Opioid Sparing Anesthesia Care for Pediatric Patients Having Tonsil Surgery
NCT06326983 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 62
Last updated 2026-05-18
Summary
This is a prospective, randomized, controlled, non-inferiority study of patients undergoing tonsil surgeries at Boston Children's Hospital Waltham. The overall aim is to evaluate the efficacy of an opioid anesthetic plan (morphine, ketorolac, and acetaminophen versus an opioid sparing anesthetic plan (dexmedetomidine, ketorolac and acetaminophen) for perioperative analgesia and recovery time in patients undergoing tonsillectomies and tonsillotomies at Boston Children's Hospital Waltham. Secondary measures include rescue opioids administered in post-anesthesia care unit (PACU), re-operation secondary to bleeding, emergence delirium, post-operative nausea and vomiting, intraoperative hemodynamics, intraoperative vasopressor administration, and length of procedure.
Conditions
- Tonsillitis
- Post-operative Nausea and Vomiting (PONV)
- Emergence Delirium
- Opioid Analgesic Adverse Reaction
- Anesthesia
- Pain
Interventions
- DRUG
-
Dexmedetomidine
Dexmedetomidine (1mcg/kg bolus given intravenously at induction of anesthesia
- DRUG
-
Acetaminophen (12.5mg/kg with a maximum dose of 1 gram given intravenously at induction of anesthesia).
- DRUG
-
Ketorolac
Ketorolac 0.5mg/kg with a max dose of 30mg intravenously at the end of surgery.
- DRUG
-
Morphine
Morphine (0.1mg/kg given intravenously at induction of anesthesia)
Sponsors & Collaborators
- lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 3 Years
- Max Age
- 17 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-05-09
- Primary Completion
- 2026-01-30
- Completion
- 2026-03-01
Countries
- United States
Study Locations
More Related Trials
-
Optimization of Pediatric Tonsillectomy to IMprove AnaLgesia
NCT06576830 ·Status: RECRUITING ·Phase: PHASE4
-
Pediatric Pain Optimization After Tonsillectomy
NCT05244226 ·Status: COMPLETED ·Phase: PHASE2
-
Postoperative Oral Corticosteroids Following Tonsillectomy
NCT03352115 ·Status: UNKNOWN ·Phase: NA
-
Perioperative Tonsillectomy Protocol Development
NCT03323047 ·Status: UNKNOWN ·Phase: PHASE4
-
Dexmedetomidine in Pediatric Tonsillectomy
NCT01057381 ·Status: COMPLETED ·Phase: PHASE4
-
A Comparison of Postoperative Tramadol Versus Acetaminophen With Codeine in Children Undergoing Tonsillectomy
NCT01267136 ·Status: COMPLETED ·Phase: PHASE4
-
A Comparative Study With Parenteral Oxycodone, Morphine and Dexamethasone in Postoperative Pain in Paediatric Patients
NCT00733083 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of the Analgesia Nociception Index and Videopupillometry to Predict a Child's Post-tonsillectomy Morphine Prescription
NCT03698565 ·Status: COMPLETED ·Phase: NA
-
Post-operative Pain Control After Pediatric Adenotonsillectomy
NCT02296840 ·Status: TERMINATED ·Phase: PHASE4
-
Preemptive Analgesia for Post Tonsillectomy Pain With IV Morphine in Children
NCT02995304 ·Status: UNKNOWN ·Phase: NA
-
Opioid & Steroid Use Following Tonsillectomy in Pediatric Patients
NCT04541147 ·Status: TERMINATED ·Phase: PHASE4
-
Analgesic Effect of IV Acetaminophen in Tonsillectomies
NCT01691690 ·Status: COMPLETED ·Phase: PHASE2
-
Etomidate and Esketamine on Postoperative Pain After Tonsillectomy Undergoing Children
NCT07062601 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Steroids and Pain Control After Tonsillectomy
NCT03995628 ·Status: COMPLETED ·Phase: PHASE2
-
Effect of Pre-operative Oral Hydration on Post-operative Pain and Nausea in Adults Undergoing Tonsillectomy
NCT05507918 ·Status: WITHDRAWN ·Phase: NA
-
Use of Analgesics and Pain Scores After Pediatric Adenotonsillectomy
NCT04349397 ·Status: UNKNOWN
-
Ketorolac Use in Pediatric Patients Undergoing Tonsillectomy
NCT03453541 ·Status: TERMINATED ·Phase: PHASE4
-
Effects of Propofol on Respiratory Adverse Events During Extubation in Children Undergoing Tonsil Adenoidectomy
NCT05769842 ·Status: COMPLETED ·Phase: NA
-
Honey Used as Adjunct Therapy to Tylenol for Post-Op Tonsillectomy Patients
NCT03931395 ·Status: COMPLETED ·Phase: NA
-
Dexamethasone-bupivacaine Versus Bupivacaine for Tonsillectomy Pain.
NCT03443778 ·Status: UNKNOWN ·Phase: PHASE4
-
Ketorolac on Postoperative Pain Reduction in Pediatric Patients with Adenotonsillectomy
NCT05074056 ·Status: COMPLETED ·Phase: PHASE4
-
Pediatric Tonsillectomy Pain Reduction Study
NCT00678379 ·Status: COMPLETED ·Phase: PHASE3
-
The Effect of Peritonsillar Infiltration of Ketamine and Dexamethasone for Postoperative Pain Relief in Children Following Adenotonsillectomy
NCT01198210 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Celecoxib After Tonsillectomy
NCT02934191 ·Status: COMPLETED ·Phase: PHASE2
-
Dexmedetomidine Reduces Emergence Delirium in Children Undergoing Tonsillectomy With Propofol Anesthesia
NCT03131375 ·Status: COMPLETED ·Phase: PHASE2/PHASE3