Comparison of Two Naloxone Infusion Rates on the Postoperative Recovery of Patients Undergoing Spine Fusion Surgery

NCT ID: NCT01531439

Last Updated: 2020-09-10

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-30

Study Completion Date

2016-12-01

Brief Summary

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There will be two groups in this study: one group will be given the standard infusion of naloxone, a drug which helps reduce side effects from opioids needed after surgery, and the other group will receive a higher dose. The trial is designed to determine if a higher dose of naloxone infusion will reduce side effects from opioid therapy in patients who have undergone spine fusion for scoliosis.

Detailed Description

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Currently, patients undergoing spinal fusion for scoliosis are routinely given patient controlled analgesia (PCA) for pain control postoperatively. PCA therapy is typically combined with an ultra low dose naloxone infusion because of the established benefit of reduced pruritis and nausea. The investigators hypothesize that using a higher dose naloxone infusion may lead to further improvement in pruritis and nausea and may improve GI function. Improvement in bowel function could lead to faster initiation of oral intake as well as transition to oral pain medication and even decreased length of stay.

Conditions

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Pain, Postoperative Postoperative Nausea and Vomiting Scoliosis

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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Naloxone infusion 0.5 mcg/kg/hr

Group Type ACTIVE_COMPARATOR

Naloxone

Intervention Type DRUG

Naloxone infusion 0.5 mcg/kg/hr

Naloxone 2.5 mcg/kg/hr

Naloxone infusion 2.5 mcg/kg/hr

Group Type EXPERIMENTAL

Naloxone

Intervention Type DRUG

Naloxone infusion 2.5 mcg/kg/hr

Interventions

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Naloxone

Naloxone infusion 0.5 mcg/kg/hr

Intervention Type DRUG

Naloxone

Naloxone infusion 2.5 mcg/kg/hr

Intervention Type DRUG

Other Intervention Names

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Narcan Narcan

Eligibility Criteria

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Inclusion Criteria

* Idiopathic scoliosis requiring spine fusion surgery
* Age 10-21 years

Exclusion Criteria

* Inability to understand PCA instructions
* Allergy to: morphine, hydromorphone, fentanyl, naloxone, or diphenhydramine
* Chronic opioid therapy \> 2 months
* Non-English speaking
Minimum Eligible Age

10 Years

Maximum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Children's Mercy Hospital Kansas City

OTHER

Sponsor Role lead

Responsible Party

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Ben J Pieters

Staff Anesthesiologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Benjamin J. Pieters, DO

Role: PRINCIPAL_INVESTIGATOR

Children's Mercy Hospital Kansas City

Locations

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Children's Mercy Hospital

Kansas City, Missouri, United States

Site Status

Countries

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United States

Other Identifiers

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11 04-059

Identifier Type: -

Identifier Source: org_study_id

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