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Are NSAIDs Effective Enough for Postoperative Pain Control After Functional Endoscopic Sinus Surgery and Septoplasty

Phase 4
Completed
Conditions
Pain Control After Functional Endoscopic Sinus Surgery and Septoplasty
Interventions
Registration Number
NCT03605914
Lead Sponsor
The University of Texas Health Science Center, Houston
Brief Summary

The purpose of this study is to compare the level of pain control in patients receiving non-steroidal anti-inflammatory drugs (NSAIDs) to those receiving opioids in the postoperative period after endoscopic sinus surgery (ESS) and/or septoplasty.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria
  • english speaking
  • candidates for endoscopic sinus surgery as determined by medical necessity by the treating rhinologist
  • scheduled for surgery at Texas Sinus Institute
Exclusion Criteria
  • allergy to either NSAIDs or opioids
  • contraindication to NSAIDs (ex. gastritis, chronic kidney disease)
  • surgical plan exceeding basic endoscopic sinus surgery
  • use of anticoagulation
  • the presence of any pain disorder
  • the current usage of any analgesic medication
  • history of opioid addiction
  • pregnancy
  • history of chronic pain or fibromyalgia
  • current daily use of NSAIDs, acetaminophen, opioids or other analgesics (pregabalin, tramadol, etc)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
opioidNorcoThe Opioid used in this study is Norco. Norco is a combination medication that contains both an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen).
NSAIDdiclofenacThe non-steroidal anti-inflammatory drug (NSAID) used in this study is diclofenac.
Primary Outcome Measures
NameTimeMethod
Pain Score as Assessed by a 100mm Visual Analogue Scale (VAS)24 hours (day 1 after operation)

The range of scores on the VAS is 0 to 100, with 100 being the highest level of pain.

Secondary Outcome Measures
NameTimeMethod
Number of Participants With Constipation5 days after operation
Number of Participants With Nausea or Vomiting5 days after operation
Pain Score as Assessed by a 100mm Visual Analogue Scale (VAS)120 hours (day 5 after operation)

The range of scores on the VAS is 0 to 100, with 100 being the highest level of pain.

Number of Participants With Bleeding Complications5 days after operation

Bleeding complications are defined as complications necessitating a trip to the emergency room or requiring intervention for epistaxis.

Trial Locations

Locations (1)

The University of Texas Health Science Center at Houston

🇺🇸

Houston, Texas, United States

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