Combining Placing a Synera Patch With Propofol/Lidocaine Mixture to Decrease Pain With IV Propofol Injection

NCT ID: NCT02240628

Last Updated: 2016-06-22

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-08-31

Study Completion Date

2015-09-30

Brief Summary

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The main objective is to evaluate if combining placing the Synera patch and using Propofol /Lidocaine mixture will further decrease the pain associated with the IV injection of Propofol.

Detailed Description

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Commonly, anesthesiologists inject Propofol, a sleeping medication, intravenously to induce general anesthesia.Propofol injection is commonly associated with burning pain. In a previous onsite study we concluded that placing a Synera patch at least 30 minutes before placing the IV decreased the pain associated with the Propofol injection. Also,a study documented that adding Lidocaine to the Propofol decreases the pain associated with propofol injection. In our study here we are trying to evaluate if combining the use of both the Synera patch and the Propofol-Lidocaine mixture will further decrease the pain associated with the IV Propofol injection.

All children will receive a Synera Patch, it will be placed on the dorsum of both hands for at least 30 minutes.All Children will be Sedated with P.O Versed.

22 g IV will be started either in the holding area or in the OR. Children will be randomized into groups using a computer generated randomization list:- Group 1 will receive Propofol -Lidocaine mixture. Group 2 will receive Propofol-Saline mixture. An independent blinded observer and an anesthesia member will independently evaluate pain on Propofol injection according to pain scale.

1. No pain.
2. Mild Pain (associated with facial expression of pain).
3. Moderate Pain(Pulling the arm).
4. Severe Pain (screaming).

Conditions

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Pain on IV Injection of Propofol.

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Propofol-Lidocaine mixture

All patients from both groups will receive a Synera Patch. Patients in this group will receive Propofol mixed with Lidocaine. Pain will be evaluated during the Propofol injection by both a blinded observer and a blinded anesthesia member.

Group Type ACTIVE_COMPARATOR

Lidocaine/tetracaine transdermal patch

Intervention Type DEVICE

All patients in arm 1 and arm 2 will receive the Synera Patch.

Lidocaine

Intervention Type DRUG

Patients in arm 1 will receive Lidocaine with the Propofol.

Propofol -Saline mixture

All patients from both groups will receive a Synera Patch. Patienst in this group will receive Propofol mixed with Saline. Pain will be evaluated on Propofol injection by both a blinded observer and a blinded anesthesia member.

Group Type PLACEBO_COMPARATOR

Lidocaine/tetracaine transdermal patch

Intervention Type DEVICE

All patients in arm 1 and arm 2 will receive the Synera Patch.

Saline

Intervention Type DRUG

Patients in arm 2 will receive Saline with the Propofol.

Interventions

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Lidocaine/tetracaine transdermal patch

All patients in arm 1 and arm 2 will receive the Synera Patch.

Intervention Type DEVICE

Saline

Patients in arm 2 will receive Saline with the Propofol.

Intervention Type DRUG

Lidocaine

Patients in arm 1 will receive Lidocaine with the Propofol.

Intervention Type DRUG

Other Intervention Names

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NDC 43469-864-01 Synera Patch 0.9% sodium chloride solution.

Eligibility Criteria

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Inclusion Criteria

* Healthy Children 6-17 yrs.
* Scheduled to receive general anesthesia for an elective procedure.
* ASA classification 1-2

Exclusion Criteria

* Children with Skin disease and/or Skin infections.
* Allergy to Propofol, Lidocaine or tetracaine.
Minimum Eligible Age

6 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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The University of Texas Health Science Center, Houston

OTHER

Sponsor Role lead

Responsible Party

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Samia Khalil

Professor Of Pediatric Anesthesia

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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samia khalil, M.D

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Health Science Center, Houston

Locations

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Memorial Hermann Hospital

Houston, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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HSC-MS-14-0323

Identifier Type: -

Identifier Source: org_study_id

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