About this trial
Our objective is to explore the use of methoxyflurane anesthesia as an adjunct analgesic to local anesthesia during in-office otolaryngology procedures in a prospective pilot study. The main outcome of this study will be patient satisfaction with the medication and analgesia. Secondary outcomes will include level of sedation and analgesia, patient-reported post-procedural pain levels, and any reported adverse events.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Skin lesion excision or reconstruction
Fine or core needle aspiration biopsy
Mucosal biopsy
Laryngeal injection or biopsy
Disqualifiers
Patient unable to complete the post-procedure questionnaire (either due to time constraints, neurocognitive impairment, etc.)
Patients less than 18 years of age
Pregnancy, intended pregnancy, or current breast-feeding
Inadequate patient understanding or lack of cooperation
Trial population
All adult patients undergoing an otolaryngology proceure in the Otolaryngology clinic of the Jewish General Hospital with inhaled methoxyflurane as an adjunct to topical or local anesthesia
Trial design
Other
Prospective
Treatments tested in this trial
Methoxyflurane anesthesia
DrugA single Penthrox (3mL) self-inhaler will be administered 5-minutes prior to the onset of the procedure, before local anesthesia. Patients will undergo the procedure, have post-procedural vital signs, and remain in clinic for observation for 30 minutes post-procedure per our usual post-procedure monitoring.
Treatment groups
Trial outcomes
Primary outcomes
TSQM-1.4 (Treatment Satisfaction Questionnaire for Medication 1.5)
This is a validated 14-item including Likert scales and dichotomous (yes/no) items on the effectiveness, side effects, convenience and global satisfaction with the medication taken
Secondary outcomes
Ability to complete intended procedure
Documented by clinic nurse post- procedure
Modified Ramsay Sedation score
Maximal sedation score during procedure documented by clinic nurse
Adverse events
Either self- or physician-reported
Visual analog pain scale
Maximal degree of pain during procedure
Locations
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: