- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05506930
ITM vs QL for Pediatric Open Lower Abdominal Procedures
October 17, 2023 updated by: Natalie Barnett, Medical University of South Carolina
Intrathecal Morphine Versus Bilateral Quadratus Lumborum Blocks for Perioperative Analgesia in Pediatric Patients Undergoing Open Lower Abdominal Procedures: A Prospective Randomized Trial
Patients between the ages of 12 months and 11 years who are undergoing an open lower abdominal procedure will be randomized to receive intrathecal morphine, or bilateral quadratus lumborum block.
The investigators will compare the effect that intrathecal morphine and quadratus lumborum blocks have on the duration of pain control as demonstrated by charted pain scores and morphine equivalents in the first 48 hours.
This study will also assess the side effects of each intervention such as nausea and vomiting, and itching.
Study Overview
Status
Recruiting
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
30
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Haley Nitchie, MHA
- Phone Number: 843-792-1869
- Email: nitchie@musc.edu
Study Locations
-
-
South Carolina
-
Charleston, South Carolina, United States, 29425
- Recruiting
- Medical University of South Carolina
-
Principal Investigator:
- Natalie Barnett, MD
-
Contact:
- Haley Nitchie, MHA
- Phone Number: 843-792-1869
- Email: nitchie@musc.edu
-
-
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
1 year to 11 years (Child)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Ages 12 months to 11 years old
- Undergoing an open lower abdominal procedure
Exclusion Criteria:
- Allergy to morphine or amide local anesthetics
- Localized rash at site of planned regional anesthetic block
- Bleeding diathesis
- Spinal dysmorphism
- Previous spinal surgery with instrumentation of the lumbar spine
- Inability or unwillingness of parent or legal guardian to give informed consent.
- Prior enrollment and randomization in this study
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 |
---|---|
Active Comparator: Intrathecal Morphine
Intrathecal Morphine: spinal (neuraxial) dose of preservative free morphine (duramorph), usually about 4-5mcg/kg
|
One group of subjects will receive intrathecal morphine: spinal (neuraxial) dose of preservative free morphine (Duramorph), usually about 4-5mcg/kg.
This is injected into the cerebrospinal fluid under sterile technique by a pediatric anesthesiologist while the subject is already under general anesthesia.
This procedure is well-described in the pediatric population and used regularly for postoperative pain relief for a variety of procedures including ureteral reimplantation.
Other Names:
|
Active Comparator: quadratus lumborum block
Quadratus Lumborum Block: peripheral nerve block utilizing ropivacaine 0.2%, usually about ½ mL per kg per side (total dose approximately 1mL/kg).
|
The second group of subjects will have bilateral quadratus lumborum blocks: peripheral nerve block utilizing ropivacaine 0.2%, usually about ½ mL per/ kg per side (total dose approximately 1mL/kg).
This is injected in the subject's flank in the fascial plane between the quadratus lumborum muscle and the psoas muscle.
Ultrasound guidance is used for needle and structure localization and this procedure is done by a pediatric anesthesiologist while the subject is already under general anesthesia.
Quadratus lumborum blocks are regularly used in clinical practice for postoperative pain relief for a variety of abdominal procedures.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Duration of analgesia
Time Frame: Up to 24 hours post-op
|
The primary endpoint will compare the effect that intrathecal morphine and quadratus lumborum blocks have on the duration of analgesia as demonstrated by charted pain scores and morphine equivalents in the first 24 hours.
|
Up to 24 hours post-op
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Side effects of each intervention
Time Frame: up to 48 hours post-operative
|
The secondary endpoint will assess the side effects of each intervention such as nausea and vomiting, and pruritis.
|
up to 48 hours post-operative
|
Patient/Family Satisfaction
Time Frame: up to 48 hours post-operative
|
This endpoint will assess patient and family overall satisfaction with their child's pain control and experience of their child's post-op recovery.
Satisfaction will be rated using VAS 0 (not satisfied) to 100 (completely satisfied).
|
up to 48 hours post-operative
|
Total Length of PACU and Hospital Stay
Time Frame: time to discharge after surgery, (an expected average length of hospital stay is approximately 2-4 days)
|
This endpoint will assess how long the patient's PACU stay was in days, and how long their hospital stay overall was, also in days.
|
time to discharge after surgery, (an expected average length of hospital stay is approximately 2-4 days)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Natalie Barnett, MD, Medical University of South Carolina
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 (Actual)
August 17, 2022
Primary Completion (Estimated)
July 26, 2026
Study Completion (Estimated)
February 1, 2027
Study Registration Dates
First Submitted
August 12, 2022
First Submitted That Met QC Criteria
August 17, 2022
First Posted (Actual)
August 18, 2022
Study Record Updates
Last Update Posted (Actual)
October 19, 2023
Last Update Submitted That Met QC Criteria
October 17, 2023
Last Verified
October 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Pro00121082
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
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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