Could a simple nerve block replace opioids for Children's ear surgery pain?
NCT ID NCT07276906
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares a nerve block (injecting numbing medicine near the ear) to standard painkillers (fentanyl and ketorolac) for children aged 6 months to 6 years having ear tube surgery. The goal is to see if the nerve block works just as well for pain control, with fewer side effects like nausea or breathing trouble. Three hundred children will be randomly assigned to one of the two approaches, and both families and doctors won't know which treatment was given.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- bupivacaine (nerve block) vs. fentanyl and ketorolac (standard care)
- What this could lead to
- If it works, this could offer a safer, opioid-free way to manage pain after ear tube surgery in children, reducing risks like nausea and breathing problems.
- What could go wrong
- This is a single-center trial with 300 children, so results may not apply broadly. The nerve block might not control pain as well as standard drugs, and there is a small risk of side effects from the local anesthetic.
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 300 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2026
An estimate. Start dates often move.
- Expected to finish
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Aug 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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6 months to 6 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 6 months to 6 years Scheduled bilateral myringotomy with tube placement ASA physical status I-II Parent/guardian consent Exclusion Criteria: * Allergy to study medications (fentanyl, ketorolac, bupivacaine) Renal impairment or contraindication to ketorolac Bleeding disorder or anticoagulation Significant obstructive sleep apnea (AHI \>10) Concurrent surgical procedures beyond BMT Unilateral procedure only Recent analgesic use (\<24 hours)
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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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Children and Woman's Hospital
Mobile, Alabama, 36604, United States
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