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Pain, Postoperative clinical trials

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NCT ID: NCT04622839 Completed - Shoulder Pain Clinical Trials

Post-Operative Pain Control Following Shoulder Surgery

Start date: December 1, 2020
Phase: N/A
Study type: Interventional

This study will evaluate overall opioid and non-narcotic analgesic use following surgical treatment for shoulder pathology, and recommend evidence based guidelines for standardized postoperative pain management.

NCT ID: NCT04622813 Completed - Pain, Postoperative Clinical Trials

Nonopioid Analgesics and Cholecystectomy

Start date: April 8, 2021
Phase: Phase 3
Study type: Interventional

The goal of this clinical trial is to evaluate the effect of the addition of nefopam to a multimodal analgesic regimen consisting of ketoprofen and paracetamol during sevoflurane- dexmedetomidine-based anesthesia on postoperative morphine requirements in patients undergoing laparoscopic cholecystectomy.

NCT ID: NCT04622618 Completed - Pain, Postoperative Clinical Trials

Optimal Dosing of Preoperative Gabapentin for Prevention of Postoperative Nausea and Vomiting

Start date: September 15, 2020
Phase: Early Phase 1
Study type: Interventional

Overall incidence of postoperative nausea and vomiting (PONV) after general anesthesia is 40-90 % . gabapentin has been incorporated into "fast-track" packages and improved recovery during surgery protocols to avoid unintended side effects associated with opioid alternatives. Interestingly, gabapentin has also been noted to reduce the effects of chemotherapy-induced nausea, effective in treatment of gravidarum hyperemesis, and postdural puncture emesis. Different dosing regimens were tested.The goal of the study is to determine the most effective dose of oral gabapentin given 1 hour prior to surgery on the occurrence and severity of PONV and drug side effects in the first 24 hours postoperatively to find the most effective dose of gabapentin with the least side effects.

NCT ID: NCT04622488 Not yet recruiting - Post Operative Pain Clinical Trials

The Effect of Diclofenac Potassium Insitu Gel Vs Calcium Hydroxide as Intra-canal Medications on Post-operative Pain and Anti-bacterial Effect

Start date: November 2020
Phase: N/A
Study type: Interventional

The aim of this study is to clinically compare the post-operative pain level and antibacterial effect when using the Diclofenac Potassium Insitu gel versus calcium hydroxide as an intra- canal medication in patients with apical periodontitis.

NCT ID: NCT04620720 Recruiting - Post Operative Pain Clinical Trials

Post Operative Pain in Modified Radical Mastectomy.

Start date: August 1, 2020
Phase: Early Phase 1
Study type: Interventional

we will assess post operative pain after surgery of modified radical mastectomy at 12 and 24 hours post operatively on arm movement and on rest

NCT ID: NCT04618146 Recruiting - Pain, Postoperative Clinical Trials

Enhanced Recovery After Cesarean Section With Low Dose Intrathecal Morphine.

Start date: November 10, 2020
Phase: N/A
Study type: Interventional

This study is designed to see the effect of low dose intrathecal morphine on promting enhanced recovery after cesarean delivery with early ambulation and reduction of hospital stay.

NCT ID: NCT04616469 Not yet recruiting - Postoperative Pain Clinical Trials

Evaluation of the Effect of Root Canal Shaping With TruNatomy on Postoperative Pain and Operative Torque Generated During Instrumentation

Start date: November 1, 2020
Phase: N/A
Study type: Interventional

The aim of the present study is to compare the effect of canal shaping using TruNatomy and RaCe rotary systems in bi-rooted maxillary premolars in terms of: - Post operative pain: incidence and intensity - Real time torque generated during mechanical instrumentation using real time torque motoring endodontic motor - Time needed for the instruments to reach to the full working length

NCT ID: NCT04613024 Not yet recruiting - Pain, Postoperative Clinical Trials

Beneficial Side Effects of Topiramate in Obese Patients Undergoing Total Joint Arthroplasty

Start date: July 1, 2023
Phase: Early Phase 1
Study type: Interventional

The purpose of this study is to evaluate the effects of topiramate (TPM) in obese patients with respect to weight loss and pain after total joint replacement surgery

NCT ID: NCT04611763 Recruiting - Postoperative Pain Clinical Trials

Effect of Preemptive Analgesia With Flurbiprofen Axetil on Perioperative Sleep Quality and Postoperative Pain in Patients Undergoing Sevoflurane Inhalation.

Start date: September 1, 2021
Phase: Phase 1
Study type: Interventional

In humans and animals, circadian rhythm sleep cycle is an important function to maintain and regulate basic physiological homeostasis, such as cognitive function, glucose metabolism, memory consolidation, immune function and growth hormone secretion. The induction of general anesthesia leads to a state of reduced responsiveness, which is often described by anesthesiologists and patients as "sleep". However, previous studies have shown that in the case of patients under general anesthesia, besides surgery trauma and general anesthetics may change sleep function and sleep cycle perioperatively, the postoperative complications such as pain, nausea and vomitting etc after general anesthesia may also reduce postoperative sleep quality.Meanwhile, there is a mixed literature linking sleep and markers of systemic inflammation that greater sleep disturbances were associated with higher levels of circulating IL-6 and CRP but not TNF-α. And the effects of inflammatory cytokines may also cause changes in sleep patterns. Flurbiprofen axetil is a new non-steroidal anti infection analgesic(NSAIDs), which is widely used for analgesia to reduce the dose of opioids. It not only has a high affnity for infammatory tissues to achieve targeted drug therapy and prolonged duration of action, but causes analgesia effect through decreasing the biological production of prostaglandins, reducing the reactivity of peripheral nerves to endogenous infammatory factors, and inhibiting the sensitization of central as well as peripheral nervous systems.Furthermore, it could also inhibite the occurrence of adverse reactions, such as declined sleep quality, respiratory depression, nausea and vomiting. Preemptive analgesia is an analgesic intervention that begins before surgery to prevent the nervous system from becoming sensitive to subsequent stimuli that may aggravate pain. A large number of experimental studies have shown that the use of local anesthetics and/or analgesics in advance can prevent central nervous system hyperplasia, thereby reducing postoperative pain. The aim of our study was to investigate the effect of preemptive analgesic with flurbiprofen axetil on postoperative pain, inflammatory markers and sleep quality among patients under general anesthesia. We hypothesized that use flurbiprofen axetil preoperatively would effectively relieve postoperative pain, inhibite inflammtory reaction and improve postoperative sleep quality.

NCT ID: NCT04610398 Completed - Pain, Postoperative Clinical Trials

Perioperative Dexamethasone Reduces Postoperative Pain and Nausea After Hip Arthroscopy

Start date: March 11, 2021
Phase: Phase 3
Study type: Interventional

The purpose of this study is to assess the effect of Dexamethasone on postoperative pain and nausea after hip arthroscopy.