- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04500158
The Effect of Local Anesthesia on Control of Intraoperative Physiologic Parameters and Post Operative Comfort
The Effect of Local Anesthesia When Used in Dental Restorative Cases Under General Anesthesia on Control of Intraoperative Physiologic Parameters and Post Operative Comfort
Study Overview
Detailed Description
Local anesthesia is a widely used tool to ensure patient safety and comfort in the dental office. This is usually accomplished by administering a shot of numbing medicine (local anesthesia) in different parts of the mouth. Local anesthesia is an important tool used for care in the dental office however despite its standardized use in dental clinics use of local anesthetic is not standardized for use in dental cases under GA. In the literature there is some evidence suggesting that it has some marginal benefit for pain control short term post operatively and control of vital signs during surgery. Some evidence also suggests that due to its use there can be increase in post-operative lip chewing and cheek biting due to the numb sensation. Additionally, it has been seen that due to the numb sensation that children can be more irritable during when waking up after surgery.
The study section will have 60 participants of which one half will receive local anesthesia for restorative dental care under GA and the other half will receive conventional no anesthesia for restorative dental treatment under GA, based on random assignment (like the flip of a coin). There is an equal chance of being assigned to either group prior to the consented treatment. Before the surgery, a nurse will access the child's overall pain and comfort. The study team (faculty, anesthesiologist, and resident) will record the blood pressure, heart rate, and breathing duration throughout the procedure. After the child has completed the surgery a nurse will again access the child's overall pain and comfort. Lastly, parents will be contacted that evening of surgery by a member of the study team to check up on the child and will be asked some questions to access the child's comfort at home.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
Virginia
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Richmond, Virginia, United States, 23298
- Virginia Commonwealth University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
• Pediatric patients undergoing GA for dental restorative work at Virginia Commonwealth University Children's Hospital of Richmond Pavilion and Brook Road Centers
Exclusion Criteria:
- Children with any sensory or behavioral issues
- Patients requiring extractions or surgical procedures
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Local anesthesia
Participants will receive local anesthesia in addition to the standard care general anesthesia
|
2% Lidocaine with 1:100,000 epi
|
No Intervention: Standard care
Participants will receive standard care general anesthesia
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in pain
Time Frame: from baseline to post survey, up to 3 hours
|
Children will be assessed before and after surgery using the Face, Legs, Activity, Cry, Consolability pain scale (FLACC).
The FLACC pain scale rates children's pain based on observations of five domains: face, legs, activity, crying behavior, and consolability.
Each domain is rated from 0 to 2 and the scores are summed.
The summed scores range from 0 to 10 with higher scores indicating greater discomfort or pain.
|
from baseline to post survey, up to 3 hours
|
Post operative pain
Time Frame: in the evening of the day of surgery, up to 10 hours
|
Parents will rate their child's pain using the Parent's Postoperative Pain Measure (PPPM).
The PPPM is questionnaire which asks parents to indicate yes or no to 15 possible pain related behaviors.
The number of yes responses are summed for a score ranging from 0 to 15 with higher scores indicating more pain
|
in the evening of the day of surgery, up to 10 hours
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in heart rate
Time Frame: baseline to completion of surgery, up to 3 hours
|
Heart rate will be assessed throughout the surgical procedure using standard finger pulse oximeter
|
baseline to completion of surgery, up to 3 hours
|
Change in respiratory rate
Time Frame: baseline to completion of surgery, up to 3 hours
|
Respiratory rate will be assessed throughout the surgical procedure by the anesthesia machine via sampling line.
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baseline to completion of surgery, up to 3 hours
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Change in end tidal carbon dioxide
Time Frame: baseline to post surgery, up to 3 hours
|
The end tidal carbon dioxide will be assessed throughout the surgical procedure by the anesthesia machine via sampling line
|
baseline to post surgery, up to 3 hours
|
Number of participants requiring anesthesiologist intervention
Time Frame: baseline to post surgery, up to 3 hours
|
Whether intervention by the anesthesiologist is needed during surgery will be coded as 0 for no and 1 for yes
|
baseline to post surgery, up to 3 hours
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Elizabeth Bortell, DDS, Virginia Commonwealth University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pain
- Neurologic Manifestations
- Pain, Procedural
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Arrhythmia Agents
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Sensory System Agents
- Anesthetics
- Membrane Transport Modulators
- Anesthetics, Local
- Voltage-Gated Sodium Channel Blockers
- Sodium Channel Blockers
- Lidocaine
Other Study ID Numbers
- HM20018316
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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