A Randomized Study Comparing Intravenous (IV) Acetaminophen to Usual Care for Pain Management for Small Bowel Obstruction - Feasibility Study
Overview
- Phase
- Phase 4
- Intervention
- Acetaminophen
- Conditions
- Small Bowel Obstruction
- Sponsor
- Mayo Clinic
- Enrollment
- 18
- Locations
- 1
- Primary Endpoint
- Resolution of small bowel obstruction
- Status
- Enrolling By Invitation
- Last Updated
- last year
Overview
Brief Summary
The purpose of this study is to compare IV Acetaminophen for pain control to the usual care with opioids in patients admitted for small bowel obstruction.
Detailed Description
The primary aim of this study is to assess the feasibility of conducting a randomized trial involving intravenous acetaminophen for pain control compared to usual care with opioids in patients admitted for small bowel obstruction and to summarize pain scores up to 72 hours after treatment. Patients presented and diagnosed with small bowel obstruction (SBO) will be screened for eligibility and will be offered participation in this study. Patients admitted for SBO for medical management with pain on admission will be eligible to participate in study. This will include patients with malignant and nonmalignant SBO. Participants will be randomly assigned into one of two groups, either the Treatment Group which receive IV acetaminophen or the Usual Care Group which will receive intravenous morphine or hydromorphone as needed for pain control. A Nasogastric (NG) tube will be placed when it is indicated, if patient is having significant nausea or vomiting. Pain scores will be followed as usual pain management assessment and reported in the medical record. Once SBO is resolved (usually 3 days after admission), active study participation will end. Participants may be followed via their medical record up to 30 days after discharge.
Investigators
Tatjana Gavrancic
Principal Investigator
Mayo Clinic
Eligibility Criteria
Inclusion Criteria
- •Small bowel obstruction diagnosed by radiographic study; and
- •Abdominal pain on admission.
- •Nothing per mouth diet.
- •The ability to give appropriate consent or have an appropriate representative available to do so.
Exclusion Criteria
- •Known liver failure or cirrhosis.
- •Acetaminophen toxicity on admission.
- •Known acetaminophen allergy.
- •Alcohol intoxication on admission.
- •History of substance abuse.
- •Creatinine clearance \< 30 (or Creatinine level \> 2).
- •Liver transplant recipients.
- •Ileus on admission.
- •Admitted for surgical intervention for SBO.
- •Admitted for venting Gastric tube placement.
Arms & Interventions
IV Acetaminophen Group
Subjects presented to emergency department (ED) and diagnosed with small bowel obstruction which receive IV acetaminophen
Intervention: Acetaminophen
Outcomes
Primary Outcomes
Resolution of small bowel obstruction
Time Frame: 3 days
Days until small bowel obstruction resolution, measured by admission date to date that diet was placed
Pain Scores
Time Frame: 3 days
Pain is measured by a pain scale of subjective pain reported by patients and measured by nurses and ranges from 0 (no pain) to 10 (worst pain).
Length of hospital stay
Time Frame: 3 days
Measured by days from admission day to discharge day
Secondary Outcomes
- Death(3 days)
- Bowel Perforation(3 days)
- Surgery(3 days)
- Allergic reaction to acetaminophen(3 days)