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Pain relief in children after day-case tonsillectomy.
ISRCTN ISRCTN59683871
ClinicalTrials.gov identifier
Public title Pain relief in children after day-case tonsillectomy.
Scientific title
Acronym N/A
Serial number at source N0112133830
Study hypothesis The provision of a painkiller chart to parents of children undergoing tonsillectomy does not reduce pain and improve recovery in children after the procedure.
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Signs and Symptoms: Post-operative pain
Participants - inclusion criteria 1. Will be aged 5-10 years
2. Will be undergoing tonsillectomy as a day case procedure at Queen Mary's Hospital Day Theatre
3. Will be healthy children, American Society of Anesthesiologists (ASA) I and II
Participants - exclusion criteria Children already on analgesics, children who have a contraindication or allergy to ibuprofen/paracetamol and children who experience unexpected complications perioperatively.
Anticipated start date 01/09/2003
Anticipated end date 31/08/2004
Status of trial Stopped
Patient information material
Target number of participants Not provided at time of registration
Interventions Please note that as of 26/05/10 the status of this trial was changed to "stopped". The trial was discontinued due to lack of funding.

1. Parents of the child booked in for day case tonsillectomy will receive a Patients Information Sheet at their out-patients appointment
2. The anaesthetist concerned will obtain consent for participation in the study from the child's parent on the morning of the surgery
3. The children will be randomised by St Helier on the day surgery unit
4. They will receive a standard anaesthetic and have routine monitoring
5. The children will have routine recovery care
6. They will have standard painkillers to take home with written instructions on bottle
7. Information on discharge: anaesthetist tells parents to give analgesia regularly to their child, even if not in pain. Both groups to receive pain score and recovery indicator questionnaire
8. One group will receive a "painkiller chart" and the control group will not
9. Parents will receive telephone call on day 1, 3 and 7 after tonsillectomy to remind them to fill out questionnaire.
10. Questionnaire will be collected at the two week follow-up clinic by Mr Rathod, Ear, Nose and Throat (ENT) Surgeon
Primary outcome measure(s) 1. Pain scores as measured on two separate visual analogue scales
2. Recovery indicators i.e. time to normal diet, time to normal sleeping patterns, nausea and vomiting and need to ring hospital/GP for advice regarding pain control
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Epsom and St Helier University Hospitals NHS Trust (UK)
Trial website
Publications
Contact name Dr  Lenny  Ng
  Address Epsom and St Helier University Hospitals NHS Trust
Department of Anaesthesia
St Helier Hospital
Wrythe Lane
  City/town Carshalton
  Zip/Postcode SM5 1AA
  Country United Kingdom
  Tel +44 (0)208 296 2444
  Fax +44 (0)208 296 2951
  Email Lenny.ng@doctors.org.uk
Sponsor Record Provided by the NHSTCT Register - 2004 Update - Department of Health (UK)
  Address The Department of Health,
Richmond House,
79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)20 7307 2622
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.dh.gov.uk/Home/fs/en
Date applied 30/09/2004
Last edited 26/05/2010
Date ISRCTN assigned 30/09/2004
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