Topical Analgesia Before Inhalational Anaesthesia
NCT04959409 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 500
Last updated 2021-07-13
Summary
Peripheral venous cannulation (insertion of a drip line into a vein) is a fundamental component of anaesthesia for both children and adults alike. Discomfort caused by needle insertion is a common worry for children but one simple intervention that may be delivered prior to a needle insertion procedure, is the application of topical analgesia (numbing skin cream). Several creams are now available and have been found to be effective in several trials of awake children. Yet the value of these creams for children receiving an inhalational induction of anaesthesia (gas to go off to sleep before needle insertion) remains uncertain.
The aims of this study are to determine whether cream application prior to receiving gas to go off to sleep has any beneficial effects (outcomes) for children, including reduction of movement, improved needle success rates and reduced time required for needle insertion procedures. How frequently skin effects after application of the creams occur (swelling, redness, itchiness) will also be assessed.
This study will be performed as a retrospective observational study (a study which looks back in time, identifies groups of exposed (cream applied) or non-exposed (no cream applied) children and follows them over a period of time to see how their exposures affect their outcomes). Using a total population (purposive) sampling technique, 500 children from 1 month to 18 years of age undergoing elective (planned) or urgent (emergency) inhalational induction of anaesthesia (gas to go off to sleep) at Nottingham University Hospitals NHS Trust over a six month study period (August 2020 to January 2021) will be incorporated into a completely anonymised research dataset and analysed to determine whether topical analgesia (skin numbing cream) application prior to inhalational induction (gas to go off to sleep) may offer any beneficial effects for paediatric patients.
Conditions
- Anesthesia
- Pediatric ALL
Interventions
- DRUG
-
Topical analgesia (EMLA or AMETOP)
Whether topical analgesia has or has not been administered to each child prior to them receiving an inhalational induction of anaesthesia
Sponsors & Collaborators
-
Nottingham University Hospitals NHS Trust
lead OTHER
Principal Investigators
-
M Billingham, MB.ChB · Nottingham University Hospitals NHS Trust
Eligibility
- Min Age
- 1 Month
- Max Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2020-08-01
- Primary Completion
- 2021-01-31
- Completion
- 2021-01-31
Countries
- United Kingdom
Study Locations
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