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OpenTrials
Completed

NCT Number: NCT04099030

Effect of Opioid Shortage on Drug Selection

This study will look at the effects of fentanyl shortage in laparoscopic cholecystectomy cases. The opioid shortage, specifically hydromorphone and fentanyl, caused a decrease in administration of opioid analgesia for laparoscopic cholecystectomy intraoperatively.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Wake Forest Baptist Medical Center

Winston-Salem, North Carolina, 27103, United States

About this study

The goal of this study is to look at the clinical impact of the drug shortage of intravenous (IV) opioids from 2016 to 2018. IV opioids are used in the hospital setting ranging from the Emergency Department to the Intensive Care Unit (ICU) to the Operating room. This study will look at the usage of IV opioids in the operating room setting and determine how practice has change in the setting of drug shortage. The study team hypothesizes that the average monthly consumption of fentanyl and hydrophone would have been decreased for laparoscopic cholecystectomy intraoperatively during the opioid shortage period as compared to before the shortage period.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • All Genders
  • History of laparoscopic cholecystectomy
  • American Society of Anesthesiologist classification (ASA) 1-4 emergent and Non emergent
  • Adult >18 years old
  • Wake Forest Baptist Medical Center Main Operating rooms

Exclusion criteria

  • Regional Anesthetic
  • ASA 5 and 6

Treatment and study plan

Primary outcomes

  1. Total Fentanyl usage

    Time frame: September 2016 to August 2017

    Monthly average amount administered per case per kg

  2. Total Fentanyl usage

    Time frame: September 2017 to May 2018

    Monthly average amount administered per case per kg

  3. Total Fentanyl usage

    Time frame: June 2018 to May 2019

    Monthly average amount administered per case per kg

Secondary outcomes

  1. Nonopioid analgesia usage

    Time frame: September 2016 to August 2017

    Monthly average amount administered per case per kg

  2. Nonopioid analgesia usage

    Time frame: September 2017 to May 2018

    Monthly average amount administered per case per kg

  3. Nonopioid analgesia usage

    Time frame: June 2018 to May 2019

    Monthly average amount administered per case per kg

  4. Number of CPR incidents

    Time frame: September 2016 to August 2017

    post-operative complication

  5. Number of CPR incidents

    Time frame: September 2017 to May 2018

    post-operative complication

  6. Number of CPR incidents

    Time frame: June 2018 to May 2019

    post-operative complication

  7. Number of reintubation incidents

    Time frame: September 2016 to August 2017

    post-operative complication

  8. Number of reintubation incidents

    Time frame: September 2017 to May 2018

    post-operative complication

  9. Number of reintubation incidents

    Time frame: June 2018 to May 2019

    post-operative complication

  10. Number of incidents requiring administration of emergency drugs

    Time frame: September 2016 to August 2017

    post-operative complication

  11. Number of incidents requiring administration of emergency drugs

    Time frame: September 2016 to May 2018

    post-operative complication

  12. Number of incidents requiring administration of emergency drugs

    Time frame: June 2018 to May 2019

    post-operative complication

  13. Length of hospital stay

    Time frame: September 2016 to August 2017

  14. Length of hospital stay

    Time frame: September 2016 to May 2018

  15. Length of hospital stay

    Time frame: June 2018 to May 2019

Other outcomes

  1. Postoperative Pain Scores

    Time frame: September 2016 to August 2017

    Pain scores range from 0 to 10 with higher score denoting more pain

  2. Postoperative Pain Scores

    Time frame: September 2017 to May 2018

    Pain scores range from 0 to 10 with higher score denoting more pain

  3. Postoperative Pain Scores

    Time frame: June 2018 to May 2019

    Pain scores range from 0 to 10 with higher score denoting more pain

  4. Time Spent in Post-anesthesia Care Unit (PACU)

    Time frame: September 2016 to August 2017

  5. Time Spent in Post-anesthesia Care Unit (PACU)

    Time frame: September 2017 to May 2018

  6. Time Spent in Post-anesthesia Care Unit (PACU)

    Time frame: June 2018 to May 2019

Sponsors and collaborators

Lead sponsor

Wake Forest University Health Sciences

Other

Registry information

Official study title

The Effects of the Opioid Drug Shortages on Selection of Nonopioid Analgesics During Laparoscopic Cholecystectomy

Important dates

Study start
2019
Primary completion
2019
Study completion
2019
First posted
Sep 23, 2019
Registry last updated
Apr 16, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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