Pain, Postoperative Clinical Trial
— SPGBOfficial title:
Effect of Sphenopalatine Ganglion Block With Bupivacaine on Postoperative Pain in Patients Undergoing Endoscopic Pituitary Adenoma Resection
NCT number | NCT06353529 |
Other study ID # | 17065 |
Secondary ID | |
Status | Not yet recruiting |
Phase | Phase 4 |
First received | |
Last updated | |
Start date | May 2024 |
Est. completion date | May 2025 |
To assess the benefit of using an additional nerve block during minimally invasive pituitary surgery, to improve pain management after surgery. The medication (Bupivacaine) or a placebo (saline) will be injected during surgery and patients will be asked about their level of pain at multiple time points in the first 24 hours following surgery. The aim is to improve patient outcomes and reduce the need for pain medication after surgery.
Status | Not yet recruiting |
Enrollment | 52 |
Est. completion date | May 2025 |
Est. primary completion date | May 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 100 Years |
Eligibility | Inclusion Criteria: - adult patients (18 yrs or older) - undergoing endonasal pituitary adenoma resection Exclusion Criteria: - Patients with pre-existing chronic pain conditions requiring antidepressants (serotonin reuptake inhibitors), benzodiazepines, gabapentin, or opioid drugs - contraindications to the performance of SPGB such as known allergy to used medications - chronic alcohol abuse - uncontrolled systemic arterial hypertension - severe kidney or liver diseases - cardiomyopathies or sustained cardiac arrhythmias (permanent paroxystic atrial fibrillation or other sustained supraventricular rhythmic anomalies) |
Country | Name | City | State |
---|---|---|---|
Canada | Hamilton General Hospital | Hamilton | Ontario |
Lead Sponsor | Collaborator |
---|---|
Hamilton Health Sciences Corporation |
Canada,
Kesimci E, Ozturk L, Bercin S, Kiris M, Eldem A, Kanbak O. Role of sphenopalatine ganglion block for postoperative analgesia after functional endoscopic sinus surgery. Eur Arch Otorhinolaryngol. 2012 Jan;269(1):165-9. doi: 10.1007/s00405-011-1702-z. Epub — View Citation
Kim DH, Kang H, Hwang SH. The Effect of Sphenopalatine Block on the Postoperative Pain of Endoscopic Sinus Surgery: A Meta-analysis. Otolaryngol Head Neck Surg. 2019 Feb;160(2):223-231. doi: 10.1177/0194599818805673. Epub 2018 Oct 9. — View Citation
Morisse M, Rysman B, Szymanski C, Fackeure R, Mouawad F, Mortuaire G. A randomized placebo-controlled trial assessing sphenopalatine ganglion block in endoscopic sinus surgery. Int Forum Allergy Rhinol. 2021 Sep;11(9):1384-1386. doi: 10.1002/alr.22804. Ep — View Citation
Rezaeian A, Hashemi SM, Dokhanchi ZS. Effect of Sphenopalatine Ganglion Block With Bupivacaine on Postoperative Pain in Patients Undergoing Endoscopic Sinus Surgery. Allergy Rhinol (Providence). 2019 Jan 23;10:2152656718821282. doi: 10.1177/21526567188212 — View Citation
Wang P. The efficacy of sphenopalatine ganglion block for pain management after endoscopic sinus surgery: a meta-analysis of randomized controlled studies. Eur Arch Otorhinolaryngol. 2021 Aug;278(8):2681-2687. doi: 10.1007/s00405-020-06484-9. Epub 2021 Ja — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Post-operative pain score | Pain score, measured by visual analog scale (scale of 0-10) at 6, 12 and 24 hours post-op | through study completion, approximately 1 year | |
Secondary | Post-operative bleeding | amount of post-op bleeding (mL) in first 24 hours | through study completion, approximately 1 year | |
Secondary | Post-operative complications | record presence of post-op nausea/vomiting, headache, sore throat, difficulty swallowing in first 24 hours | through study completion, approximately 1 year | |
Secondary | Analgesic requirement | List and dose of analgesics administered to patient in first 24 hours or time of discharge, whichever comes first | through study completion, approximately 1 year | |
Secondary | Length of stay | Length of hospital stay in hours | through study completion, approximately 1 year |
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