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Postoperative Pain clinical trials

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NCT ID: NCT04608435 Completed - Postoperative Pain Clinical Trials

Sex Differences in Postoperative Sleep Quality and Inflammation

Start date: October 31, 2020
Phase:
Study type: Observational

Video-Assisted Thoracoscopic Surgery(VATS) is among the most common and disabling persistent pain and inflammation conditions, with increasing prevalence in the developed world, and affects women to a greater degree than men. And sleep disruption also remains a challenging problem in surgical settings. Postoperative sleep disturbances (POSD) are defined as changes in the sleep structure and quality of patients during the early stages after surgery, which are manifested as significantly shortened rapid eye movement (REM) sleep, prolonged awake time, and sleep fragmentation. Long-term POSD may increase the risk of postoperative delirium or cognitive dysfunction and delay recovery, thereby worsening the patient's physical condition. The aim of the study was to investigate the effect of sex differences on postoperative pain, inflammation and sleep quality among patients who have undergone video-assisted thoracoscopic surgery under general anesthesia.

NCT ID: NCT04606147 Completed - Breast Cancer Clinical Trials

Effectiveness of Ultrasound Guided Erector Spinae Plane Block Against Ultrasound Guided Serratus Anterior Block in Modified Radical Mastectomy

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

The aim of this study is to compare and evaluate the safety and analgesic efficacy of ultrasound guided ESP block and ultrasound guided serratus anterior plane block in patients undergoing modified radical mastectomy.

NCT ID: NCT04603638 Recruiting - Postoperative Pain Clinical Trials

The Comparison of Analgesia Methods Used for Spinal Surgery

Start date: March 4, 2020
Phase: N/A
Study type: Interventional

In this study ; Two randomized groups will be created. Iv magnesium will be given to one of the blindly designated groups. The other group will be given only isotonic. All patients will be awakened after the analgesic agents (0,1mg / kg morphine, 15mg / kg paracetamol, nsaid) are used in routine practice and will be followed up for intensive care. The use of PCA (patient controlled analgesia) device is available in both groups.In post-operative period, magnesium infusion will be continued for 12 h. Only 100cc isotonic will be given without using magnesium to the other group. VAS (visual analog scale) score will be recorded at postoperative 30. minutes and 2,6,12,18,24 hours. In routine administration, the patient should be given 2 mg of morphine if vas>4 and the maximum dose will be increased to 10 mg.

NCT ID: NCT04600089 Recruiting - Postoperative Pain Clinical Trials

Ketamine in Patients Undergoing TEVAR Procedures Receiving NCI

2020Ketamine
Start date: December 8, 2020
Phase: Phase 2
Study type: Interventional

The objective of this study is to identify the opioid-sparing effects, and pain-reduction potential of low dose, sub-dissociative ketamine on patients undergoing thoracic endovascular aortic repair (TEVAR) procedures receiving naloxone continuous infusion (NCI).

NCT ID: NCT04594382 Completed - Postoperative Pain Clinical Trials

Monitoring Pupillary Reflex Dilatation for Optimized Postoperative Opioid Delivery Before Extubation.

Start date: October 21, 2020
Phase: N/A
Study type: Interventional

The study will be designed to investigate the effect of pupillometry guided compared to non-PPI-guided postoperative pain therapy, conducted immediately at the end of surgery before extubation, on total postoperative opioid consumption during the first 2 postoperative hours after elective ear nose throat (ENT) surgery.

NCT ID: NCT04594317 Not yet recruiting - Postoperative Pain Clinical Trials

Effect of Low-level Laser Therapy Versus Calcium Hydroxide Intracanal Medication on Postoperative Pain and Substance P Levels in Patients With Symptomatic Apical Periodontitis

Start date: February 1, 2021
Phase: N/A
Study type: Interventional

a randomized clinical study to compare the effect of using low level laser therapy versus calcium hydroxide intra-canal medication on: - Incidence and intensity of postoperative pain in patients with symptomatic apical periodontitis. - The intensity of postoperative percussion pain in patients with symptomatic apical periodontitis - The total amount of substance P and Interleukin 8 in periapical fluids one week post instrumentation.

NCT ID: NCT04592939 Enrolling by invitation - Postoperative Pain Clinical Trials

Trial of Weight Bearing Status Following Femoral Revision With Tapered, Fluted, Titanium Stems

Start date: October 19, 2020
Phase: N/A
Study type: Interventional

This is a prospective, randomized controlled trial of all patients undergoing femoral revision at Thomas Jefferson University Hospital and Rothman Institute undergoing femoral revision surgery with the use of a modern titanium, fluted, tapered stem. At the time of surgery, patients will be randomized to six weeks of toe-touch weight bearing or immediate weight bearing as tolerated

NCT ID: NCT04591119 Completed - Postoperative Pain Clinical Trials

Transversus Thoracis Muscle Plane Block for Postoperative Pain in Adult Cardiac Surgery

Start date: October 20, 2020
Phase: N/A
Study type: Interventional

Inadequate pain control after coronary artery bypass graft surgery increases mortality and results in a higher incidence of persistent poststernotomy pain syndrome. Our aim is to assess whether ultrasound-guided parasternal intercostal block (PSIB) or surgeon implied transversus thoracic muscle plane block (TTMPB) would improve the postoperative pain scores and decrease tramadol consumption better after coronary artery bypass graft surgery

NCT ID: NCT04585438 Not yet recruiting - Postoperative Pain Clinical Trials

Evaluation of Trans-mucosal Bio-adhesive Discs of Diclofenac Potassium on the Anesthetic Success and Postoperative Pain in Patients With Symptomatic Irreversible Pulpitis: A Randomized Clinical Trial

Start date: September 21, 2021
Phase: Phase 4
Study type: Interventional

The aim of the proposed study is to compare the effect of single dose of Diclofenac Potassium premedication as trans-mucosal bio-adhesive discs versus placebo on the effectiveness of the inferior alveolar nerve block and postoperative pain in patients with symptomatic irreversible pulpitis.

NCT ID: NCT04581616 Completed - Postoperative Pain Clinical Trials

The Effect of Ultrasound-guided Erector Spinae Block and Intraoperative Intercostal Nerve Block on Postoperative Analgesia in Thoracic Surgery

Start date: October 16, 2020
Phase: N/A
Study type: Interventional

This study aims to compare the effect of ultrasound-guided erector spinae plane block and interthoracic intercostal nerve block in thoracic surgery. Interthoracic intercostal nerve block is a routine procedure during the surgery by the surgeon in our hospital, and ultrasound-guide erector spinae plane block is a relative new developed regional analgesia technique introduced since 2016 and mainly done by anesthesiologists. Both technique provide analgesic effect to some extent and reduce opiate consumption and side effects. However, no previous literature or research compare the effect of these two technique in thoracic surgery. The primary endpoint of our study is compare morphine consumption and pain score between patients undergo ESP block and patients undergo ICNB after thoracic surgery; the second endpoint is to compare the recovery condition evaluated by QoR-15 questionaire 24 hours after surgery.