Evaluation of Analgesia With EMLA and Glucose Oral Solution

NCT ID: NCT00808054

Last Updated: 2014-07-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-11-30

Study Completion Date

2009-12-31

Brief Summary

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In this randomized controlled study the investigators intended to compare analgesic effects of EMLA and/or oral glucose in 60 preterm neonate during arterial function and PICC installation.

Detailed Description

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It is a randomised controlled clinical trial, double blinded, with the purpose to compare the use of eutectic mixture of local anesthetics (lidocaine and prilocaine) and/or the oral solution of glucose 25% in the prevention and treatment of pain in preterm neonates with gestational between 28-37 weeks old.

The pain evaluation will be done using NIPS scale, and also physiologic variables (HR, MAP, oxygen saturation level and crie) during two painful procedures performed in the neonatal intensive care units:arterial puncture (n=30) and peripherally inserted central catheters (n=30). All procedures will have clinical indication and will not be implemented by the researcher.The newborns will be randomized into three groups: A (EMLA and glucose; n=20),B (EMLA AND placebo; n=20) and C (anesthetic cream placebo and oral glucose; n=20).

All newborns will be subjected to some kind of therapeutic intervention, the objective of this study is validate the application of control measures and treatment of pain for these two procedures that cause mild and moderate pain.

Conditions

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Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Glucose and EMLA

Received glucose oral and topical EMLA

Group Type EXPERIMENTAL

EMLA

Intervention Type DRUG

0.5g topical EMLA

Glucose and placebo

Received glucose and no EMLA

Group Type EXPERIMENTAL

EMLA

Intervention Type DRUG

0.5g topical EMLA

Oral placebo and EMLA

Received oral placebo and EMLA

Group Type EXPERIMENTAL

EMLA

Intervention Type DRUG

0.5g topical EMLA

Interventions

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EMLA

0.5g topical EMLA

Intervention Type DRUG

Other Intervention Names

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Lidocaine and prilocaine cream

Eligibility Criteria

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Inclusion Criteria

1. Gestational age greater than or equal to 28 weeks and less than 37 weeks
2. Admission in the neonatal intensive care unit of the hospital Julia Kubtischek
3. Clinical indication of collection of blood through arterial puncture or peripherally inserted central catheter
4. Neonate in the first week of life (first to seventh day of life);
5. Informed consent have to be obtained by parents or guardians.

Exclusion Criteria

1. Newborn with broken skin at cream application site;
2. Use of sedation or analgesia in the last 72 hours;
3. Diagnosis of necrotizing enterocolitis;
4. Anemia
5. Metabolic acidosis
6. Methaemoglobinaemia
7. Treatment with agents to induce methemoglobinemia
8. Mechanical ventilation in patients using opioids
9. Clinical diagnosis of neuromuscular dysfunction
10. Any contraindication to suction
11. Urgent procedures
Minimum Eligible Age

1 Hour

Maximum Eligible Age

7 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Federal University of Minas Gerais

OTHER

Sponsor Role lead

Responsible Party

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Renato Santiago Gomez

PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yerkes Pereira Silva, PhD

Role: PRINCIPAL_INVESTIGATOR

Federal University of Minas gerai

Locations

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Department of Neonatology of Julia Kubitschek Hospital

Belo Horizonte, Minas Gerais, Brazil

Site Status

Countries

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Brazil

References

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Lehr VT, Taddio A. Topical anesthesia in neonates: clinical practices and practical considerations. Semin Perinatol. 2007 Oct;31(5):323-9. doi: 10.1053/j.semperi.2007.07.008.

Reference Type BACKGROUND
PMID: 17905188 (View on PubMed)

Taddio A, Ohlsson A, Einarson TR, Stevens B, Koren G. A systematic review of lidocaine-prilocaine cream (EMLA) in the treatment of acute pain in neonates. Pediatrics. 1998 Feb;101(2):E1. doi: 10.1542/peds.101.2.e1.

Reference Type BACKGROUND
PMID: 9445511 (View on PubMed)

Deshmukh LS, Udani RH. Analgesic effect of oral glucose in preterm infants during venipuncture--a double-blind, randomized, controlled trial. J Trop Pediatr. 2002 Jun;48(3):138-41. doi: 10.1093/tropej/48.3.138.

Reference Type BACKGROUND
PMID: 12164596 (View on PubMed)

Other Identifiers

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CAAE0049028720308

Identifier Type: -

Identifier Source: org_study_id

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