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Hydromorphone vs Fentanyl in Children Undergoing Tonsillectomy Surgery

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The Washington University

Status and phase

Completed
Early Phase 1

Conditions

Tonsillitis
Obstructive Sleep Apnea

Treatments

Drug: Fentanyl
Drug: Hydromorphone

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT04230681
201912042
UL1TR002345 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

A RCT to compare hydromorphone versus fentanyl for pain control following tonsillectomy or adenotonsillectomy surgery.

Full description

This is a randomized clinical trial with masked assessment, comparing recovery indices for patients receiving intermediate acting versus short acting opioid analgesia using hydromorphone or fentanyl as intraoperative analgesics. An otherwise standardized anesthetic and analgesic regimen will be utilized, consistent with routine care at SLCH. Patients will be randomized 1:1 in block sizes of 5 per group. Patients will be randomized to receive either hydromorphone or fentanyl throughout the perioperative period by opening a sealed protocol envelope.

Enrollment

189 patients

Sex

All

Ages

2 to 15 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  1. Children ages 2 to 15 years old
  2. Presenting for tonsillectomy or adenotonsillectomy surgery
  3. American Society of Anesthesiologists Physical Status (ASAPS) Classification 1, 2 or 3
  4. Provide Informed Consent / Assent (as appropriate)

Exclusion criteria

  1. Additional Concurrent surgeries, exclusive of myringotomy tubes, minor oral/nasal procedures (e.g. frenulectomy), and endoscopic procedures
  2. Revision tonsillectomy or revision adenotonsillectomy surgery
  3. Known pregnancy
  4. Any condition which would make the participant, in the opinion of the investigator or the attending anesthesiologist caring for the patient, unsuitable for the study.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Triple Blind

189 participants in 2 patient groups

Fentanyl
Active Comparator group
Treatment:
Drug: Fentanyl
Hydromorphone
Active Comparator group
Treatment:
Drug: Hydromorphone

Trial documents
2

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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