Lidocaine spray may reduce muscle relaxant needed for tube insertion
NCT ID NCT07185074
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether using a lidocaine spray along with a low dose of a muscle relaxant (cisatracurium) can make placing a breathing tube easier and safer during ERCP, a procedure for bile duct problems. 186 adults with liver issues were randomly assigned to receive either the low-dose combo or the standard muscle relaxant dose. The goal was to see if the combo could achieve good intubation conditions while using less medication, potentially speeding recovery and reducing side effects.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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186 people
The number who actually took part.
- Started
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Jan 2025
- Finished
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May 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Scheduled ERCP under general anesthesia requiring endotracheal intubation. * Hepatic dysfunction: Child-Pugh class B or C. * Age 18-70 years. * ASA physical status I-III. Exclusion Criteria: * Severe cardiovascular, cerebrovascular, or respiratory disease judged by investigators to increase risk. * Predicted difficult airway (e.g., Mallampati IV, mouth opening \<3 cm, limited neck extension). * Suspected gastrointestinal obstruction on preoperative assessment. * Cervical spine disease with limited neck mobility. * Child-Pugh class C with hepatic encephalopathy. * Neuromuscular disease. * Recurrent laryngeal nerve injury or vocal cord dysfunction. * Pregnancy or breastfeeding. * Known allergy/hypersensitivity to any study anesthetic (e.g., cisatracurium, lidocaine, propofol, remifentanil, or sufentanil). * Refusal to participate in the clinical trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
Shanghai, Shanghai Municipality, 201203, China
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