Nasal Decongestant to Reduce Perioperative Adverse Events in Children With Upper Respiratory Track Infections Having Anesthesia.
NCT07000877 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 200
Last updated 2025-11-19
Summary
The goal of this multicentre, double-blind, randomised controlled trial study is to learn if the use of a nasal spray to open the nasal passages and increase airflow before surgery can reduce the occurrence of perioperative respiratory adverse events in children with upper respiratory tract infection who are undergoing anesthesia.
The main questions it aims to answer are:
* Does use of a nasal decongestant (Oxymetazoline 0.05%) reduce perioperative respiratory adverse events during emergence (when waking up from anesthesia) or in the post-anesthesia care unit in children.
* Is it easy and acceptable to doctors, children and parents to use the nasal decongestant treatment? Researchers will compare the nasal decongestant to a placebo (a look-alike substance that contains no drug) to see if it works to reduce perioperative respiratory adverse effects.
Participants will:
* Take a nasal decongestant or a placebo prior to surgery (just before anaesthesia is given)
* Be monitored during and after surgery in the post-anaesthesia care unit for any perioperative respiratory adverse events.
* Be asked about how acceptable they found the treatment.
Conditions
- Perioperative Respiratory Adverse Events
- Anesthesia Outcomes
Interventions
- DRUG
-
Decongestant nasal spray (oxymetazoline hydrochloride (0.05%))
Decongestant nasal spray containing active ingredient.
- DRUG
-
PLACEBO: 2.5mL of normal saline 0.9% and benzalkonium chloride 0.02%
Control nasal spray containing no active ingredient.
Sponsors & Collaborators
-
Child and Adolescent Health Service - Perth
collaborator OTHER_GOV -
Hospital das Clínicas de São Paulo - SP
collaborator UNKNOWN -
Rigshospitalet, Denmark
collaborator OTHER -
Telethon Kids Institute
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 1 Year
- Max Age
- 8 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-06-25
- Primary Completion
- 2028-05-30
- Completion
- 2028-05-30
Countries
- Australia
Study Locations
More Related Trials
-
Nitric Oxide Administration for Acute Respiratory Distress Syndrome
NCT00240487 ·Status: COMPLETED ·Phase: PHASE3
-
Effects of Rhinopharyngeal Retrograde Clearance in Children With Acute Viral Bronchiolitis
NCT02460614 ·Status: COMPLETED ·Phase: NA
-
Intranasal Ketamine for Pediatric Procedural Sedation: a Feasibility Study
NCT03067974 ·Status: TERMINATED ·Phase: EARLY_PHASE1
-
Inhaled NO as an Anti-inflammatory and Anti-reperfusion Agent in Infants and Children Undergoing Cardiopulmonary Bypass
NCT00585013 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Comparative Efficacy of Hypertonic Saline vs Adrenaline Nebulization in Acute Bronchiolitis
NCT06267118 ·Status: RECRUITING ·Phase: PHASE3
-
Bronchiolitis in Infants Placebo Versus Epinephrine and Dexamethasone Study
NCT03567473 ·Status: COMPLETED ·Phase: PHASE3
-
Effects of Inhaled Nitric Oxide in the Treatment of Acute Hypoxemic Respiratory Failure (AHRF) in Pediatrics
NCT00041561 ·Status: TERMINATED ·Phase: PHASE3
-
Assessment of Airway Obstruction in Infants With Lower Respiratory Infections
NCT00435994 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Nebulised Hypertonic Saline (3%) Among Children With Bronchiolitis.
NCT01276821 ·Status: COMPLETED ·Phase: PHASE4
-
Dexamethasone Treatment for OSA in Children
NCT05638087 ·Status: COMPLETED ·Phase: PHASE3
-
Apnoeic Oxygenation During Pediatric Tracheal Intubation
NCT06576596 ·Status: RECRUITING ·Phase: NA
-
Fraction of Oxygen on Induction of Anesthesia in Infants
NCT04722276 ·Status: COMPLETED ·Phase: NA
-
Single Injection of Dexamethasone for Acute Bronchiolitis in Young Children
NCT00122785 ·Status: COMPLETED ·Phase: NA
-
High Flow Oxygen in Preoxygenation During Rapid Sequence Induction in Infants and Small Children
NCT05846919 ·Status: TERMINATED ·Phase: NA
-
Nebulised 3% Hypertonic Saline in Infants With Acute Bronchiolitis
NCT06558461 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Impact of Cold Air Exposure on Croup Symptoms
NCT05668364 ·Status: COMPLETED ·Phase: NA
-
Two Seawater-based Formulations for Relief of Nasal Congestion in Paediatric Subjects
NCT05244148 ·Status: TERMINATED ·Phase: NA
-
Efficacy and Safety of 3% Hypertonic Saline Inhalation (24h vs 72h) to Treat Acute Bronchiolitis in Hospitalized Infants
NCT02538458 ·Status: COMPLETED ·Phase: PHASE4
-
Saline Hypertonic in Preschoolers
NCT02378467 ·Status: COMPLETED ·Phase: NA
-
The Influence of Inhaled Adrenalin Versus Decongestant as a Local Nasal Treatment in Bronchiolitis
NCT00622817 ·Status: COMPLETED ·Phase: NA
-
High-flow Nasal Cannula for Pediatric Anesthetic Induction
NCT05578131 ·Status: COMPLETED ·Phase: NA
-
Single Dose Versus Multiple Doses of Dexamethasone in Children With Acute Bronchiolitis
NCT00213226 ·Status: COMPLETED ·Phase: PHASE3
-
The Use of Nasal Phenylephrine in Infants With Bronchiolitis
NCT00373802 ·Status: COMPLETED ·Phase: PHASE2
-
Epinephrine, Dexamethasone, and Hypertonic Saline in Bronchiolitis, Randomised Clinical Trial of Efficacy and Safety
NCT01834820 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of High-flow Nasal Oxygenation on Gastric Insufflation in Children
NCT06204653 ·Status: NOT_YET_RECRUITING ·Phase: NA