A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study of the Relationship Between Intraoperative Intravenous Acetaminophen and Postoperative Opioid Avoidance for Ambulatory Surgical Procedures

NCT ID: NCT01231191

Last Updated: 2012-03-08

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

WITHDRAWN

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Brief Summary

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This is a research study to determine if giving acetaminophen intravenously in hte operating room will decrease the number of patients who require additional pain medicine, such as morphine, after surgery in the recovery room.

Detailed Description

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Primary Specific Aim: To determine if adding an intraoperative dose of intravenous acetaminphen to usual and customary analgesics during ambulatory surgery impacts the proportion of patients remaining opioid-free in the post-anesthesia recovery room.

Hypothesis: Adding an intraoperative dose of intravenous acetaminophen to usual and customary analgesics during ambulatory surgery increases the proportion of patients remaining opioid-free in the post-anesthesia recovery room.

Secondary Specific Aim: To determine if adding an intraoperative dose of intravenous acetaminophen to usual and customary analgesics during amublatory surgery impacts the required doses of additional perioperative analgesics.

Hypothesis: Adding an intraoperative dose of intravenous acetaminophen to usual and customary analgesics during ambulatory surgery decreases the required doses of additional analgesics in both the operating room and post-anesthesia recovery room.

Conditions

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Postoperative Pain Intraoperative and Postoperative Opioid Requirements

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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IV Acetaminophen

Intraoperative IV acetaminophen administered

Group Type ACTIVE_COMPARATOR

Intravenous acetaminophen

Intervention Type DRUG

Acetaminophen 1000 mg administered over 15 minutes intravenously as soon as feasible intraoperatively.

IV Placebo

Intraoperative IV normal saline administered

Group Type PLACEBO_COMPARATOR

Intravenous placebo

Intervention Type DRUG

Normal saline administered over 15 minutes intravenously as soon as feasible intraoperatively.

Interventions

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Intravenous acetaminophen

Acetaminophen 1000 mg administered over 15 minutes intravenously as soon as feasible intraoperatively.

Intervention Type DRUG

Intravenous placebo

Normal saline administered over 15 minutes intravenously as soon as feasible intraoperatively.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Undergoing ambulatory surgery under general anesthesia
* Expected postoperative pain to be mild-moderate
* Age 18 years or older
* Have an ASA physical status or 1, 2, or 3

Exclusion Criteria

* Anticipated peripheral or neuraxial nerve block
* Any physical, mental or medical conditions which may confound quantifying postoperative pain resulting from surgery
* Current chronic opioid or tramadol use
* History of alcohol or opioid abuse
* Known allergy to the study medications
* Pregnancy
* Any health condition requiring greater than 100 micrograms of fentanyl during anesthesia induction
* Treated with any acetaminophen-containing medication in the previous 8 hours
* Treated with MAO inhibitors within 10 days prior to surgery
* Inability to communicate with the investigators and hospital staff
* Known or impaired liver function
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cadence Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

University of California, San Diego

OTHER

Sponsor Role lead

Responsible Party

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Brian M. Ilfeld, MD, MS

Associate Professor, In Residence

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Brian M Ilfeld, M.D., M.S.

Role: PRINCIPAL_INVESTIGATOR

University of California, San Diego

Locations

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UCSD Medical Center (Hillcrest and Thornton)

San Diego, California, United States

Site Status

Countries

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United States

Other Identifiers

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IV Acetaminophen

Identifier Type: -

Identifier Source: org_study_id

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