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Pain, Postoperative clinical trials

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NCT ID: NCT03236155 Completed - Postoperative Pain Clinical Trials

Comparing Opioid Prescription Patterns in Total Joint Arthroplasty Patients

Start date: July 1, 2017
Phase: Phase 4
Study type: Interventional

The United States constitutes <5% of the world's population but over 80% of the opioid supply and 99% of the hydrocodone supply. In 2014, there were 18,893 deaths from prescription drug overdose, and orthopaedic surgeons are the third highest prescribing physicians for opioids. Surgeons often prescribe opioids to minimize postoperative pain and to reduce the likelihood of readmission for pain. Available data suggests that orthopaedic surgeons are the most likely physicians to prescribe opioids to Medicare patients, whose opioid prescriptions are over 7 times more likely to come from an orthopaedic surgeon than another type of physician, but orthopaedic surgeons also had the highest readmission rate for post-operative pain. Many studies have investigated the utilization of opioids after surgery to assess surgeon's tendencies to overprescribe, demographics of those likely to overuse, and adverse events of opioid abusers. The primary purpose of this randomized controlled trial is to determine whether prescribing fewer opioid pills per prescription reduces the total amount of opioids taken, even while allowing equal total opioid availability via increased frequency of prescription availability.

NCT ID: NCT03235739 Completed - Pain, Postoperative Clinical Trials

Ancillary Effects of Oral Naloxegol (Movantik)

Start date: October 1, 2017
Phase: Phase 4
Study type: Interventional

The purpose of this study is to find out whether oral Naloxegol can reduce the side effects of opioid painkillers following surgery. This study aims to explore whether Naloxegol can similarly reduce opioid-induced side effects in post-surgical patients. About 130 surgery patients will participate in this study which is being conducted at Cleveland Clinic Main Campus.

NCT ID: NCT03231319 Recruiting - Pain, Postoperative Clinical Trials

Comparison of Different Neural Blockade Techniques in Postoperative Analgesia After Total Hip Arthroplasty

Start date: July 27, 2017
Phase: N/A
Study type: Interventional

To compare the different analgesic protocols for patients receiving total hip arthroplasty(THA). Patients will divided into 3 groups, which are 1. fascia iliaca compartment block with IV-PCA(patient controlled analgesia), 2. femoral nerve and lateral femoral cutaneous nerve block with IV-PCA, 3. IV-PCA only.

NCT ID: NCT03231215 Completed - Postoperative Pain Clinical Trials

The Effect of Adding Dexamethasone to Epidural Bupivacaine for Total Knee Replacement Surgery

Start date: July 3, 2016
Phase: N/A
Study type: Interventional

The purpose of this study was to evaluate the efficacy of dexamethasone when added to epidural bupivacaine on the duration of postoperative analgesia in patients underwent total knee replacement surgery.

NCT ID: NCT03230565 Completed - Pain, Postoperative Clinical Trials

Continuous Infusions vs Scheduled Bolus Infusions

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

To compare continuous infusions to bolus infusions and there affect on post-surgical pain.

NCT ID: NCT03230227 Completed - Postoperative Pain Clinical Trials

Presternal Magnesium With Bupivacain Versus Bupivacain Only for Postoperative Pain Relief in Open Heart Surgery

Start date: February 2015
Phase: N/A
Study type: Interventional

Effective pain relief after cardiac surgery has assumed importance with the introduction of fast track discharge protocols that requires early weaning from mechanical ventilation. Inadequate pain control reduces the capacity to cough, mobility, increases the frequency of atelectasis, and prolongs recovery. Infiltration of local anesthetics near the surgical wound has shown to improve early postoperative pain in various surgical procedures. Magnesium is the fourth most plentiful cation in our body. It has antinociceptive effects in animal and human models of pain.

NCT ID: NCT03228056 Recruiting - Lung Cancer Clinical Trials

Postoperative Pain After Single Port, Two Ports and Three Ports VATS Lobectomy

Start date: June 1, 2016
Phase: N/A
Study type: Interventional

This single-center, prospective, randomized controlled trial was designed to assess and compare the postoperative pain after VATS lobectomy performed though one, two and three incisions. The primary outcome measure is pain intensity measured in VAS scale. The secondary outcome measure is cumulative morphine consumption up to 72 hours after surgery

NCT ID: NCT03225313 Completed - Pain, Postoperative Clinical Trials

Comparison Between Ultra Sound Guided Rectus Sheath Block and Field Block for Midline Hernia Repair

Start date: August 10, 2017
Phase: N/A
Study type: Interventional

Randomized double blinded controlled clinical trial will be done with a total number of 75 patients will be divided into 3 groups. To compare between Ultra-sound guided rectus sheath block VS Field block infiltration in providing a good analgesia for patients undergoing midline hernia repair to detect which one is superior.

NCT ID: NCT03224884 Completed - Pain, Postoperative Clinical Trials

Interscalene Block Versus Supraclavicular Block for Shoulder Surgery

Start date: July 24, 2017
Phase: N/A
Study type: Interventional

Interscalene brachial plexus block constitutes the analgesic criterion standard for shoulder surgery. However it is associated with a high incidence of hemidiaphragmatic paralysis (HDP) that may not be tolerated by patients with chronic pulmonary disease. This randomized controlled trial will compare ultrasound-guided interscalene block (ISB) and supraclavicular block in patients undergoing arthroscopic shoulder surgery. The main outcome is static pain at 30 minutes after arrival in the post anesthesia care unit (PACU) as measured by a numerical rate scale (NRS) from 0 to 10. Our research hypothesis is that interscalene and supraclavicular blocks will result in equivalent postoperative analgesia at 30 minutes in the PACU. The equivalence margin is set at 2 points

NCT ID: NCT03222700 Recruiting - Postoperative Pain Clinical Trials

The Recovery Profiles After Robotic or Open Thyroidectomy

Start date: September 1, 2016
Phase: N/A
Study type: Observational

In the present study, The investigators investigated the effect of surgical methods on the recovery of patients after robotic surgery and open thyroidectomy