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Acute Pain clinical trials

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NCT ID: NCT04037878 Completed - Pain, Acute Clinical Trials

Tap Block vs Peritoneal Infiltration After Major Gynecological Surgeries

Start date: November 20, 2017
Phase: N/A
Study type: Interventional

It is a randomized controlled trial to determine the total tramadol consumption after major gynecological studies. Intervention groups include TAP block or local infiltration by the surgeon. These will be compared to a control group. Total tramadol consumption will be calculated and therefore pain control will be assessed.

NCT ID: NCT04037085 Completed - Opioid Use Clinical Trials

Ketamine to Improve Recovery After Cesarean Delivery - Part 1

KINETIC
Start date: October 9, 2019
Phase: Phase 2
Study type: Interventional

The objective of this study is evaluate the breastmilk transfer and pharmacokinetics (Part 1) and effectiveness (Part 2) of a post-cesarean delivery intravenous ketamine bolus-and-infusion strategy, as a preventive analgesic modality to reduce pain and opioid requirements. In Part 1, physiochemical analysis of pharmacokinetic/pharmacodynamic (PK/PD) and breastmilk transfer of ketamine and its metabolites will be assessed. Additionally calculated estimations for neonatal and infant exposure will be assessed. In Part 2, PK/PD assessments will continue in a larger cohort; endpoints will also include postpartum pain, depression scores, central sensitization measures, patient-reported postpartum recovery scores, breastfeeding, and parent-infant bonding, assessed in the acute post-cesarean period and up to 12 weeks postpartum in a randomized controlled trial.

NCT ID: NCT04029987 Completed - Pain, Acute Clinical Trials

Bilateral Ultrasound-Guided Intra Muscular Quadratus Lumborum Block Versus Trans Muscular Quadratus Lumborum Block for Peri-Operative Analgesia in Abdominal Surgeries in Pediatric Patients. A Comparative Controlled Randomized Study.

Start date: October 25, 2018
Phase: N/A
Study type: Interventional

To compare between the intra muscular quadratous lamborum and the Trans muscular quadratous lamborum in pediatric population under going abdominal surgeries regards to first request of rescue analgesia, degree of pain relief, effect on hemo dynamic stability and incidence of complications.

NCT ID: NCT04013958 Not yet recruiting - Acute Pain Clinical Trials

Comparison of Treatment by IM Ketamine to IV Ketamine in Patients With Renal Colic

Start date: August 1, 2019
Phase: Phase 3
Study type: Interventional

Patients who present to the emergency department (ED), with acute pain due to renal colic, are often treated with opioids. Treatment with opioids has many disadvantages - cardio-respiratory depression, nausea, vomiting and long term dependence. For these reasons, there is a constant search for a way to reduce the use of opioids. ketamine has been proven to augmented the analgesic effect of opioids, and thus reduce the use and adverse effects of opioids. Different studies about the use of Ketamine as a sedition agent have shown that Ketamine given IM versus IV has longer duration of effect with less adverse effects. The study we are conducting is designed to test and analyze the safety and efficacy of IV Ketamine with IV Morphine compared to IV Ketamine and morphine with IM placebo in a setting of acute pain due to, or suspected renal colic in the ED. When both ways of administration are given by the protocol as is customary for treatment of pain in the Emergency Medicine department, and will be a prospective, randomized, double blind, controlled study.

NCT ID: NCT04005209 Withdrawn - Acute Pain Clinical Trials

Ketamine Infusion for Sickle Cell Pain Crisis

Start date: January 2022
Phase: Phase 4
Study type: Interventional

The purpose of this study is to prospectively study the efficacy of low dose ketamine infusions in treating patients who are admitted to the hospital with a sickle cell pain crisis. Participants will be prospectively randomized in unblinded fashion in the first 12 to 24 hours of an inpatient admission for sickle cell pain crisis to receive pain management without ketamine infusion (Group A) versus pain management that includes low-dose ketamine infusion starting at 0.2mg/kg/h (Group B). The effect of this intervention on various pain management and healthcare utilization outcome measures will be recorded and analyzed to determine whether or not there is a measurable benefit of using ketamine infusions in this patient population.

NCT ID: NCT03997019 Recruiting - Pain, Acute Clinical Trials

Erector Spinae Plane Block in Cardiac Surgery

Start date: February 15, 2019
Phase: N/A
Study type: Interventional

ultrasound guided bilateral erector spinae plane block will be used as adjuvant to general anaesthesia in cardiac surgery

NCT ID: NCT03991546 Completed - Pain, Postoperative Clinical Trials

Pain and Narcotic Usage After Orthopaedic Surgery

Start date: June 3, 2016
Phase: N/A
Study type: Interventional

This study aims to 1) observe the course of pain, 2) utilization of opioid pain medication, and 3) possible effect of a behavioral intervention delivered via an automated mobile phone messaging robot in patients undergoing surgical treatment of a traumatic orthopaedic injury.

NCT ID: NCT03985995 Completed - Hyperalgesia Clinical Trials

Pain Response to Cannabidiol in Induced Acute Nociceptive Pain, Allodynia and Hyperalgesia By Using a Model Mimicking Acute Pain in Healthy Adults

CANAB I
Start date: September 16, 2019
Phase: N/A
Study type: Interventional

This study is to investigate the effect of CBD on acute pain in healthy volunteers in a well-established acute pain model.

NCT ID: NCT03978390 Withdrawn - Acute Pain Clinical Trials

Improving Children's Cooperation During Dental Injection

Start date: June 12, 2019
Phase: N/A
Study type: Interventional

This clinical trial aims to investigate how to increase children cooperation in dental settings using ideas adopted from psychology to make an effective interdisciplinary approach. We want to test how showing images of mainstream superheroes such as Superman, Batman, etc. can prepare children, 6-12 years old, to behave desirably during the dental injection. Also, new modification will be applied to providing awards to children by telling them that they can keep the rewards they receive before starting the procedure only if they behave accordingly during the treatment. Moreover, it will be shown that if children's baseline psychological characteristic, age, gender, and family income affect their cooperation in the dental office. The results of this study help to manage children's behavior more efficiently in the clinical settings which is crucial to achieving effective treatment.

NCT ID: NCT03975296 Completed - Clinical trials for Nerve Block, Nephrectomy, Analgesia

QLB Versus PVB for Acute Pain and Quality of Recovery After Laparoscopic Partial Nephrectomy

Start date: June 10, 2019
Phase: N/A
Study type: Interventional

This trial is a prospective, randomized, single-center, open-label, parallel-arm, blinded-analysis trial, the objective of which is to evaluate the effect of transmuscular quadratus lumborum block (TMQLB) in the pain relief and quality of recovery in laparoscopic partial nephrectomy compared with thoracic paravertebral block (TPVB).