Topical Anesthesia and Intra-arterial Chemotherapy for Retinoblastoma
NCT02955524 · Status: WITHDRAWN · Phase: EARLY_PHASE1 · Type: INTERVENTIONAL
Last updated 2018-04-20
Summary
The objective of this study is to use local topical anesthesia to numb the sensory input, captured by branches of the Trigeminal nerve found on the skin in and around the eye, to decrease a hemodynamic reflex seen during placement of a catheter for intra-arterial chemotherapy (IAC) for eye tumors in children. This Trigeminal-cardiac reflex brings about hemodynamic instability during general anesthesia.
Normally, one could block this sensorial input with ophthalmic peribulbar placement of local anesthetics, but these eyes have malignant growth and invasive procedures may cause more harm. The investigators are aiming to numb the sensory branches of the trigeminal nerve non-invasively and observe for any decrease in these events.
Conditions
- Hemodynamic Instability
Interventions
- DRUG
-
Tetracaine 0.5%
One drop of 0.5% Proparacaine to nasolacrimal Duct to numb the ethmoidal nerve in the nasal passage on the side of the eye to be treated.
- DRUG
-
Lidocaine hydrochloride ophthalmic gel 3.5%
1ml of lidocaine gel is placed over the conjunctivae of the eye to be treated after the patient is under general anesthesia and before the procedure
Sponsors & Collaborators
-
University of Miami
lead OTHER
Principal Investigators
-
Jacqueline Tutiven, MD · Director Pediatric Anesthesia Fellowship/Assistant Professor
-
Norman Halliday, MD · Chief, Pediatric Anesthesiology
Study Design
- Allocation
- NA
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 8 Weeks
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-03-31
- Primary Completion
- 2020-06-30
- Completion
- 2020-12-31
- FDA Drug
- Yes
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