Can a safer opioid choice stop Kids' Post-Surgery agitation?
NCT ID NCT07800845
First seen Sep 02, 2026 · Last updated Sep 03, 2026 · Updated 1 time
Summary
This trial compares two short-acting opioids, remifentanil and fentanyl, given during general anesthesia to see which better prevents emergence delirium, a state of confusion and agitation that affects up to 80% of children after surgery. Researchers will enroll 176 children aged 7 to 12 undergoing urologic surgery, randomly assigning half to each drug. The main goal is to measure how many children in each group develop delirium using a standard scale, with secondary checks on recovery speed and heart stability. The results could guide anesthesiologists in choosing the right opioid to make waking up from anesthesia smoother and safer for children.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- remifentanil (an opioid) compared with fentanyl (another opioid), given during general anesthesia
- What this could lead to
- If remifentanil works better than fentanyl, it could give anesthesiologists a clear choice to reduce distressing post-anesthesia agitation in children, leading to safer recovery and shorter hospital stays.
- What could go wrong
- This is a single-center trial with 176 children, and earlier studies on remifentanil have shown mixed results, with some suggesting it might increase agitation. The outcome depends on careful measurement and may not apply to all pediatric surgeries.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 88 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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7 to 12 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Age 7 to 12 years American Society of Anesthesiologists (ASA) physical status 1 or 2 Scheduled for elective pediatric urologic surgery Surgery planned under general anesthesia with a laryngeal mask airway Written informed consent from a parent or legal guardian, with assent from the child Exclusion Criteria: History of an abnormal airway Reactive airway disease Respiratory tract infection within the preceding 3 weeks Abnormal cognitive development or developmental delay Known allergic reaction to any medication used in the protocol Chronic use of opioids, sedatives, or psychoactive medication
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Yasin Tire
Konya, Meram, 42140, Turkey (Türkiye)
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