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Status unknownNCT04380298PAINLESSUpdated Sep 9, 2020

Effects of Pre-emptive Scalp Infiltration With Low-dose Ketorolac and Ropivacaine for Postoperative Pain

A Phase 4 interventional study of Ketorolac and Ropivacaine in Pain and Supratentorial Brain Tumor, sponsored by Beijing Tiantan Hospital. Status unknown. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2020-09-09.

Sponsored by Beijing Tiantan Hospital · Phase 4, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Sep 2020), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

The PAINLESS study is a single-center, prospective, randomized, open-label, blinded-endpoint (PROBE) controlled clinical pilot study to compare the efficacy and safety of pre-emptive scalp infiltration with ropivacaine plus ketorolac and ropivacaine alone for postoperative pain relief in adults undergoing elective supratentorial craniotomies.

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Conditions studied

  • Pain
  • Supratentorial Brain Tumor

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Keywords

  • Pre-emptive Scalp Infiltration
  • Ketorolac
  • Postoperative Pain
  • Supratentorial Craniotomy
  • A pilot Study
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In context

Pain, Postoperative

5,093 studies on the registry are indexed under Pain, Postoperative; 1,140 are open to participants now.

This study's planned enrollment of 40 is below the median of 75 across 4,344 interventional studies indexed under Pain, Postoperative.

Browse Pain, Postoperative studies →

Lead sponsor

Beijing Tiantan Hospital is the lead sponsor of 465 studies on the registry; 282 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Scheduled for elective supratentorial tumour resection;
  • Planned general anaesthesia;
  • American Society of Anesthesiologists (ASA) physical status I - II;
  • Age ranging from 18 to 65 years old;
  • Participates required to fix their head in a head clamp intraoperatively;
  • Participates with an anticipated awake within 2 hours after surgery.

Exclusion criteria

Exclusion Criteria:

  • Allergy/intolerance to study drugs including anesthetic drugs, ketorolac and epinephrine;
  • Expected delayed extubation or no plan to extubate;
  • History of neurosurgeries;
  • Long-term use of analgesics and sedatives (more than 2 weeks)
  • Receiving any painkiller within 24 h before the operation;
  • Extreme body mass index (BMI) (less than 15 or more than 35);
  • Patients with impaired cardiopulmonary;
  • Patients with impaired renal function;
  • Patients with impaired hepatic function;
  • History of chronic headache;
  • Patients with cognitive deficit;
  • Patients with intellectual disability;
  • Patients with uncontrolled epilepsy;
  • Patients with psychiatric disorders;
  • Difficulties in using PCA device
  • Difficulties in understanding the use of numeral rating scale (NRS) ;
  • Patients with suspected intracranial hypertension;
  • Pregnant or at breastfeeding;
  • Infection at the incisional site;
  • History of radiation therapy and chemotherapy preoperatively
  • With great likelihood of postoperative radiation therapy and chemotherapy based on preoperative imaging.
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Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    The ketorolac group

    Patients assigned to the ketorolac group will receive pre-emptive scalp infiltration with 30ml of local infiltration solution containing 60 mg ropivacaine, 6 mg ketorolac and 0.1mg epinephrine.

    Drug: Ketorolac · Drug: Ropivacaine · Drug: Epinephrine

  • Active comparator
    The control group

    In the control group, preoperative peri-incisional scalpinfiltration will be performed using 30ml of 60 mgropivacaine and 0.1mg epinephrine.

    Drug: Ropivacaine · Drug: Epinephrine

Interventions

  • DrugKetorolac

    30ml of local infiltration solution containing 60mg ropivacaine

  • DrugRopivacaine

    30ml of local infiltration solution containing 6mg ketorolac

  • DrugEpinephrine

    30ml of local infiltration solution containing 0.1mg epinephrine

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What researchers measure

Primary outcomes

  1. cumulative doses of patient-controlled analgesia (PCA) sufentanil consumption

    cumulative doses of patient-controlled analgesia (PCA) butorphanol consumption from 0 to 48 h postoperatively The primary outcome measure will be cumulative doses of PCA butorphanol consumption from 0 to 48 h postoperatively

    Time frame: 0 to 48 hours postoperatively

Secondary outcomes

  1. The time to first request for PCA sufentanil

    The time to first request for patient-controlled analgesia

    Time frame: 0 to 48 hours postoperatively

  2. frequency of pressing PCA pump

    frequency of pressing PCA pump

    Time frame: Within 48hours postoperatively

  3. numeral rating scale (NRS) Score

    0 for"no pain" and 10 for "pain as severe as you can imagine"

