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Comparative study of morphine, fentanyl or nalbuphine patient controlled analgesia for mucositis pain in pediatric patients undergoing cancer therapy: A randomized clinical trial

Phase 2
Conditions
Anaesthesia
Registration Number
PACTR202403689052671
Lead Sponsor
Childrens Cancer Hospital Egypt 57357
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
90
Inclusion Criteria

both sexes
aged 7-18 years
admitted to the Children Cancer Hospital Egypt 57357
diagnosed with cancer
and undergoing cancer therapy complicated by mucositis grade 3 and 4 (severe oral mucositis)

Exclusion Criteria

central nervous system disorders, delayed developmental milestones, or mental retardation that might interfere with the assessment of pain intensity
known or suspected myopathy
known or suspected allergy to any narcotic
known history of intolerable side effects of opioids
renal impairment (creatinine clearance less than 50 mL/min)
hepatic dysfunction (liver enzymes elevated more than 10-fold)
respiratory distress (SPO2 less than 92% on room air)
cardiac disease (ejection fraction less than 40%)
chronic pain complaints
advanced or metastatic cancer scheduled for palliative care

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Pain intensity using the Visual Analog Scale;Number of active and total pushes of PCA buttons;Total opioid consumption;Patient satisfaction using the Patient Satisfaction Score
Secondary Outcome Measures
NameTimeMethod
Adverse effects e.g. sedation, respiratory depression, bradycardia, hypotension, nausea, vomiting, pruritus, and urine retention.
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