Evaluation of Analgesia With EMLA and Glucose Oral Solution
NCT ID: NCT00808054
Last Updated: 2014-07-25
Study Results
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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COMPLETED
PHASE4
60 participants
INTERVENTIONAL
2008-11-30
2009-12-31
Brief Summary
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Detailed Description
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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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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
QUADRUPLE
Study Groups
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Glucose and EMLA
Received glucose oral and topical EMLA
EMLA
0.5g topical EMLA
Glucose and placebo
Received glucose and no EMLA
EMLA
0.5g topical EMLA
Oral placebo and EMLA
Received oral placebo and EMLA
EMLA
0.5g topical EMLA
Interventions
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EMLA
0.5g topical EMLA
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
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
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
1 Hour
7 Days
ALL
Yes
Sponsors
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Federal University of Minas Gerais
OTHER
Responsible Party
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Renato Santiago Gomez
PhD
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
Countries
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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.
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.
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.
Other Identifiers
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CAAE0049028720308
Identifier Type: -
Identifier Source: org_study_id
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