    Time frame: at 2 hours, 4 hours, 8 hours, 24 hours, 48 hours postoperatively

  4. Pain control satisfaction score (PCSS) postoperatively

    0 for unsatisfactory and 10 for very satisfactory

    Time frame: at 24 hours and 48 hours post-operation

  5. Ramsay sedation score (RSS)

    1: Anxious, agitated, restless; Ramsey 2: Cooperative, oriented, tranquil; Ramsey 3: Responsive to commands only If Asleep; Ramsey 4: Brisk response to light glabellar tap or loud auditory stimulus; Ramsey 5: Sluggish response to lightglabellar tap or loud auditory stimulus; Ramsey 6: No response to light glabellar tap or loud auditory stimulus.Asleep; Ramsey 4: Brisk response to light glabellar tap or loud auditory stimulus; Ramsey 5: Sluggish response to lightglabellar tap or loud auditory stimulus; Ramsey 6: No response to light glabellar tap or loud auditory stimulus.

    Time frame: at 2 hours, 4 hours, 8 hours, 24 hours and 48 hours postoperatively

  6. pulse oxygen saturation(SpO2)

    Time frame: 1 minutes before anesthesia induction, 1 minutes after anesthesia induction, 1 minutes after scalp infiltration, at the beginning of skull drilling, mater cutting and skin closure and at 2hours, 4 hours, 8 hours , 24 hours and 48 hours postoperatively

  7. mean arterial blood pressure(MAP)

    Time frame: 1 minutes before anesthesia induction, 1 minutes after anesthesia induction, 1 minutes after scalp infiltration, at the beginning of skull drilling, mater cutting and skin closure and at 2hours, 4 hours, 8 hours , 24 hours and 48 hours postoperatively

  8. heart rate(HR)

    Time frame: 1 minutes before anesthesia induction, 1 minutes after anesthesia induction, 1 minutes after scalp infiltration, at the beginning of skull drilling, mater cutting and skin closure and at 2hours, 4 hours, 8 hours , 24 hours and 48 hours postoperatively

  9. respiratory rate(RR)

    Time frame: 1 minutes before anesthesia induction, 1 minutes after anesthesia induction, 1 minutes after scalp infiltration, at the beginning of skull drilling, mater cutting and skin closure and at 2hours, 4 hours, 8 hours , 24 hours and 48 hours postope

  10. Length of hospital stay

    Time frame: Length of hospital stay, an arverage of 2 weeks

  11. postoperative nausea and vomiting(PONV)

    Time frame: within 48 hours postoperatively

  12. The presence of respiratory depression

    respiratory rate \<10 breaths per minute or SpO2 was\<90 %

    Time frame: within 48 hours postoperatively

  13. The incidence of haematoma, wound infection or gastric ulcers

    side effects

    Time frame: during hospitalization, within 2 weeks postoperatively

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Song J, Li L, Yu P, Gao T, Liu K. Preemptive scalp infiltration with 0.5% ropivacaine and 1% lidocaine reduces postoperative pain after craniotomy. Acta Neurochir (Wien). 2015 Jun;157(6):993-8. doi: 10.1007/s00701-015-2394-8. Epub 2015 Apr 7. PubMed 25845547 ↗
  • Kerr DR, Kohan L. Local infiltration analgesia: a technique for the control of acute postoperative pain following knee and hip surgery: a case study of 325 patients. Acta Orthop. 2008 Apr;79(2):174-83. doi: 10.1080/17453670710014950. PubMed 18484242 ↗
  • Niemelainen M, Kalliovalkama J, Aho AJ, Moilanen T, Eskelinen A. Single periarticular local infiltration analgesia reduces opiate consumption until 48 hours after total knee arthroplasty. A randomized placebo-controlled trial involving 56 patients. Acta Orthop. 2014 Dec;85(6):614-9. doi: 10.3109/17453674.2014.961399. Epub 2014 Sep 19. PubMed 25238439 ↗
  • Andersen KV, Nikolajsen L, Haraldsted V, Odgaard A, Soballe K. Local infiltration analgesia for total knee arthroplasty: should ketorolac be added? Br J Anaesth. 2013 Aug;111(2):242-8. doi: 10.1093/bja/aet030. Epub 2013 Mar 20. PubMed 23514638 ↗

Individual participant data

Plan to share: Yes

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 9, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04380298
Lead sponsor
Beijing Tiantan Hospital
Responsible party
Fang Luo (Director of Department of Pain Management, Beijing Tiantan Hospital) — Principal investigator
First posted
May 8, 2020
Start date
Dec 1, 2020 (estimated)
Primary completion
Jul 31, 2021 (estimated)
Completion
Aug 31, 2021 (estimated)
Last update
Sep 9, 2020

Study contacts

Fang Luo, M.D
Contact
13611326978@163.com
+8613611326978
Yitong Jia, M.D
Contact
13811109032@163.com
+8613811109032

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Sep 2020. You cannot join it, but the record below documents what was studied.

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