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Tramadol Versus Lidocaine Infiltration for Tonsillectomy

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ClinicalTrials.gov Identifier: NCT01552096
Recruitment Status : Completed
First Posted : March 13, 2012
Last Update Posted : March 18, 2014
Sponsor:
Information provided by (Responsible Party):

Study Description
Brief Summary:
The investigators postulate that the use of pre-incisional peritonsillar infiltration of tramadol or lidocaine reduces both the inflammatory response and postoperative analgesic consumption, without harmful effects. Therefore, the present study is designed to evaluate the effects of infiltration of tramadol or lidocaine on the postoperative acute-phase serum protein, C-reactive protein, and analgesic consumption after tonsillectomy.

Condition or disease Intervention/treatment Phase
Peri-tonsillar Analgesic Infiltration Tonsillectomy Postoperative Pain Inflammatory Response Drug: peritonsillar infiltration Phase 2

Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 90 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Investigator)
Primary Purpose: Treatment
Official Title: A Comparative Study of the Effects of Pre-incisional Infiltration of Tramadol or Lidocaine on the Inflammatory Response After Tonsillectomy.
Study Start Date : December 2011
Primary Completion Date : October 2013
Study Completion Date : November 2013

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Tonsillitis
U.S. FDA Resources

Arms and Interventions

Arm Intervention/treatment
Placebo Comparator: Placebo
The placebo group (n=30) will receive a submucosal infiltration with 3 mL of normal saline (1.5 ml around each tonsil), 3 minutes before surgical incision.
Drug: peritonsillar infiltration
1.5 ml around each tonsil, 3 minutes before surgical incision as per group description
Other Name: as in description
Active Comparator: lidocaine
will receive a total of 2 mg.kg-1 of 2% lidocaine HCl (Xylocaine, Astra-Zeneca,) in 3 mL of normal saline (1.5 ml around each tonsil), 5 minutes before surgical incision.
Drug: peritonsillar infiltration
1.5 ml around each tonsil, 3 minutes before surgical incision as per group description
Other Name: as in description
Experimental: Tramadol
(n=30) will receive a submucosal infiltration with 2 mg kg-1 tramadol in 3 mL of normal saline (1.5 ml around each tonsil), 3 minutes before surgical incision.
Drug: peritonsillar infiltration
1.5 ml around each tonsil, 3 minutes before surgical incision as per group description
Other Name: as in description


Outcome Measures

Primary Outcome Measures :
  1. inflammatory and stress response [ Time Frame: 24 hours ]
    CRP Acute phase protein


Secondary Outcome Measures :
  1. Hemodynamic changes [ Time Frame: 24 hours ]
    MBP HR

  2. pain score [ Time Frame: 24 hours ]
    VAS The time to first request for analgesia and the number of subjects receiving meperidine during the first 12 hours will be recorded.

  3. Side-effects [ Time Frame: 24 hours ]
    postoperative stridor, laryngospasm, cyanosis, bleeding, seizures, sedation (four-point verbal rating scores (VRS): awake, drowsy, rousable or deep sleep); nausea and vomiting (0: no nausea; 1: nausea no vomiting; 2: nausea and vomiting), respiratory depression (ventilatory frequency 10), and desaturation (92%), at 0, 1, 2, 4, 6, 8, and 12 h after surgery.


Eligibility Criteria

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Ages Eligible for Study:   2 Years to 6 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • ASA I & II preschool children aged 2-6 years, undergoing elective tonsillectomy with or without adenoidectomy, under general anaesthesia. Indications for tonsillectomy will be chronic recurrent tonsillitis or tonsillar hypertrophy

Exclusion Criteria:

  • Patients with a history of allergy to tramadol or amide local anaesthetics, epilepsy, or taking cardiovascular, antihypertensive, steroids, or anti-inflammatory medications, those with cardiac, liver, or kidney diseases, or any underlying systemic diseases or acute infectious processes will be excluded from the study. All operations will be performed, using an electro-dissection technique, by the same surgeon.
Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01552096


Locations
Saudi Arabia
Dammam University KFHU
Al-Khobar, EP, Saudi Arabia, 31952
UD-KFHU
Al-Khobar, EP, Saudi Arabia, 31952
Sponsors and Collaborators
Dammam University
Investigators
Principal Investigator: laila Telmesani, MD UD
Study Chair: Hany A. Mowafi, MD Associate Professor
Study Chair: Alaa M. Khidr, MD Assistant Consultant
Study Chair: Abdulhadi Al'Saflan, MD Assistant Consultant
More Information

Responsible Party: Dammam University
ClinicalTrials.gov Identifier: NCT01552096     History of Changes
Other Study ID Numbers: #2012082
First Posted: March 13, 2012    Key Record Dates
Last Update Posted: March 18, 2014
Last Verified: March 2014

Keywords provided by Dammam University:
Anaesthesia
tonsillectomy
inflammatory response
stress response
tramadol
lidocaine

Additional relevant MeSH terms:
Pain, Postoperative
Pain
Neurologic Manifestations
Nervous System Diseases
Postoperative Complications
Pathologic Processes
Signs and Symptoms
Lidocaine
Tramadol
Anesthetics, Local
Anesthetics
Central Nervous System Depressants
Physiological Effects of Drugs
Sensory System Agents
Peripheral Nervous System Agents
Anti-Arrhythmia Agents
Voltage-Gated Sodium Channel Blockers
Sodium Channel Blockers
Membrane Transport Modulators
Molecular Mechanisms of Pharmacological Action
Analgesics, Opioid
Narcotics
Analgesics