New pain check method aims to cut opioid overuse in ICU
NCT ID NCT07473115
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at a new way to assess pain in intensive care patients who are on breathing machines and cannot speak. It uses a special tool (AlgiScan) and a behavioral checklist to adjust pain medicine more safely. Researchers will compare data from 400 adults to see if the new method reduces opioid use and pain.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 400 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2027
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.
Who is studied
Mechanically ventilated adult patients in the intensive care unit.
- Ages
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18 years and older
- 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: Part A * Admission to the intensive care unit * Adults (≥18 years) of all sex and gender * Mechanical ventilation Part B * Admission to the intensive care unit * Adults (≥18 years) of all sex and gender * mechanical ventilation * Continuous opioid therapy * Richmond Agitation Sedation Scale (RASS) ≤ -4 * Presumed duration of mechanical ventilation until the end of observations (until day 3) * Established vascular access suitable for blood sampling independent of study inclusion (arterial line or central venous catheter) Exclusion Criteria: Part A * None Part B * Previous enrolment into the current investigation * Tracheostomy * Chronic opioid use * Regional anaesthesia * Implanted pacemaker device * Allergy to silicone or ECG-electrodes * Ophthalmologic disease (e.g. ocular trauma, glaucoma) or past eye surgery * Fixed pupils * Known or suspected neurologic disease (including hypoxic encephalopathy) * Therapy with atropine or topical mydriatics in previous 24 hours or planned * Therapy with systemic steroids in previous 24 hours or planned * Therapy with neuromuscular blocking agents in previous 24 hours or planned * Stomatitis * Active oral or nasal bleeding
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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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University Hospital Zurich
Zurich, Canton of Zurich, 8091, Switzerland
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