Acupuncture for Post-tonsillectomy Pain Control in Children
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Purpose
A randomized, controlled, single-blinded study comparing conventional postoperative analgesia with paracetamol-on-demand with the same regime plus acupuncture.
The hypothesis is that postoperative treatment of children undergoing tonsillectomy with acupuncture will reduce pain with minimal unwanted effects.
| Condition | Intervention |
|---|---|
|
Tonsillectomy Post-Operative Pain Acupuncture |
Device: acupuncture |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Acupuncture for Post-tonsillectomy Pain Control in Children: a Single-blinded, Randomized, Controlled Study |
- Post-Operative Pain [ Time Frame: 48 hours post-surgery ] [ Designated as safety issue: No ]
- Analgesic Drug Consumption [ Time Frame: 48 hours post-surgery ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 80 |
| Study Start Date: | January 2011 |
| Estimated Study Completion Date: | January 2012 |
| Estimated Primary Completion Date: | January 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| No Intervention: Standard Analgesic Treatment | |
|
Experimental: Standard Analgesic Treatment with Acupuncture
Patients will receive standard analgesic treatment and in addition acupuncture.
|
Device: acupuncture
Sterile, disposable, FDA-approved acupuncture needles will be used. Acupuncture will be performed bilaterally. The needles will penetrate the skin to a depth of 5-10mm and will be kept in place for no more than 5 minutes. The acupuncture points will be: Li 4, Li 11, St 44, according to Chinese acupuncture mapping. Treatment will be repeated at least 3 times during the hospital stay. Treatment will start in the pediatrics department approximately two hours after discharge from the postoperative unit. The 2nd treatment will be given on the same evening, approximately 4-8 hours after the 1st treatment and the 3rd treatment will be given the following morning, approximately 12-18 hours after the 2nd treatment. Exact treatment times will be recorded in the patient's file.
|
Detailed Description:
A randomized, controlled, single-blinded study comparing conventional postoperative analgesia with paracetamol-on-demand with the same regime plus acupuncture.
The study will be conducted in accordance with the ethical standards of the Helsinki Declaration and has been approved by the Human Experimentation Ethics Committee of the Ziv Medical Center and the Ministry of Health.
Patients will be recruited through the preoperative clinic conducted on the day before surgery. All parents and children will be given a full explanation of the study by an experienced member of the research team before randomization. The explanation will include the nature of acupuncture and the proposed treatment. Parents will sign an informed consent. Patients randomized to the acupuncture group will have a "trial run" at the time of consenting with a member of the research team experienced with performing acupuncture in children , in order to familiarize the child and family with the procedure.
Eligibility| Ages Eligible for Study: | 3 Years to 12 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
• children aged 3-12 years undergoing tonsillectomy with or without adenoidectomy for tonsillar hypertrophy with suspected sleep disordered breathing and for recurrent tonsillar infections.
Exclusion Criteria:
- lack of parental consent
- skin lesions near acupuncture sites
- relevant psychiatric disorder
- coagulopathy
- drug allergies to regular analgesic treatment
- intake of medications possibly affecting postoperative pain
- any child who has received acupuncture treatment in the past or the parents or siblings have received such treatment.
Contacts and Locations| Contact: Peter Gilbey, Dr | 972-50-8434014 | peter.g@ziv.health.gov.il |
| Israel | |
| Ziv Medical Center | |
| Safed, Israel, 13100 | |
More Information
No publications provided
| Responsible Party: | Dr Peter Gilbey, Ziv Medical Center, Safed, Israel |
| ClinicalTrials.gov Identifier: | NCT01285687 History of Changes |
| Other Study ID Numbers: | 0076-09-ZIV |
| Study First Received: | January 23, 2011 |
| Last Updated: | January 26, 2011 |
| Health Authority: | Israel: Institutional Oversight Authority Israel: Ministry of Health |
Keywords provided by Ziv Hospital:
|
Tonsillectomy Post-Operative Pain Acupuncture |
Additional relevant MeSH terms:
|
Pain, Postoperative Postoperative Complications Pathologic Processes Pain Signs and Symptoms Analgesics |
Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 19, 2013