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Pain, Postoperative clinical trials

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NCT ID: NCT03479216 Completed - Postoperative Pain Clinical Trials

Comparison of Intra-articular Dexmedetomidine and Magnesium in Postoperative Pain

Start date: March 26, 2018
Phase: Phase 4
Study type: Interventional

Arthroscopic meniscus surgeries are the most frequent orthopedic procedures. The objective of the study is to compare the effects of intraarticular local anesthetic and adjuvant (dexmedetomidine vs magnesium) combinations in postoperative pain and analgesic requirement. The investigators' hypothesis is adjuvants added to the local anesthetics decreases the total local anesthetic dose, provides more effective pain relief according to local anesthetic only, and decreases the postoperative systemic non-steroidal analgesic and opioid doses.

NCT ID: NCT03478241 Completed - Pain, Postoperative Clinical Trials

Postoperative Pain Intensity Associated With the Use of Different Nickel Titanium Instrumentation Systems

Start date: September 2016
Phase: N/A
Study type: Interventional

In this study the effect of different engine-driven nickel titanium (Ni-Ti) instrumentation systems (OneShape, Revo S and WaveOne) on postoperative dental pain in patients with asymptomatic teeth after a single-appointment root canal retreatment was evaluated.

NCT ID: NCT03476811 Completed - Surgery Clinical Trials

Postoperative subQ Pain Control for Spinal Fusion Surgery

Start date: February 9, 2018
Phase: Phase 2
Study type: Interventional

Post-operative pain following lumbar spine fusion is frequently difficult to manage and can lead to increased doses of opiate pain medications to control pain. In this study, the use of subcutaneous local anesthesia will be studied to determine its efficacy at reducing post-operative pain following spinal fusion surgery.

NCT ID: NCT03476772 Completed - Post Operative Pain Clinical Trials

Nalbuphine Plus Caudal Bupivacaine in Hypospadius Repair

Start date: March 1, 2018
Phase: N/A
Study type: Interventional

Caudal aneasthesia for pediatric surgery was first reported in 1933. Since then, studies have described the indications for pediatric caudal block, the level of analgesia, doses, advantages and disadvantages of this technique. In children, caudal anesthesia is most effectively used as adjunct to general aneasthesia and has an opioid-sparing effect, permitting faster and smoother emergence from aneasthesia. A single shot caudal anesthesia provides relatively brief analgesia for 4 to 8 hours depending on the agent used. Prolongation of anesthesia can be achieved by adding various adjuvants, such as opioids and nonopioids such as clonidine, ketamine, midazolam, and neostigmine,with varying degrees of success.

NCT ID: NCT03471442 Completed - Breast Cancer Clinical Trials

Erector Spinae Plane Block Versus Paravertebral Block

Start date: May 29, 2018
Phase: N/A
Study type: Interventional

This study aims to compare the effectiveness of paravertebral block and erector spinae plane block after mastectomy. The primary objective of this randomized controlled trial is to demonstrate equivalent dermatomal spread for ultrasound-guided single-injection Erector Spinae Plane (ESP) block performed at T4-T5 level and ultrasound-guided single-injection (paravertebral) PVB block at the same level. Secondary objectives are Numerical Rating Scale (NRS) pain scores in the first 24 post-operative hours, opioid analgesia use intra-operatively and in the first 24 post-operative hours, block procedural time and patient discomfort during block insertion. The investigators hypothesize that ESP block efficacy is not inferior to PVB with reference to dermatomal sensory spread and analgesic efficacy, while being easier to perform with less associated discomfort during block insertion.

NCT ID: NCT03468920 Completed - Pain, Postoperative Clinical Trials

Preoperative IV Versus Oral Acetaminophen

Start date: April 1, 2018
Phase: Phase 4
Study type: Interventional

The current study proposes to examine whether there is a significant difference in patient outcomes related to the administration route of preoperative Acetaminophen. Specifically, the study will compare outcomes of surgical patients who receive IV Acetaminophen with surgical patients who receive oral Acetaminophen.

NCT ID: NCT03463382 Completed - Postoperative Pain Clinical Trials

Erector Spinae Plane Block Versus Quadratus Lumborum Block for Postoperative Analgesia in Children

Start date: March 12, 2018
Phase: N/A
Study type: Interventional

Postoperative pain management in children is still standing as a problem to solve. Effect of quadratus lumborum block has been shown to be a promising technique to overcome postoperative pain in children undergoing low abdominal surgeries. Erector spinae plane block is a new defined relatively safer and easier regional anesthesia technique which could be used for this purpose. Primary aim of this double blinded randomized controlled trial is to compare the analgesic efficacy of this two block techniques in this group of pediatric patients.

NCT ID: NCT03460028 Completed - Clinical trials for Persistent Postoperative Pain

Yoga for Persistent Pain Related to Oncology Surgery

Start date: April 1, 2019
Phase: N/A
Study type: Interventional

This randomized controlled trial will evaluate a yoga intervention for individuals who experience persistent pain following oncology surgery. The integrated yoga program will involve postures, breathing exercises, and concentration practices. Data will be collected at several time points (pre-, mid-, and post-intervention) for both the intervention and wait-list control conditions. The data will be analysed using linear mixed effects growth models. Results will be written up in manuscript format, published in a peer review journal, and disseminated at scientific research conferences.

NCT ID: NCT03458598 Completed - Pain, Postoperative Clinical Trials

Pre-Operative Single Shot Rectus Sheath Block

Start date: February 16, 2018
Phase: N/A
Study type: Interventional

Objectives The primary objective is to demonstrate that in patients undergoing major urologic surgery, Patient Controlled Analgesia (PCA) opioid consumption in the first 24 hours after surgery will be significantly less in patients who have had a single shot rectus sheath block pre-operatively in addition to a post-operative rectus sheath continuous block via surgically placed catheter versus those who only have post-operative rectus sheath continuous block. Secondary outcomes will be opioid requirement intra-operatively, Numerical Rating Scale (NRS) pain scores including maximum pain score in Post Anesthesia Care Unit (PACU) and score at 24 and 48 hours, incidence and severity of nausea, number of vomiting episodes, sedation score, time to first bowel movement, time to first mobilization and duration of hospital stay.

NCT ID: NCT03458078 Completed - Pain, Postoperative Clinical Trials

Analgesic Efficacy of Two Adjuvants During Spinal Anaesthesia.

Start date: February 1, 2017
Phase: Phase 2/Phase 3
Study type: Interventional

: Pain modulation is very important after operation, particularly for women who undergo caesarean section. A pain-free postoperative period is essential following a caesarean section so new mothers may care for and bond with their neonates. The consequences of the improper pain management which raise the healthcare costs and prolong the recovery process. Intrathecal adjuvants are often administered during this procedure to provide significant analgesia, but they may also have bothersome side effects. Intrathecal midazolam and magnesium sulfate produces effective postoperative analgesia with no significant side effects. Objectives: This prospective, randomized, double-blind study was designed to compare the analgesic efficacy and safety of intrathecal midazolam vs. Magnesium sulfate vs plain bupivacaine as an adjunct to bupivacaine in pregnancy patients scheduled for elective caesarean section.