Bilateral suprazygomatic maxillary nerve block for cleft palate repair in children: a prospective, randomized, double-blind study versus placebo.
Julien Chiono, Olivier Raux, Sophie Bringuier...
https://pubmed.ncbi.nlm.nih.gov/24525630Actively Recruiting
Led by Assiut University · Updated on 2026-01-02
60
Participants Needed
1
Research Sites
5 weeks
Total Duration
Researchers are evaluating the use of nebulized bupivacaine, a local anesthetic, as a preemptive pain relief method for children undergoing cleft palate repair. This Phase 3 randomized, double-blind controlled trial aims to compare the safety and effectiveness of this treatment with a saline placebo in children aged 1 to 7 years. The study is sponsored by Assiut University and focuses on improving postoperative pain management in pediatric patients undergoing this surgery. Participants will be randomly assigned to one of two groups, each with 30 children. One group will receive nebulized bupivacaine at a concentration of 0.5% and a dose of 0.5 mg/kg before surgery, while the other group will receive a similar volume of nebulized saline as a placebo. Both treatments are delivered preoperatively in opaque bags labeled as "study drug" to maintain blinding. The trial is designed to carefully monitor and compare the effects of the active drug versus the placebo. Children's guardians will provide informed consent before participation. During the study, researchers will monitor the total amount of rescue pain medication used during the 24 hours following surgery, the children's pain levels using the FLACC scale, and the time until the first request for rescue analgesics. The study includes thorough safety monitoring and aims to complete follow-up assessments within the first day after surgery, providing detailed information on pain control and medication needs.
CONDITIONS
Nebulized Bupivacaine Analgesia for Cleft Palate Repair
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Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Surgery day and immediate postoperative period
Participants receive preoperative nebulized Bupivacaine or nebulized saline placebo before cleft palate repair surgery under general anesthesia.
1 preoperative treatment visit and observation during surgery
Duration - 24 hours after surgery
Participants are monitored for pain control and use of rescue analgesics during the 24 hours after surgery.
Postoperative observation and assessment visits within 24 hours
Total: 1 location
1
Assiut university hospital
Asyut, Assuit, Egypt, Assuit universi
Actively Recruiting
O
Omar Soliman, MD
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Julien Chiono, Olivier Raux, Sophie Bringuier...
https://pubmed.ncbi.nlm.nih.gov/24525630