Pain Clinical Trial
Official title:
Safety and Efficacy of a Low Dose Naloxone Infusion in NICU Patients
When narcotic pain medicine, like fentanyl or morphine, is given to adults and children for
several days, they often develop a tolerance to the medicine. This means they may need
higher doses over time to get the same amount of pain control. When it is time to stop the
medicine, the dose has to be decreased slowly so that the patient does not have withdrawal
symptoms.
Naloxone is a medicine that at high doses can reverse the effects of narcotics. At very
small doses it may help prevent tolerance and lessen the severity of withdrawal symptoms.
This could mean less narcotic pain medicine is needed over fewer days.
The purpose of this research study is to see if giving naloxone to neonates who require
narcotic infusions is safe and effective. Safety will be measured by the incidence of side
effects. Efficacy will be measured by monitoring for changes in pain and sedation scores and
need for more pain medicine.
Status | Completed |
Enrollment | 25 |
Est. completion date | June 2011 |
Est. primary completion date | |
Accepts healthy volunteers | No |
Gender | Both |
Age group | N/A to 30 Days |
Eligibility |
Inclusion Criteria: - Neonates > 36 0/7 weeks estimated gestational age - Less than 30 days of life - Requiring admission to to the Neonatal Intensive Care Unit - Requiring continuous infusions of fentanyl or morphine analgesia - Anticipated to require opioid infusions for at least four days - Patients must be enrolled within 120 hours of initiating opioid infusions - All patients will also require mechanical ventilation prior to study entry. Exclusion Criteria: - Preterm infants < 36 weeks gestation - Neonates with major neurologic anomalies, seizures - Opioid infusion administration for > 120 hours prior to study entry - Patients requiring ECMO support prior to study entry - Neonates born to mothers who are known to be opioid dependent |
Observational Model: Case-Only, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
United States | Children's Mercy Hospital | Kansas City | Missouri |
Lead Sponsor | Collaborator |
---|---|
Children's Mercy Hospital Kansas City |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The primary outcome variable will be a change in N-PASS scores. N-PASS scores will be compared before, during, and after administration of naloxone. | Before, during, and after administration of naloxone | No | |
Secondary | The secondary outcome variable will be any changes in dosing of opioids within four hours of initiating or increasing naloxone infusion. Vital signs will be recorded per NICU protocol and closely monitored for changes. | Collected and compared for the time period before, during, and for 5 days after naloxone infusion is administered | Yes |
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