The purpose of this study is to see if the addition of IV Ketorolac to usual care multi-modal pain therapy compared to usual care will improve oral intake post-operatively
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
74
Ketorolac 0.5mg/kg will be administered intra-operatively at the conclusion of the case and 3 more doses scheduled every 8 hours in the first 24 hours post-operatively for a total of 4 doses of Ketorolac
0.9% Normal Saline will be administered intra-operatively at the conclusion of the case and 3 more doses scheduled every 8 hours in the first 24 hours post-operatively for a total of 4 doses of normal saline.
The University of Texas Health Science Center at Houston
Houston, Texas, United States
RECRUITINGVolume of oral intake
This will be measured in mL's of fluids
Time frame: from arrival to Post-Anesthesia Care Unit (PACU) to 24 hours post surgery
Pain as assessed by the Faces, Legs, Activity, Cry, Consolability (FLACC) scale
This scale has 5 questions and each is scored from 0-2,higher number indicating a worse outcome
Time frame: immediately upon arrival at PACU
Pain as assessed by the Faces, Legs, Activity, Cry, Consolability (FLACC) scale
This scale has 5 questions and each is scored from 0-2,higher number indicating a worse outcome
Time frame: 24 hours post surgery
Pain as assessed by the Faces, Legs, Activity, Cry, Consolability (FLACC) scale
This scale has 5 questions and each is scored from 0-2,higher number indicating a worse outcome
Time frame: 48 hours post surgery
Pain as assessed by the Faces scale
Subjective assessment of discomfort by parent, scored from 1-10, higher number indicating a worse outcome
Time frame: 7 days post discharge
Time to first oral intake
Time frame: within 24 hours post surgery
Number of participants with Post-operative bleeding that requires either transfusion or Unplanned return to Operating Room
Time frame: 24 hours and 48 hours after surgery
Amount of Post-operative narcotic usage (recorded in Morphine milligram Equivalents)
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Time frame: 7 days post surgery
Number of participants who need narcotic prescription at discharge
Time frame: at discharge(24-48 hours post surgery)
Renal function measured in mL/kg of urine output
Time frame: from arrival to PACU to discharge (24-48 hours post surgery)
Number of participants with post operative complications
post operative complications include,Unplanned return to OR, ER or unplanned clinic visit , Infection, Fever
Time frame: 30 days post surgery