- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02571075
Battlefield Auricular Acupuncture During Adult Tonsillectomies and Effect of Post op Pain and Nausea (BFA)
May 27, 2020 updated by: Defense and Veterans Center for Integrative Pain Management
A Randomized, Single-blind, Prospective Trial of Auricular Acupuncture for the Reduction of Post-operative Tonsillectomy Pain in Adults
The purpose of this study is to determine if auricular acupuncture significantly reduces post-operative pain in comparison to the standard of care.
Post-operative pain score will be collected by subject self-report of pain according to the Numerical Rating Scale (NRS) (0= no pain, 10 = worst imaginable pain) up to 10 days post-operation.
Study Overview
Detailed Description
DESIGN:
Design type: Prospective, randomized control trial Sample
- Description of the population: All adults, greater than or equal to 18 years, undergoing a tonsillectomy with or without adenoidectomy at Womack Army Medical Center are eligible for participation in the study.
- Sample Size: 100 subjects. A target of 45 subjects per group for a total of 90 subjects, and accounting for a 10 percent drop out rate. In Fiscal Year 12, 92 tonsilectomies in patients over the age of 12 were performed at Womack Army Medical Center. Therefore, the investigators anticipate the study will take up to 4 years to enroll 100 adult subjects.
- Power Analysis: Under the assumption of a linear time by treatment interaction, assuming subject-level randomization, five time-points, power of 80 percent, a Type I error rate of 5 per cent and no attrition, to detect a 1.6 difference in pain score requires a total sample size of 90 subjects or 45 per treatment arm.
Study Type
Interventional
Enrollment (Actual)
95
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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North Carolina
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Fort Bragg, North Carolina, United States, 28310
- Womack Army Medical Center
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria
- All adults eighteen years of age or older having a tonsillectomy with or without adenoidectomy
- Anesthesiologist classification one to three
Exclusion Criteria
- Chronic pain syndromes or pain symptoms lasting greater than three months or taking opioids on a daily basis for greater than four months
- Anesthesiologist classification four
- Prior neck or throat surgery
- Allergy to gold
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Group 1 - Receives auricular acupuncture
Receives "Battlefield Acupuncture" (BFA) as soon a anesthesia is initiated and needles removed right before they are extubated and awakened.
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The ear will be cleaned with alcohol prior to insertion of the needles.
Five sterile, single-use, gold needles will be placed in each ear according to the figure below.
The needles penetrate about a millimeter (or 4/100ths of an inch) into the skin.
Other Names:
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No Intervention: Group 2 don't receive anything
They do not receive any any acupuncture only standard of care.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain Scores
Time Frame: 10 days after the procedure.
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Pain scores will be collected daily during the post op period in the recovery room using a numbers scale with faces; specifically the Wong-Baker FACES® Pain Rating Scale where 10 is described as worst possible and 0 is No pain.
This was recorded by the participant at home using the same type scale and this was is provided to them.
The Hypothesis is that subjects receiving intraoperative auricular acupuncture during a tonsillectomy will have statistically significantly less post-operative pain scores compared to those that do not.
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10 days after the procedure.
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The Morphine Equivalent of Opioid Use
Time Frame: Intraoperative to 10 days post operative utilizing the Johns Hopkins Opioid conversion system.
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The intraoperative and recovery room morphine equivalents will be calculated and upon diary return what use is recorded by the patient will be done as well.
The participant is instructed to write down the type and amount they take throughout that time period.
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Intraoperative to 10 days post operative utilizing the Johns Hopkins Opioid conversion system.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Return to Diet
Time Frame: Within 10 days post operatively
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Subjects will record on their diary the date they returned to a regular diet (defined to them what is regular for them)
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Within 10 days post operatively
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Number of Participants With Nausea Post Operatively
Time Frame: 1-3 hours postoperativey
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It will be documented yes or no if the participant voiced any complaint of nausea while in recovery.
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1-3 hours postoperativey
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Number of Participants With Nausea Post Operatively
Time Frame: 1-3 hours post operatively
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It will be documented yes or no if the participant had any emesis while in recovery prior to discharge home.
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1-3 hours post operatively
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Anthony R Plunkett, MD, Womack Army Medical Center Fort Bragg
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
November 1, 2013
Primary Completion (Actual)
June 8, 2017
Study Completion (Actual)
August 23, 2017
Study Registration Dates
First Submitted
October 2, 2015
First Submitted That Met QC Criteria
October 6, 2015
First Posted (Estimate)
October 8, 2015
Study Record Updates
Last Update Posted (Actual)
June 9, 2020
Last Update Submitted That Met QC Criteria
May 27, 2020
Last Verified
May 1, 2020
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 381600
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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