Anesthesia Clinical Trial
Official title:
Anaesthesiological Involvement in Postoperative Pain Treatment - A Questionnaire Survey at Danish Hospitals
NCT number | NCT03496194 |
Other study ID # | ZUH |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | April 13, 2018 |
Est. completion date | June 6, 2018 |
Verified date | April 2018 |
Source | Zealand University Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
This study aims to investigate the current organization and management of postoperative pain in Denmark, especially for invasive pain treatment modalities (epidural infusions, PCA and regional blocks), in a national survey covering the activities in Danish Hospitals. This study is an electronic questionnaire survey, that aim to describe and map the foundation for future developments within, and improvement of, postoperative pain management.
Status | Completed |
Enrollment | 42 |
Est. completion date | June 6, 2018 |
Est. primary completion date | May 5, 2018 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | N/A and older |
Eligibility | Inclusion Criteria: - All departments of anesthesia with a PACU in Denmark Exclusion Criteria: - PACUs as part of day case surgery will be excluded |
Country | Name | City | State |
---|---|---|---|
Denmark | Centre for Anaesthesiological Research (CAR) | Køge |
Lead Sponsor | Collaborator |
---|---|
Zealand University Hospital |
Denmark,
Apfelbaum JL, Chen C, Mehta SS, Gan TJ. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg. 2003 Aug;97(2):534-540. doi: 10.1213/01.ANE.0000068822.10113.9E. — View Citation
Breivik H, Norum HM. [Regional analgesia--risks and benefits]. Tidsskr Nor Laegeforen. 2010 Feb 25;130(4):392-7. doi: 10.4045/tidsskr.08.0220. Review. Norwegian. — View Citation
Burstal R, Wegener F, Hayes C, Lantry G. Epidural analgesia: prospective audit of 1062 patients. Anaesth Intensive Care. 1998 Apr;26(2):165-72. — View Citation
Duncan F. Prospective observational study of postoperative epidural analgesia for major abdominal surgery. J Clin Nurs. 2011 Jul;20(13-14):1870-9. doi: 10.1111/j.1365-2702.2011.03752.x. Epub 2011 May 25. — View Citation
Golster M. Seven years of patient-controlled epidural analgesia in a Swedish hospital: a prospective survey. Eur J Anaesthesiol. 2014 Nov;31(11):589-96. doi: 10.1097/EJA.0000000000000105. — View Citation
Mathiesen O, Thomsen BA, Kitter B, Dahl JB, Kehlet H. Need for improved treatment of postoperative pain. Dan Med J. 2012 Apr;59(4):A4401. — View Citation
Nielsen PR, Christensen PA, Meyhoff CS, Werner MU. Post-operative pain treatment in Denmark from 2000 to 2009: a nationwide sequential survey on organizational aspects. Acta Anaesthesiol Scand. 2012 Jul;56(6):686-94. doi: 10.1111/j.1399-6576.2012.02662.x. Epub 2012 Mar 5. — View Citation
Rawal N. Current issues in postoperative pain management. Eur J Anaesthesiol. 2016 Mar;33(3):160-71. doi: 10.1097/EJA.0000000000000366. Review. — View Citation
Rawal N. Epidural technique for postoperative pain: gold standard no more? Reg Anesth Pain Med. 2012 May-Jun;37(3):310-7. doi: 10.1097/AAP.0b013e31825735c6. Review. — View Citation
Ready LB, Oden R, Chadwick HS, Benedetti C, Rooke GA, Caplan R, Wild LM. Development of an anesthesiology-based postoperative pain management service. Anesthesiology. 1988 Jan;68(1):100-6. — View Citation
White PF, Kehlet H. Improving postoperative pain management: what are the unresolved issues? Anesthesiology. 2010 Jan;112(1):220-5. doi: 10.1097/ALN.0b013e3181c6316e. Review. — View Citation
* Note: There are 11 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Proportion of hospitals, with a department of anesthesia, providing postoperative monitoring of epidural analgesia on postoperative day (POD) one. | The respondent will answer the question: "What invasive pain treatments are routinely inspected by the department of anesthesia" and choose from a list of options: "No", "Yes 1. POD", "Yes 2. POD", "Yes 3. POD" or "other": the respondent will specify. | From april 15th to may 1st 2018. | |
Secondary | Size of hospital (number of beds) | Number of beds | From april 15th to may 1st 2018. | |
Secondary | Number of Post Anesthesia Care Units (PACU) | Number of PACU's | From april 15th to may 1st 2018. | |
Secondary | Size of PACU (number of beds) | Number of beds | From april 15th to may 1st 2018. | |
