Evaluation of Efficacy and Safety of Subcutaneous Acetaminophen
Parole chiave
Astratto
Descrizione
Subcutaneous perfusion is an underused technique, the effectiveness of which has been demonstrated. It is mainly used in Palliative Care and Geriatrics when a venous line is not available. It is a simple and comfortable technique that allows to administer solutes and / or medications continuously or discontinuously in the subcutaneous tissue.
A number of drugs of different therapeutic classes, including morphine, have a good level of scientific evidence for use by this route.
Subcutaneous Acetaminophen injection is being used in some medical centers, mainly in Europe, despite the lack of definite evidence on its efficacy. It is sometimes accused of causing pain at the injection site; it seems that this is not the case if it is infused slowly, over 20 minutes to 30 minutes. There is no report of serious local effects.
The consultation palliative care team at Hôtel-Dieu de France (HDF) has used subcutaneous Acetaminophen infusions repeatedly without adverse effects since January 2014.
This study aims to quantify the degree of effectiveness of subcutaneous Acetaminophen infusions for pain or fever in Geriatrics and Palliative Care, as well as determining its safety.
Date
Ultimo verificato: | 05/31/2020 |
Primo inviato: | 05/17/2018 |
Iscrizione stimata inviata: | 08/14/2018 |
Primo pubblicato: | 08/16/2018 |
Ultimo aggiornamento inviato: | 06/05/2020 |
Ultimo aggiornamento pubblicato: | 06/08/2020 |
Data di inizio effettiva dello studio: | 05/16/2018 |
Data di completamento primaria stimata: | 05/31/2020 |
Data stimata di completamento dello studio: | 05/31/2020 |
Condizione o malattia
Intervento / trattamento
Drug: SC Acetaminophen
Fase
Gruppi di braccia
Braccio | Intervento / trattamento |
---|---|
Experimental: SC Acetaminophen Palliative Care or Geriatric Patients who receive subcutaneous Acetaminophen for pain or fever relief | Drug: SC Acetaminophen Subcutaneous infusion of Acetaminophen over 20 to 30 minutes, with evaluation of:
local side effects;
pain and/or fever;
at time of infusion, after 30 minutes, 60 minutes and 180 minutes. |
Criteri di idoneità
Età idonea per lo studio | 18 Years Per 18 Years |
Sessi idonei allo studio | All |
Accetta volontari sani | sì |
Criteri | Inclusion Criteria: - Patients seen by the Palliative Care Consultation Team, patients admitted in the Palliative Care Unit, or Geriatric patients (patients aged 65 and older) in participating centers in Lebanon - Presence of pain or fever necessitating the administration of Paracetamol - Absence of an Intravenous Line |
Risultato
Misure di esito primarie
1. Change in Numerical Rating Scale pain scores for conscious and cooperative patients [60 minutes]
2. Change on Algoplus Pain Scale for patients with verbal communication difficulties [60 minutes]
3. Change in temperature measurement [60 minutes]
4. Appearance of local side effects [at the time of perfusion, after 30 minutes, 60 minutes and 180 minutes, and one day after line removal]
Misure di esito secondarie
1. Early effect on pain in conscious and cooperative patients [30 minutes]
2. Sustained effect on pain in conscious and cooperative patients [180 minutes]
3. Early effect on pain in patients with verbal communication difficulties [30 minutes]
4. Sustained effect on pain in patients with verbal communication difficulties [180 minutes]
5. Early effect on fever [30 minutes]
6. Sustained effect on fever [180 minutes]