RecruitingNot ApplicableNCT06641687

Be Sweet to Babies During Nasolaryngoscopy

Oral Sucrose for Pain Management During Flexible Nasolaryngoscopy

Sponsor

The Hospital for Sick Children

Enrollment

60 participants

Start Date

Sep 23, 2024

Study Type

INTERVENTIONAL

Conditions

The investigators want to know if sugar water containing 24% sucrose is helpful in reducing pain in babies during scopes.

Min Age: 1 MonthMax Age: 12 Months

Patient \<12 months of age;
Scheduled for an appointment with Dr. Nikolaus Wolter or Dr. Jennifer Siu, who are Staff Pediatric Otolaryngologists at the Hospital for Sick Children, or Meghan Tepsich, a complex airway Nurse Practitioner at SickKids;
Requiring flexible nasolaryngoscopy for diagnostic purposes;
Accompanied by caregivers who provided consent.

Patient \>12 months of age
Infants \<37 weeks corrected gestational age
Infants with decreased level of consciousness or delayed neuromuscular development with limited pain response
Infants who have received acute/urgent /emergent airway assessment such as respiratory distress or a foreign body, etc.
Infants who have received topical anesthesia (topical decongestant/anesthetic spray)
Infants with the following conditions, where oral sucrose is contraindicated or ineffective:
Carbohydrate intolerance
Decreased level of consciousness or heavy sedation
Absent gag reflex
Non-functional gastrointestinal tract
History of aspiration, tracheoesophageal fistula
Necrotizing enterocolitis
Infants whose parents did not consent to enrolling their child in the study, including randomization into either arm of the study due to preference for a given intervention
Any other circumstance in which consent for participation in the study was not obtained prior to the scope
Infants will also be excluded from the study if they present with conditions in which FNL is contraindicated:
Severe respiratory distress
Post-palliative systemic artery to pulmonary artery shunt
Single ventricle congenital heart disease