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Analgesia clinical trials

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NCT ID: NCT05558748 Recruiting - Analgesia Clinical Trials

"Comparison of USG-Guided Caudal Versus Ilioinguinal/Iliohypogastric Nerve Block for Pediatric Inguinal Surgeries"

CAUCIN
Start date: December 6, 2022
Phase: N/A
Study type: Interventional

This study is designed to compare the analgesic effectiveness of caudal analgesia to ilioinguinal regional analgesia techniques in children undergoing inguinal surgeries. Both techniques will be done under ultrasound gaudiness, using the same local anesthesia. 128 patients will be included in this study, 64 for each technique. This study aims to know the best regional analgesia technique in children undergoing inguinal surgeries, reduction in rescue analgesia postoperatively, postoperative length of stay, and early resumption of postoperative activity. The patients will be followed up 30 minutes after the end of anesthesia in PACU, postoperatively in Ward at 2 Hours, 3 hours, 6 hours from the end of anesthesia, and or at the time of discharge from the ward & on days 2 and 7. Patient privacy and safety will be respected at all times. An interim analysis will be done after recruiting 25% of cases (16 cases) in both arms. Once the sample size is reached, the data will be sent for statistical analysis with coded patient identity. Based on study findings, the practice will be optimized with the aim of improvement in pain relief, reduction in opioid requirements, and enhanced recovery after surgery (ERAS), reducing the bed occupancy time in the hospital.

NCT ID: NCT05555485 Recruiting - Analgesia Clinical Trials

Understanding the Effects of Transcutaneous Auricular Neurostimulation for Treatment of Chronic Pain

Start date: May 24, 2023
Phase: N/A
Study type: Interventional

The purpose of the study is to find out how a stimulation device worn on the ear works. This device is thought to stimulate nerves in the area around the ear to change the signals in the brain. The device has been shown to reduce pain and to reduce the symptoms of withdrawal. The investigator will also investigate changes in the way each participant perceive sensations of pressure and heat. The participant will be asked to reduce the amount of pain medication that they take. Then, the participant will spend several days and nights in the Clinical Research Center at UTMB (University of Texas Medical Branch) in Galveston. During that time, the participant will be monitored for withdrawal symptoms and will receive either active (e.g., "real") brain stimulation or sham (e.g., "fake") brain stimulation for two days (four hours each day). At two times over the course of the study (before and after ear stimulation treatment), the participant will complete questionnaires about their pain score and how they are feeling, sensory testing, and will undergo magnetic resonance imaging (MRI) of their brain. The investigator will collect the following information from the participant's medical record: age, gender, medication history, medical diagnoses, recent vital signs, past doctor visits or hospital stays, and results of urine drug tests. Participation in this study will last approximately four days, and the participant will stay in the Clinical Research Center.

NCT ID: NCT05543694 Recruiting - Analgesia Clinical Trials

ED90 of Epidural Bupivacaine With Lidocaine for the Initiation of Labor Analgesia

Start date: October 1, 2022
Phase: Phase 4
Study type: Interventional

To estimate the dose of bupivacaine required to achieve initial effective comfort in 90% of patients (ED90) via the epidural (DPE or EPL) technique in women undergoing labor after receiving a lidocaine "test dose"

NCT ID: NCT05525819 Recruiting - Analgesia Clinical Trials

Intrathecal Versus Intravenous Dexmedetomidine in Prostate Transurethral Resection

Start date: September 1, 2022
Phase: N/A
Study type: Interventional

This study was conducted to compare the effects of intrathecal versus intravenous dexmedetomidine administration in patients undergoing Transurethral resection of the prostate under spinal anesthesia.

NCT ID: NCT05510141 Recruiting - Analgesia Clinical Trials

Virtual Reality Games in Pediatric Surgery

Start date: August 24, 2022
Phase: N/A
Study type: Interventional

Randomized controlled trial reporting the pain levels and pain control/reduction of children at the age of 6-15 undergoing surgical procedures by using virtual reality gaming (VR) compared to nitrous oxide. Therefore, 50 patients in each treatment group are recruited, resulting in 100 children altogether. The pain levels and pain control/reduction is measured by the standard anesthesia protocol normally used when nitrous oxide is applied and questionnaires that are administered to the patients at baseline and two weeks after surgery including both the primary and secondary outcome.

NCT ID: NCT05490134 Recruiting - Analgesia Clinical Trials

RM1 Project 1 - tAN Naloxone

Start date: March 22, 2023
Phase: Early Phase 1
Study type: Interventional

This two-visit, randomized, double-blind, sham-controlled trial, uses a novel naloxone blockade model in 136 individuals to determine whether the analgesic effects of a 30-minute transcutaneous auricular neurostimulation (tAN) intervention are mediated through a release of endogenous opioids. Analgesic effects of four various stimulation interventions will be measured (auricular vagus, auricular trigeminal, combination, or sham) while varying the type of intravenous (IV) infusion (either naloxone or saline) a participant is administered to determine whether the analgesic effects are mitigated by pharmacological opioid receptor blockade.

NCT ID: NCT05485480 Recruiting - Analgesia Clinical Trials

Nociception Level During Opioid-sparing Anaesthesia Versus Conventional Opioid-based Anaesthesia

NOL_Basel
Start date: November 17, 2022
Phase: N/A
Study type: Interventional

The aim of this double blind, randomised controlled non-inferiority trial is to compare the antinociceptive efficiency of an opioid-sparing and a conventional opioid-based anaesthesia protocol with the help of the CEcertificated Pain Monitoring Device (PMD-200).

NCT ID: NCT05477641 Recruiting - Analgesia Clinical Trials

Analgesic Comparison of PENG/LFCN to FICB for Total Hip Arthroplasty

PengvsFICB
Start date: July 28, 2022
Phase: N/A
Study type: Interventional

This study compares 2 commonly used interventions (regional pain blocks) used in hip arthroplasty for pain control. One of the interventions is newer and not widely established.

NCT ID: NCT05477303 Recruiting - Pain, Postoperative Clinical Trials

Artificial Intelligence to Evaluate Postoperative Pain Based on Facial Expression

Start date: June 17, 2022
Phase:
Study type: Observational

Patients' subjective complaints about pain intensity are difficult to objectively evaluate, and may lead to inadequate pain management, especially in patients with communication difficulties.

NCT ID: NCT05466708 Recruiting - Analgesia Clinical Trials

Safety and Efficacy of Esketamine Combined With Dexmedetomidine for Sedation of Mechanically Ventilated Patients

SEEDS
Start date: August 11, 2022
Phase: Phase 4
Study type: Interventional

A prospective, randomized controlled study was conducted to compare the effects of esketamine combined with dexmedetomidine in the sedation and analgesia treatment of mechanically ventilated patients in the ICU on the time to awaken, time to extubation, time to mechanical ventilation, time in the ICU, and on delirium.