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Can local anaesthesia in the throat after removal of throat tonsils reduce pai

Phase 1
Conditions
ocal pain after tonsillectomy, both at rest and during swallowing. Assessed by self-reporting at 1, 2, 3, 4, 5, 6 hours and 1,2,4 and 6 days after surgery.
Therapeutic area: Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Anesthesia and Analgesia [E03]
Registration Number
EUCTR2020-002862-15-NO
Lead Sponsor
ordland Hospital. Bodø. Dep of Surgery
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
80
Inclusion Criteria

All patients undergoing isolated tonsillectomy from the age of 5 years and older.
Are the trial subjects under 18? yes
Number of subjects for this age range: 40
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 38
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 2

Exclusion Criteria

Patients using opioids regularly.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: The main objective of the trial is to investigate whether patients who get bupivacaine on the gauze swab used for hemostasis after tonsillectomy has less pain the first hours and days postoperatively compared to patients that have physiological saline solution (placebo). ;Secondary Objective: Another objective is to measure blood concentration of bupivacaine after this topical administration of bupivacaine.;Primary end point(s): Self-reported pain at rest and during swallowing indicated by the numerical rating scale for patients aged 10 years and older, and indicated by the faces pain scale-revised for patients aged 5-10 years old.;Timepoint(s) of evaluation of this end point: Pain is registered at 1,2,3,4,5 and 6 hours, and 1,2,4 and 6 days postoperatively.
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): 1. Need for additional pain-killers, nausea, vomiting, reduced apetite.<br>2. Blood concentration of bupivacaine;Timepoint(s) of evaluation of this end point: 1. 1,2,3,4,5 and 6 hours, and 1,2,4 and 6 days postoperatively.<br>2. Pilot study including 2 patients, with frequent blood sampling (every 15 minutes until 90 minutes) to find the three optimal time-points for blood sampling in the whole cohort.
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