Study to determine whether Remifentanil is effective for treating procedural pain in neonates
- Conditions
- Pain relief for neonates undergoing insertion of a central venous catheterReproductive Health and Childbirth - Complications of newbornAnaesthesiology - 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
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
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
Name Time Method 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
Name Time Method To collect steady-state pharmacokinetic data for analgesic infusions of remifentanil in neonates of varying gestational maturity.[Once during procedure.]