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CompletedNCT02484222Updated Jul 9, 2019Results posted

Fentanyl Test in Children's Adenotonsillectomy

An observational study in Obstructive Sleep Apnea, sponsored by Children's Hospital of Fudan University. Completed at 1 site in China. Open to participants aged 3 Years to 7 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-07-09.

Sponsored by Children's Hospital of Fudan University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
80
Ages
3 Years to 7 Years
Sex
All
01

Study summary

The purpose of this study is to discuss the relationship between the result of fentanyl test and required dosage of morphine for children with OSAS after adenotonsillectomy;and to evaluate the ability of predicting requested dosage of morphine postoperatively.

Read the detailed description

All the patients were intubated. Sevoflurane was used for maintenance without any opioids. Before the end of the procedure, spontaneous respiratory was recovered. All the patients were given 1 mcg/kg fentanyl i.v. after the end of the procedure. The positive result was defined as spontaneous respiratory rate decreased more than 50%, the others were defined as negative result. All the patients were given morphine for pain relief according to our protocol after extubation.

02

Conditions studied

  • Obstructive Sleep Apnea

Keywords

  • adenotonsillectomy
  • fentanyl
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In context

Sleep Apnea Syndromes

2,162 studies on the registry are indexed under Sleep Apnea Syndromes; 291 are open to participants now.

This study's enrollment of 80 is below the median of 109 across 654 observational studies indexed under Sleep Apnea Syndromes.

Browse Sleep Apnea Syndromes studies →

Lead sponsor

Children's Hospital of Fudan University is the lead sponsor of 262 studies on the registry; 92 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
3 Years to 7 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

children who were diagnosed with Obstructive Sleep Apnea Syndrome(OSAS) by electronic nasopharyngoscope and underwent selective adenotonsillectomy

Eligibility criteria

Inclusion Criteria:meet all of the following

  1. the American society of anesthesiologists (ASA) class Ⅰ \~ Ⅱ
  2. the age of 3 \~ 7 years old
  3. children who underwent selective adenotonsillectomy.

Exclusion Criteria:meet anyone of the following

  1. craniofacial malformations
  2. mental retardation
  3. BMI > 22 kg/m2
  4. a history of bronchial asthma
  5. a recent history of opioid use.
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
80 participants (actual)
Patient registry
No

Interventions

  • DrugFentanyl

    Before the end of the procedure, spontaneous respiratory was recovered. All the patients were given 1 mcg/kg fentanyl i.v. after the end of the procedure.

    Also known as: Fentanyl test

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What researchers measure

Primary outcomes

  1. Rescue Morphine Requirement

    Time frame: average 1 hour from extubation

Secondary outcomes

  1. Post-operative Nausea and Vomiting

    Time frame: average 1 hour from extubation

  2. Number of Participants With Pulse Oxygen Saturation Less Than 95 Percent

    Time frame: average 1 hour from extubation

07

Results

Posted Mar 11, 2019

Participant flow

Participant flow — Overall Study
MilestoneThe Result of Fentanyl Test
Started80
Completed77
Not completed3

Outcome measures

PrimaryRescue Morphine Requirement
Time frame:
average 1 hour from extubation
Reported as:
Median · mg
Rescue Morphine Requirement
mgThe Result of Fentanyl Test
Rescue Morphine Requirement30 (20 to 40)
SecondaryPost-operative Nausea and Vomiting
Time frame:
average 1 hour from extubation
Reported as:
Count of participants · Participants
Post-operative Nausea and Vomiting
ParticipantsNausea and Vomiting
Post-operative Nausea and Vomiting13
SecondaryNumber of Participants With Pulse Oxygen Saturation Less Than 95 Percent
Time frame:
average 1 hour from extubation
Reported as:
Count of participants · Participants
Number of Participants With Pulse Oxygen Saturation Less Than 95 Percent
ParticipantsNumber of Participants With Pulse Oxygen Saturation Less Than
Number of Participants With Pulse Oxygen Saturation Less Than 95 Percent7
Post-hocNumber of Participants Who Were Light Consumers of Morphine as Identified by the Fentanyl Test

The number of participants who were light consumers of morphine as identified by the Fentanyl Test,we want to know the accurate of the test.The light consumers are the children of who used total morphine \<50 μg/kg.

Time frame:
average 1 hour from extubation
Reported as:
Count of participants · Participants
Number of Participants Who Were Light Consumers of Morphine as Identified by the Fentanyl Test
ParticipantsThe Result of Fentanyl Test
Number of Participants Who Were Light Consumers of Morphine as Identified by the Fentanyl Test47

Adverse events

Collected over 1 hour. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
The Result of Fentanyl Test0/77 (0%)0/77 (0%)13/77 (16.9%)
Most frequent other events
Most frequent other events
EventThe Result of Fentanyl Test
vomitingGeneral disorders13/77

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)The Result of Fentanyl Test
<=18 years80
Between 18 and 65 years0
>=65 years0
Age, Continuous
Age, Continuous(years)The Result of Fentanyl Test
Median5.2 (3.9 to 6.5)
Sex: Female, Male
Sex: Female, Male(Participants)The Result of Fentanyl Test
Female65
Male15
Region of Enrollment
Region of Enrollment(Participants)The Result of Fentanyl Test
China80
08

Study locations

1 site
  • Chilren's Hospital of Fudan University
    Shanghai, Shanghai 201102, China
09

References and documents

Publications

  • Li YH, Wang X, Zhou ZJ, Zhuang PJ. Association between fentanyl test results and rescue morphine requirements in children after adenotonsillectomy. J Anesth. 2018 Feb;32(1):77-81. doi: 10.1007/s00540-017-2433-0. Epub 2017 Nov 21. PubMed 29164334 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 9, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02484222
Lead sponsor
Children's Hospital of Fudan University
Responsible party
Xuan Wang (Doctor, Children's Hospital of Fudan University) — Principal investigator
First posted
Jun 29, 2015
Start date
Sep 2015
Primary completion
Jan 2016
Completion
Jan 2016
Results posted
Mar 11, 2019
Last update
Jul 9, 2019

Study contacts

Xuan Wang
principal investigator · Children's Hospital of Fudan University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2019. You cannot join it, but the record below documents what was studied.

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