Opioid Sparing Anesthesia Care for Pediatric Patients Having Tonsil Surgery

Completed · Not applicable

Conditions studied: Tonsillitis, Post-operative Nausea and Vomiting (PONV), Emergence Delirium, Opioid Analgesic Adverse Reaction, Anesthesia, Pain

In brief

This is a prospective, randomized, controlled, non-inferiority study of patients undergoing tonsil surgeries at Boston Children's Hospital Waltham. The overall aim is to evaluate the efficacy of an opioid anesthetic plan (morphine, ketorolac, and acetaminophen versus an opioid sparing anesthetic plan (dexmedetomidine, ketorolac and acetaminophen) for perioperative analgesia and recovery time in patients undergoing tonsillectomies and tonsillotomies at Boston Children's Hospital Waltham. Secondary measures include rescue opioids administered in post-anesthesia care unit (PACU), re-operation secondary to bleeding, emergence delirium, post-operative nausea and vomiting, intraoperative hemodynamics, intraoperative vasopressor administration, and length of procedure.

Key facts

Study ID

NCT06326983

Run by

Boston Children's Hospital

People needed

62

Starts

2024-05-09

Expected to finish

2026-03-01

Last updated by the study team

2026-05-18

Who can join

Age: 3 and older, up to 17. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• American Society of Anesthesia classification status I-III
• Ages 3 years to 17 years
• Scheduled for tonsillectomy or tonsillotomy with or without adenoidectomy at Boston Children's Hospital Waltham

You may not qualify if…

• Patients not scheduled for primary tonsillectomy/tonsillotomy.
• Patients with known coagulopathies
• Patients with previous chronic pain syndromes
• Patients with any condition/indication that would prevent them from being able to be randomized (i.e. allergy to one of the study medications)

Where it is running

• Boston Children's Hospital — Waltham, Massachusetts, United States

Full record on ClinicalTrials.gov

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