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Fentanyl Versus Opioid Free Multimodal Analgesia for Perioperative Pain Control in Children With Mild to Moderate Obstructive Sleep Apnea
Sponsor: Ain Shams University
Summary
Emphasize that the usage of multimodal analgesia in managing perioperative pain in children with mild to moderate Obstructive Sleep Apnea undergoing adenotonsillectomy may achieve the same efficacy of fentanyl with less respiratory complications and less opioid-related side effects.
Key Details
Gender
All
Age Range
5 Years - 10 Years
Study Type
INTERVENTIONAL
Enrollment
64
Start Date
2026-11-30
Completion Date
2026-12-30
Last Updated
2026-02-27
Healthy Volunteers
No
Interventions
Group A: Fentanyl-Based Analgesia
Fentanyl-Based Analgesia will receive intraoperative fentanyl (1 μg/kg IV) with standard anesthetic care with postoperative rescue analgesia with acetaminophen (15 mg/kg) as needed
Group B: Opioid-Free Multimodal Analgesia
Opioid-Free Multimodal Analgesia will receive preoperative acetaminophen (15 mg/kg) and ibuprofen (10 mg/kg), intraoperative ketamine (0.5 mg/kg IV) and dexamethasone (0.1 mg/kg IV) with postoperative rescue analgesia with acetaminophen as needed.
Locations (1)
Ain shams university
Cairo, Egypt