Status:

COMPLETED

Impact of Low Dose Naloxone on Fentanyl Requirements in Pediatric ICU Patients

Lead Sponsor:

University of Texas Southwestern Medical Center

Conditions:

Opioid Tolerance

Eligibility:

All Genders

1-18 years

Phase:

PHASE3

Brief Summary

Recently there has been an increased awareness in the need for adequate sedation and pain control for Pediatric Intensive Care Unit (ICU) patients. Fentanyl is an opioid commonly used in Pediatric ICU...

Detailed Description

Objective: To determine if Naloxone administration to pediatric ICU patients on Fentanyl infusions require less Fentanyl compared to control patients. Background: During recent years there has been...

Eligibility Criteria

Inclusion

  • Children age one (1) day to eighteen (18) years, requiring admission to the Pediatric ICU, requiring continuous infusion of Fentanyl analgesic anticipated to last greater than 4 days will be eligible for enrollment. Patients from both genders, all races and ethnic backgrounds will be eligible. Patients meeting the above criteria will be eligible regardless of nutritional status, performance status or recovery from prior medical treatment. They will not be excluded if they require simultaneous infusions of sedation with Midazolam. Enrollment will require parental consent.

Exclusion

  • Patients will not be eligible if they meet any of the following criteria:
  • Patients who are currently on oral analgesia or sedation
  • Patients who have a prior history of drug or alcohol dependence/abuse.
  • History of significant or preexisting cardiovascular disease, they are receiving pro-arrhythmia medications, such as class I, II, III or IV antiarrhythmic agents.
  • Patients who are allergic to opioids or opioid antagonists.
  • Patients with documented chromosomal abnormality impairing perception of pain/discomfort.
  • Unable to obtain parental or legal guardian's informed consent
  • Concurrent admission to another study.

Key Trial Info

Start Date :

December 1 2002

Trial Type :

INTERVENTIONAL

End Date :

August 1 2004

Estimated Enrollment :

128 Patients enrolled

Trial Details

Trial ID

NCT00286052

Start Date

December 1 2002

End Date

August 1 2004

Last Update

February 2 2006

Active Locations (1)

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Unversity of Texas Southwestern, Children's Medical Center, Dallas

Dallas, Texas, United States, 75235