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Fentanyl Versus Opioid Free Multimodal Analgesia for Perioperative Pain Control in Children With Mild to Moderate Obstructive Sleep Apnea

Key facts

Who runs it
Ain Shams University
Where
Egypt1 site in 1 countryChoose a country to see its sites
Trial code
Status
Not yet recruiting
People taking part
64 people, planned
Starts
30 Nov 2026
Expected to end
30 Dec 2026
Type of study
Interventional, 2 groups
Treatments tested
  • Group A: Fentanyl-Based Analgesia
  • Group B: Opioid-Free Multimodal Analgesia
Record updated
27 February 2026

Who can take part

Age
5 years to 10 years
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 10 criteriaShow less

Who can take part

  • Children aged 5-10 years
  • Diagnosed with mild to moderate Obstructive Sleep Apnea (apnea-hypoxia index 1-10)
  • Scheduled for elective adenotonsillectomy
  • American Society of Anesthesiologists physical status I-II

Who cannot take part

  • Known allergies to study medications
  • History of opioid use or chronic pain syndromes
  • Neurological or metabolic disorders affecting pain perception
  • Severe Obstructive Sleep Apnea (apnea-hypoxia index >10)
  • Patient with predicted difficult air way (Mallampatti 3\&4)
  • Parental refusal to consent

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 5 and 10 years old?

This trial has no sites in United States.

It has sites in one country. Choose a country to see its sites.

About the trial

What the trial wants to find out

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.

The 2 groups in the trial

  • Fentanyl-Based Analgesia groupTreatment being tested

    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.

    Treatment: Group A: Fentanyl-Based Analgesia

  • Opioid-Free Multimodal Analgesia groupTreatment being tested

    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.

    Treatment: Group B: Opioid-Free Multimodal Analgesia

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Fit questions
Built from NCT07435493, who can take part
Record updated
27 February 2026