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Trial registered on ANZCTR
Registration number
ACTRN12611000985987
Ethics application status
Approved
Date submitted
9/09/2011
Date registered
15/09/2011
Date last updated
15/09/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Local Anaesthetic Use in Dental General Anaesthetics on Paediatric Patients undergoing tooth extraction.
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Scientific title
Local Anaesthetic Use in Dental General Anaesthetics on Paediatric Patients undergoing tooth extraction and their reported post operative pain.
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Secondary ID [1]
263010
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Whether the use of Local Anaesthetic for primary teeth dental extractions under general anaesthetics is beneficial for child patients.
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Condition category
Condition code
Anaesthesiology
270916
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0
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Pain management
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Oral and Gastrointestinal
270919
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0
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Normal oral and gastrointestinal development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All children undergoing tooth extraction under general anaesthetic, if in the intervention group will have lignocaine administered prior to extraction. The lignocaine will be given lingually or buccally and all children to a maximum of 7mg/kg. The actual amount will depend on the number of teeth being extracted. All children will receive Gas induction and intra operative pain relief- Sevofluorane/Nitrous Oxide, Propofol 2mg/kg, Fentanyl 10mcg/kg, Morphine: 0.1mg/kg and Diclofenac: 1mg/kg
A patients post operative pain and distress will be compared between the groups using the FLACC Paediatric Pain scale.
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Intervention code [1]
269358
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Treatment: Drugs
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Comparator / control treatment
All children will be treated under general anaesthetic whether having local anaesthetic or not. Children receiving standard local anaesthetic as is standard treatment at the moment will be compared to the children receiving no local anaesthetic for their teeth extractions. There is no seperate control group.
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Control group
Active
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Outcomes
Primary outcome [1]
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FLACC score comparison
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Assessment method [1]
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Timepoint [1]
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Immediately post treatment until the child leaves the day stay unit.
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Secondary outcome [1]
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Post operative pain using the FLACC: behavioural scale for scoring Paediatric Pain in young children.
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Assessment method [1]
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Timepoint [1]
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Two days after operation
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Eligibility
Key inclusion criteria
Child requiring extraction under GA
I or II
Consent
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Minimum age
1
Years
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Maximum age
10
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Non consent
No extractions required
ASA III+
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/10/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
150
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Hutt Valley DHB
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Address [1]
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High Street
Lower Hutt
5040
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Country [1]
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New Zealand
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Primary sponsor type
Hospital
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Name
Dental Department, Hutt Valley DHB
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Address
High Street
Lower Hutt
5040
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
268848
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Upper South B Ethics Committee
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Ethics committee address [1]
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MOH 6 Haxelden Road Level 1 Montgomery Watson Building Addingtion Christchurch 8024
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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Approval date [1]
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Ethics approval number [1]
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Summary
Brief summary
When children are having their baby teeth removed under general anaesthetic (asleep) we commonly give them an injection of local anaesthetic just before they wake up to reduce the pain they may have after their operation. Some dentists do not give the local anaesthetic because children do not like the feeling of the numbness when they wake up and the numbness feeling can be quite distressing for children. All children while they are asleep are given pain medicine such as Panadol or morphine regardless of whether they get injections or not. For the children in this study we are going to use local anaesthetic in some patients and not in others and the parents and the nurses are going to determine if the children like having or not having the local anaesthetic. We expect the children will like not having the numbness feeling and the pain relief provided by the doctors (anaesthetists) while asleep will keep the children comfortable.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Erin Mahoney
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Address
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Dental Department
Hutt Valley DHB
High Street
Lower Hutt
5040
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Country
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New Zealand
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Phone
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+64 4 570 9298
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Erin Mahoney
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Address
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Dental Department
Hutt Valley DHB
High Street
Lower Hutt
5040
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Country
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New Zealand
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Phone
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+64 4 570 9298
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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