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The use of local anaesthetic (Lignocaine) in fine needle biopsy of thyroid nodules
ISRCTN ISRCTN48936612
ClinicalTrials.gov identifier
Public title The use of local anaesthetic (Lignocaine) in fine needle biopsy of thyroid nodules
Scientific title
Acronym N/A
Serial number at source N0254119962
Study hypothesis To determine whether the use of 2% Lignocaine is beneficial in terms of patient acceptability/comfort and ease of operator technique, when compared with placebo (0.9% saline).
Ethics approval Ethics approval was received from the local medical ethics committee before trial recruitment began.
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Respiratory: Pain
Participants - inclusion criteria All patients attending for fine needle aspiration of the thyroid gland to the Ipswich Hospital NHS Trust will be asked to participate.
Participants - exclusion criteria Patients who have had a previous fine needle aspiration biopsy.
Anticipated start date 18/03/2003
Anticipated end date 31/12/2007
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet.
Target number of participants 60 patients (30 in each group)
Interventions Consenting patients will receive either 2% Lignocaine or placebo (0.9% saline). The preparation received will be distributed by a randomised numbered system dictated by the pharmacy department of the Ipswich Hospital. Thus both patient and investigator will be blinded. Between 0.5 and 1.0 ml will be infiltrated with a 30G insulin needle under the skin immediately overlying the thyroid nodule. A period of at least 10 min and less than 20 min will be allowed to be elapsed before performing the biopsy. This will be performed using a standard technique where at least six biopsies will be attempted using a 25G needle. Patients will be asked to rate the level of discomfort experienced on a scale from between 1 and 5. The operator will also be asked to subjectively assess the ease of the procedure and his/her impression of the level of patient discomfort, again this will be rated on a scale from 1-5. The final assessment relates to the success in obtaining adequate specimens for cytological examination.
Primary outcome measure(s) Pain reduction
Secondary outcome measure(s) Number of aspirations attainable (up to 5) and success in obtaining adequate samples.
Sources of funding Ipswich Hospital NHS Trust (UK)
Trial website
Publications
Contact name Dr  G  Rayman
  Address Ipswich Hospital NHS Trust
Heath Road
  City/town Ipswich, Suffolk
  Zip/Postcode IP4 5PD
  Country United Kingdom
  Tel +44 (0)1473 704183
  Fax +44 (0)1473 704 197
  Email gerry.rayman@ipswichhospital.nhs.uk
Sponsor Record provided by the NHS Trusts Clinical Trials Register - Department of Health (UK)
  Address The Department of Health
Richmond House
79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)20 7307 2622
  Fax +44 (0)20 7307 2623
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.doh.gov.uk
Date applied 12/09/2003
Last edited 28/05/2008
Date ISRCTN assigned 12/09/2003
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