3 minutes after tracheal intubation

  4. HR 3 minutes after tracheal intubation

    HR 3 minutes after tracheal intubation

    Measured: 3 minutes after tracheal intubation

  5. MAP before nerve block

    MAP before nerve block

    Measured: before nerve block

  6. HR before nerve block

    HR before nerve block

    Measured: before nerve block

  7. MAP within 10 minutes after nerve block

    MAP within 10 minutes after nerve block

    Measured: within 10 minutes after nerve block

  8. HR within 10 minutes after nerve block

    HR within 10 minutes after nerve block

    Measured: within 10 minutes after nerve block

  9. MAP 1 minute after temporal region skin incision

    MAP 1 minute after temporal region skin incision

    Measured: 1 minute after temporal region skin incision

  10. HR 1 minute after temporal region skin incision

    HR 1 minute after temporal region skin incision

    Measured: 1 minute after temporal region skin incision

  11. MAP 2 minutes after temporal region skin incision

    MAP 2 minutes after temporal region skin incision

    Measured: 2 minutes after temporal region skin incision

  12. HR 2 minutes after temporal region skin incision

    HR 2 minutes after temporal region skin incision

    Measured: 2 minutes after temporal region skin incision

  13. MAP 3 minutes after temporal region skin incision

    MAP 3 minutes after temporal region skin incision

    Measured: 3 minutes after temporal region skin incision

  14. HR 3 minutes after temporal region skin incision

    HR 3 minutes after temporal region skin incision

    Measured: 3 minutes after temporal region skin incision

  15. MAP 4 minutes after temporal region skin incision

    MAP 4 minutes after temporal region skin incision

    Measured: 4 minutes after temporal region skin incision

  16. HR 4 minutes after temporal region skin incision

    HR 4 minutes after temporal region skin incision

    Measured: 4 minutes after temporal region skin incision

  17. MAP 5 minutes after temporal region skin incision

    MAP 5 minutes after temporal region skin incision

    Measured: 5 minutes after temporal region skin incision

  18. HR 5 minutes after temporal region skin incision

    HR 5 minutes after temporal region skin incision

    Measured: 5 minutes after temporal region skin incision

  19. MAP 10 minutes after temporal region skin incision

    MAP 10 minutes after temporal region skin incision

    Measured: 10 minutes after temporal region skin incision

  20. HR 10 minutes after temporal region skin incision

    HR 10 minutes after temporal region skin incision

    Measured: 10 minutes after temporal region skin incision

  21. MAP 20 minutes after temporal region skin incision

    MAP 20 minutes after temporal region skin incision

    Measured: 20 minutes after temporal region skin incision

  22. HR 20 minutes after temporal region skin incision

    HR 20 minutes after temporal region skin incision

    Measured: 20 minutes after temporal region skin incision

  23. MAP 30 minutes after temporal region skin incision

    MAP 30 minutes after temporal region skin incision

    Measured: 30 minutes after temporal region skin incision

  24. HR 30 minutes after temporal region skin incision

    HR 30 minutes after temporal region skin incision

    Measured: 30 minutes after temporal region skin incision

  25. MAP 40 minutes after temporal region skin incision

    MAP 40 minutes after temporal region skin incision

    Measured: 40 minutes after temporal region skin incision

  26. HR 40 minutes after temporal region skin incision

    HR 40 minutes after temporal region skin incision

    Measured: 40 minutes after temporal region skin incision

  27. MAP 50 minutes after temporal region skin incision

    MAP 50 minutes after temporal region skin incision

    Measured: 50 minutes after temporal region skin incision

  28. HR 50 minutes after temporal region skin incision

    HR 50 minutes after temporal region skin incision

    Measured: 50 minutes after temporal region skin incision

  29. MAP 1 hour after temporal region skin incision

    MAP 1 hour after temporal region skin incision

    Measured: 1 hour after temporal region skin incision

  30. HR 1 hour after temporal region skin incision

    HR 1 hour after temporal region skin incision

    Measured: 1 hour after temporal region skin incision

  31. MAP during surgery (at tracheal extubation)

    MAP during surgery (at tracheal extubation)

    Measured: during surgery (at tracheal extubation)

  32. HR during surgery (at tracheal extubation)

    HR during surgery (at tracheal extubation)

    Measured: during surgery (at tracheal extubation)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Sep 2022
  2. Study start1 Jan 2022
  3. Primary completion30 Dec 2024 (estimated)
  4. Study completion30 Dec 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
252 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05556889
Sponsor's protocol ID
TJ2021S195
Status last verified
May 2024
First submitted
30 Mar 2022
Last updated
31 May 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing a modified auriculotemporal nerve blockade and Traditional auriculotemporal nerve blockade in people with Safety and Efficacy and Scalp Nerve Block, run by Tongji Hospital at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 31 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Feng Gao (13971587381 ext. 86, fgao@tjh.tjmu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

numerical rating scale (NRS) score in both groups 2 hours after surgery (time frame: 2 hours after supratentorial craniotomy). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 May 2024.

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