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Pain, Postoperative clinical trials

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NCT ID: NCT03625011 Recruiting - Tonsillectomy Clinical Trials

Gabapentin Premedication to Reduce Postoperative Pain for Pediatric Tonsillectomy

Start date: July 31, 2018
Phase: Phase 4
Study type: Interventional

The purpose of this pilot study: 1) to examine the use of gabapentin in reducing pain in the first 48 hours postoperatively including the total amount of narcotics mg/kg given 2) to record the time to first analgesic postoperatively and 3) to compare Wong Baker and the 0-10 numeric pain distress scale scores at 12, 24 and 48 hours postoperatively. We hypothesize one 15mg/kg (up to 600mg) dose of gabapentin will decrease mean narcotic amounts in mg/kg compared to participants who do not receive preoperative gabapentin and will demonstrate a decreased mean time to first analgesic as well as to lower mean pain scores for each age group at 12, 24 and 48 hours.

NCT ID: NCT03623399 Recruiting - Postoperative Pain Clinical Trials

Laparoscopic Gas Pressure and Postoperative Pain Score

Start date: August 7, 2018
Phase: N/A
Study type: Interventional

Aim of the study is to determine the effect of different laparoscopic intraoperative intraabdominal gas (CO2) pressures on the extent of postoperative pain scores.

NCT ID: NCT03622489 Recruiting - Postoperative Pain Clinical Trials

Comparing Protocols for Analgesia Following Elective Cesarean Section

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

Women undergoing elective cesarian section will be assigned to 3 groups for postoperative analgesia: 1. Scheduled doses of IV acetaminophen + PO Ibuprofen 2. Scheduled doses of PO acetaminophen + PO Ibuprofen 3. "On demand" doses of acetaminophen, dipyrone and ibuprofen.

NCT ID: NCT03618082 Recruiting - Clinical trials for Perioperative Hemodynamic

GOAL-Directed ANalgesia (GOALDAN)

GOALDAN
Start date: June 6, 2019
Phase: Phase 3
Study type: Interventional

The primary purpose of GOALDAN study is to demonstrate the superiority of a targeted perioperative analgesic strategy by the ANI over the usual practice on the incidence of immediate postoperative pain. The investigators hypothesized that a prophylactic administration of morphine in patients with risk of postoperative pain determined by the ANI at the end of the intervention would reduce the incidence of immediate postoperative pain and that the targeted analgesia to ANI and minimal alveolar concentration (MAC) of desflurane could improve the perioperative hemodynamic, and the postoperative becoming.

NCT ID: NCT03614091 Recruiting - Pain, Postoperative Clinical Trials

Paravertebral Block Versus Erector Spinae Plane Block for Modified Radical Mastectomy in Womens.

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

postoperative pain following Modified radical mastectomy is severe specially after dissection of tissues .paravertebral plane block provides an excellent postoperative analgesia for women's,but it carry the risk of pneumothorax which it reported in some cases.Erector spinae plane block is a recent block has been mentioned in many case reports as a safe,quick and can be used in outpatient setting. we use a comparative study to compare the postoperative analgesia between both blocks and the affection of postoperative pain following both blocks if any on pulmonary functions.

NCT ID: NCT03605901 Recruiting - Pain, Postoperative Clinical Trials

Dosing of Methadone for Spine Surgery

Start date: March 19, 2019
Phase: Phase 2
Study type: Interventional

This study compares two methods of dosing methadone for complex spine cases

NCT ID: NCT03604068 Recruiting - Postoperative Pain Clinical Trials

Pulsed Short Wave Therapy In Cesarean Section

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

This clinical study is designed to assesses the benefit of adding pulsed shortwave therapy to the postoperative pain and recovery protocol following Cesarean section. Pulsed shortwave therapy is a safe adjunct pain therapy for acute and chronic pain.

NCT ID: NCT03602664 Recruiting - Postoperative Pain Clinical Trials

Postoperative Recovery After Thoracic Surgery

POLO
Start date: June 5, 2018
Phase:
Study type: Observational

A questionaire specifically developed using in depth interviews with patients that has undergone surgery has been developed. This questionaire will be used for longterm follow in patients undergoing thoracic surgery. 200 patients will be asked to fill in this questionaire preoperatively as well as 3 and 12 months after surgery to assess symptomburden after surgery with specific aim to study postoperative pain as well as other physical, mental and cognitive problems that may affect the patient and their daily activities, health, return to work, family life and economy.

NCT ID: NCT03596424 Recruiting - Postoperative Pain Clinical Trials

Dexmedetomidine and Ketamine in VATS Surgery

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

Postoperative pain after VATS surgery is significant and associated with moderate to high post operative morphine requirements, which can cause opioid related side effects and delay postoperative recovery. To reduce this requirement, multimodal analgesia with non opioid medication such as dexmedetomidine and ketamine can be used. These drugs have demonstrated significant opioid-sparing properties after various types of surgeries. However, very little is known about their ability to do so in VATS surgery. Also, their relative opioid-sparing properties have not been compared, and it is not known whether their combined use can lead to an additional opioid-sparing effect. The primary goal of this study will be to determine the impact of a combined intra operative infusion of ketamine and dexmedetomidine on postoperative morphine requirements in patients undergoing elective VATS, compared to both these drugs infused separately. The hypothesis is that this combined infusion will lead to a 30% further reduction in morphine requirements, 24h after surgery, compared to both these drugs infused separately.

NCT ID: NCT03583892 Recruiting - Pain, Postoperative Clinical Trials

Use of Preoperative Gabapentin in Patients Undergoing Laparoscopic Cholecystectomy

Start date: July 1, 2018
Phase:
Study type: Observational [Patient Registry]

The multimodal analgesia involves the administration of two or more analgesic agents that exert their effects via different analgesic mechanisms, providing superior analgesia with fewer side effects. This multimodal analgesic regimen includes opioids, nonsteroidal antiinflammatory drugs, cyclooxygenase-2 inhibitors, gabapentinoids, local anesthetics, and peripheral nerve blocks. The aim of this study is to evaluate postoperative analgesic benefit in patients administered with 600mg oral gabapentin as premedication for laparoscopic cholecystectomy under general anesthesia, with respect to postoperative pain scores and total postoperative requirements of morphine and/or tramadol.