Secondary | Availability of a well defined acute pain unit with connected personnel | The respondent will choose "yes", "no" or "don't know" | From april 15th to may 1st 2018. | |
Secondary | Availability of a chronical pain unit/pain clinic | The respondent will choose "yes", "no" or "don't know" | From april 15th to may 1st 2018. | |
Secondary | Availability of a specialized pain unit for children | The respondent will choose "yes", "no" or "don't know" | From april 15th to may 1st 2018. | |
Secondary | Involvement of the department of anesthesia in inspection of patients with postoperative pain | The respondent will choose from a list of options: "On request from the ward", "Agreements on certain types of patients", "As a part of the work of the Acute Pain Service", "As part of the work of the chronical pain team", "We don't make inspections" or "Other": the respondent will specify. | From april 15th to may 1st 2018. | |
Secondary | Availability of a general protocol for postoperative pain in the PACU? | The respondent will choose "yes", "no" or "don't know" | From april 15th to may 1st 2018. | |
Secondary | Availability of a procedure specific protocol for postoperative pain | The respondent will choose "yes", "no" or "don't know" | From april 15th to may 1st 2018. | |
Secondary | Elaboration on the availability of a procedure specific protocol for postoperative pain between specialties | The respondent will choose "yes", "no", "not relevant for my department" or "don't know" for each specialty | From april 15th to may 1st 2018. | |
Secondary | Availability of protocols for perioperative management for patients with complicated pain issues and/or high opioid consumption | The respondent will choose "yes", "no" or "don't know" | From april 15th to may 1st 2018. | |
Secondary | Follow-up for patients with complicated pain issues after discharge from the hospital | The respondent will choose from a list of options: "Yes at the surgical department", "Yes at the multidisciplinary pain team/ chronical pain unit", "Yes at the local physician", "No follow-up", "Don't know" or "Other": the respondent will specify. | From april 15th to may 1st 2018. | |
Secondary | Type of invasive pain treatment offered | The respondent will choose from a list of options: "Epidural Pain Catheter", "PCEA", "PCA", "Regional Block (single shot)", "Regional Block (continual infusion)", "Regional Block (patient controlled bolus)", "Other": the respondent will specify og "No, none of the above" | From april 15th to may 1st 2018. | |
Secondary | Daily responsibility for follow-up/control of invasive pain treatment when the patients leave the PACU | The respondent will choose from a list of options: "Department of anesthesia", "The ward", "Don't know" or "Other": the respondent will specify | From april 15th to may 1st 2018. | |
Secondary | Routinely inspection by the department of anesthesia of the invasive pain treatment | The respondent will choose from a list of options:"No", "Yes 1. POD", "Yes 2. POD", "Yes 3. POD" or "other": the respondent will specify for each invasive pain treatment offered at the hospital. | From april 15th to may 1st 2018. | |
Secondary | Routinely inspection by the department of anesthesia of the invasive pain treatment with regards to involved personnel | The respondent will choose from a list of options: "Physician", "Nurse", "Acute pain team", "Chronical pain unit" or "Other": the respondent will specify. | From april 15th to may 1st 2018. | |
Secondary | Decisions on removal and duration of treatment with an epidural catheter | The respondent will choose from a list of options: "Department of anesthesia", "The ward", "Don't know" or "Other": the respondent will specify. | From april 15th to may 1st 2018. | |
Secondary | Involvement of the department of anesthesia in extension of the invasive pain treatment | The respondent will choose from a list of options: "Yes, every time", "Yes often", "Yes rarely", "No never" or "Don't know" | From april 15th to may 1st 2018. | |
Secondary | Participation of the department of anesthesia in other activities regarding postoperative pain treatment | The respondent will choose from a list of options: "Education in pain treatment", "Departmental quality assesment including guidelines and audits), "Implementation", "Research" or "Other": the respondent will specify. | From april 15th to may 1st 2018. |
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