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Study to determine whether Remifentanil is effective for treating procedural pain in neonates

Phase 2
Recruiting
Conditions
Pain relief for neonates undergoing insertion of a central venous catheter
Reproductive Health and Childbirth - Complications of newborn
Anaesthesiology - Pain management
Registration Number
ACTRN12612000385842
Lead Sponsor
Dr Susan M Lord
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
80
Inclusion Criteria

Medically stable neonates
Inpatient in JHCH NICU Level 3 Nursery
Require insertion of a central venous catheter for their medical care
24–44 weeks corrected gestational age at the time of procedure

Exclusion Criteria

Prior participation in this study (an infant can only participate once)
Major congenital anomalies
Severe hypoxic ischaemic encephalopathy
Current clinical seizures
Concomitant muscle relaxant
Emergency central line insertions
Lack of peripheral venous access for administration of study drug

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome is to determine the efficacy of remifentanil infusion for alleviating pain in neonates requiring insertion of central venous lines for their medical care, using pain scores (PIPPS) and facial grimacing derived from clinical monitoring data and facial coding data[Baseline (T0), during skin preparation (T1), during needle insertion (T2), and during recovery (T3).]
Secondary Outcome Measures
NameTimeMethod
To collect steady-state pharmacokinetic data for analgesic infusions of remifentanil in neonates of varying gestational maturity.[Once during procedure.]
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