Pain Outcomes of Intra-operative IV Tylenol and/or IV Toradol for Carpal Tunnel and Distal Radius Fracture Surgeries

NCT ID: NCT02313675

Last Updated: 2018-05-04

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-31

Study Completion Date

2017-05-01

Brief Summary

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The purpose of this study is to determine the efficacy of intra-operative administration of IV tylenol and/or IV toradol in minimizing post-operative pain for carpal tunnel patients and distal radius fracture patients.

Detailed Description

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The study population will include patients presenting for surgery with carpal tunnel syndrome as well as surgical treatment of distal radius fracture. Patients will be treated intra-operatively with either IV tylenol, IV toradol, both, or neither. All patients will receive the standard post-operative prescriptions for pain management. Daily pain surveys scoring pain from 0-10 will be distributed to the subjects to be filled out over the course of 10 days prior to first post-operative visit, usually 10-14 days later. Number of pain pills used before the first post-operative visit will also be measured.

We hypothesize that the effects of intra-operative administration of IV tylenol and/or IV toradol will have a significant effect on decreasing post-operative pain in the first 10 days following distal radius fracture surgeries, with a significant difference in pain described as at least a 2 points on a 0-10 pain scale.

We also hypothesize that intra-operative administration of IV tylenol and/or IV toradol will not have such significant effect on decreasing post-operative pain for carpal tunnel release surgery.

A secondary aim is to evaluate the post-operative opioid consumption of patients within these treatment groups. We hypothesize that opioid consumption will be decreased in the groups receiving IV tylenol and/or toradol for distal radius fracture surgery compared to the placebo group. We do not expect such a difference for the carpal tunnel release surgery group.

Conditions

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Postoperative Pain Carpal Tunnel Release Distal Radius Fracture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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IV tylenol

One time intra-operative IV acetaminophen administration

Group Type EXPERIMENTAL

Acetaminophen

Intervention Type DRUG

IV toradol

One time intra-operative IV ketorolac thromethamine administration

Group Type EXPERIMENTAL

Ketorolac Tromethamine

Intervention Type DRUG

IV tylenol/toradol combination

One time intra-operative IV combination of acetaminophen/ketorolac administration

Group Type EXPERIMENTAL

Acetaminophen

Intervention Type DRUG

Ketorolac Tromethamine

Intervention Type DRUG

saline

One time intra-operative 50ml IV normal saline administration

Group Type PLACEBO_COMPARATOR

Saline

Intervention Type DRUG

Interventions

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Acetaminophen

Intervention Type DRUG

Ketorolac Tromethamine

Intervention Type DRUG

Saline

Intervention Type DRUG

Other Intervention Names

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tylenol toradol

Eligibility Criteria

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Inclusion Criteria

* carpal tunnel release surgery candidates,
* distal radius fracture surgery candidates

Exclusion Criteria

* under 18 years of age,
* pregnant women,
* prisoners
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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John Fowler

OTHER

Sponsor Role lead

Responsible Party

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John Fowler

MD

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Kaufmann Building

Pittsburgh, Pennsylvania, United States

Site Status

Countries

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United States

References

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Hahn TW, Mogensen T, Lund C, Jacobsen LS, Hjortsoe NC, Rasmussen SN, Rasmussen M. Analgesic effect of i.v. paracetamol: possible ceiling effect of paracetamol in postoperative pain. Acta Anaesthesiol Scand. 2003 Feb;47(2):138-45. doi: 10.1034/j.1399-6576.2003.00046.x.

Reference Type BACKGROUND
PMID: 12631041 (View on PubMed)

Baley K, Michalov K, Kossick MA, McDowell M. Intravenous acetaminophen and intravenous ketorolac for management of pediatric surgical pain: a literature review. AANA J. 2014 Feb;82(1):53-64.

Reference Type BACKGROUND
PMID: 24654353 (View on PubMed)

Smith HS. Perioperative intravenous acetaminophen and NSAIDs. Pain Med. 2011 Jun;12(6):961-81. doi: 10.1111/j.1526-4637.2011.01141.x. Epub 2011 May 31.

Reference Type BACKGROUND
PMID: 21627768 (View on PubMed)

Alhashemi JA, Daghistani MF. Effects of intraoperative i.v. acetaminophen vs i.m. meperidine on post-tonsillectomy pain in children. Br J Anaesth. 2006 Jun;96(6):790-5. doi: 10.1093/bja/ael084. Epub 2006 Apr 13.

Reference Type BACKGROUND
PMID: 16613928 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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PRO14110464

Identifier Type: -

Identifier Source: org_study_id

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