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Efficacy of Variable Lidocaine Concentrations in Tumescent Anesthesia for Pain Control During and After Endovenous Laser Procedure; Non-inferiority Trial

Information source: Midwest Vein Center
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Pain During and After Endovenous Laser Obliteration of Large Saphenous Vein Based on Lidocaine Tumescent Concentration

Intervention: Lidocaine (Drug)

Phase: N/A

Status: Not yet recruiting

Sponsored by: Midwest Vein Center

Overall contact:
Deborah S Lindner, MD, Phone: 3127183051, Email: deborahsuemd@gmail.com

Summary

Endovenous laser treatment is a minimally invasive procedure that has been shown to be a safe and effective treatment for varicose veins. Essential to the successful ablation of refluxing veins by endovenous laser treatment is the use of tumescent anesthesia. One of the components of tumescent anesthesia is lidocaine, a commonly used local anesthetic. While lidocaine can be used safely as long as serum concentrations remain low, its use carries the risk of lidocaine toxicity. In order to minimize the risk of lidocaine toxicity it is desirable to use the minimum effective concentration of lidocaine needed to manage pain during a procedure. This study seeks to determine if a ¼ lower concentration of lidocaine in tumescent anesthesia will function as well as the standard dose for pain management in endovenous laser treatments. If we find that this is the case, we will be able to reduce the risk of lidocaine toxicity in patients undergoing endovenous laser treatment, while maintaining their comfort throughout the procedure. This will be achieved through a direct comparison of intra- and post-operative pain for patients randomized to receive either the ¼ tumescent lidocaine concentration or the standard lidocaine concentration.

Clinical Details

Official title: Efficacy of Variable Lidocaine Concentrations in Tumescent Anesthesia for Pain Control During and After Endovenous Laser Procedure; a Double Blinded, Randomized, Controlled Non-inferiority Trial

Study design: Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver), Primary Purpose: Treatment

Primary outcome: Pain

Eligibility

Minimum age: 16 Years. Maximum age: 85 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Large Saphenous Vein treatment

- 16-85 years old, good health

- Able to understand informed consent

- Eligible for EVLT determined by physician

Exclusion Criteria:

- Patients with know lidocaine sensitivity

- Bleeding disorders

- Pregnancy

- Congestive heart failure

- Liver dysfunction

- Patient ineligible for EVLT

Locations and Contacts

Deborah S Lindner, MD, Phone: 3127183051, Email: deborahsuemd@gmail.com

Midwest Vein Center, Chicago, Illinois 60611, United States; Not yet recruiting
Deborah S Lindner, MD, Principal Investigator
Additional Information

Starting date: July 2014
Last updated: July 15, 2014

Page last updated: August 23, 2015

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