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Postoperative Pain clinical trials

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NCT ID: NCT03382938 Recruiting - Postoperative Pain Clinical Trials

Dexmedetomidine Wound Infiltration in Cesarean Section

Start date: August 23, 2019
Phase: N/A
Study type: Interventional

The effects of four different wound infiltration protocols in cesarean section will be investigated on parturient' pain intensity, PCA morphine consumption given, side effects and parturient' overall satisfaction. One group will receive for wound infiltration dexmedetomidine, the second ropivacaine, the third dexmedetomidine combined with ropivacaine, while the last one will receive normal saline (placebo group).

NCT ID: NCT03379753 Completed - Postoperative Pain Clinical Trials

Postoperative Environment on Pain Following Pelvic Reconstructive Surgery

Start date: May 2, 2018
Phase: N/A
Study type: Interventional

This study is to determine if patients following prolapse repair including vaginal vault suspension have decreased pain measured via a visual analog scale (VAS) on postoperative day one and just prior to discharge when exposed to the diad of music and positive images compared to patients receiving standard care.

NCT ID: NCT03372304 Completed - Postoperative Pain Clinical Trials

Catheter-based Peripheral Regional Anesthesia After Orthopedic Surgery to the Foot or Ankle

API-FOOT
Start date: November 29, 2017
Phase: Phase 4
Study type: Interventional

BACKGROUND Orthopedic surgery can be severely painful, and peripheral regional anesthesia is highly recommended as part of the perioperative pain treatment. Whether catheter-based techniques are better than single injection techniques are debatable. Furthermore, in catheter-based techniques, whether a low-dose automated, periodic infusion can produce similar analgesic effectiveness compared to a conventional, high dose, continuous infusion has never been explored. AIM Comparison of the analgesic effectiveness of a low-dose automated, periodic infusion, a conventional continuous infusion and patient-controlled boluses only in catheter-based nerve blocks for patients undergoing orthopedic surgery to the foot or ankle.

NCT ID: NCT03372265 Completed - Postoperative Pain Clinical Trials

Catheter-based Peripheral Regional Anesthesia After Total Knee Arthroplasty

API-KNEE
Start date: December 6, 2017
Phase: Phase 4
Study type: Interventional

BACKGROUND Total knee arthroplasty can be severely painful, and peripheral regional anesthesia is highly recommended as part of the perioperative pain treatment. Whether catheter-based techniques are better than single injection techniques are debatable. Furthermore, in catheter-based techniques, whether a low-dose automated, periodic infusion can produce similar analgesic effectiveness compared to a conventional, high dose, continuous infusion has never been explored. AIM Comparison of the analgesic effectiveness of a low-dose automated, periodic infusion, a conventional continuous infusion and patient-controlled boluses only in catheter-based adductor canal blocks for patients undergoing total knee arthrplasty.

NCT ID: NCT03369782 Withdrawn - Surgery Clinical Trials

Effect of NMBA on Surgical Conditions in THR

Start date: December 15, 2017
Phase: Phase 4
Study type: Interventional

During Total hip replacement arthroplasty (THA), the hip joint first must be luxated in order to have access to the joints. A lot of force and torque must be carried out on the joint to perform this manipulation. This is both difficult for the surgeon and may cause additional tissue damage and postoperative pain. After placement of the prosthesis and reduction of the joint, the tension of the hip joint must be evaluated by the surgeon to ascertain the adequacy of the prosthesis. During luxation, minimal muscle tension would be ideal, while after reduction of the joint, normal muscle tension is desired to permit assessment of the mechanics of the hip joint. The aim of the study is to investigate whether deep neuromuscular block, combined with a reversal before mechanics assessment improves surgical conditions, surgical time, and postoperative patient comfort.

NCT ID: NCT03369392 Completed - Postoperative Pain Clinical Trials

PANDA-Regional Feasibility Study of a Smartphone Pain Management Application

Start date: December 11, 2017
Phase: N/A
Study type: Interventional

Despite the numerous benefits of peripheral nerve blocks (PNBs) over general anesthesia (GA) in a variety of surgical procedures, PNBs can be associated with increased post-operative pain if pain medications are not taken correctly (titrated). Unfortunately, this is a common occurrence as patients often have difficulty titrating medications in the absence of direct medical care. PANDA, a smartphone-based postoperative pain management tool, is designed to address this issue by helping patients manage their pain medications. The purpose of this study is to demonstrate the feasibility of this application in patients who are discharged after receiving PNBs. The goal is to identify areas of improvement for the application itself. It is hypothesize that PANDA will be successful in supporting patients' postoperative pain management.

NCT ID: NCT03355716 Not yet recruiting - Postoperative Pain Clinical Trials

Post-operative Pain Relief in Laparoscopic Cholecystectomy

Start date: January 2018
Phase: N/A
Study type: Interventional

compare the analgesic efficacy of the combination of bupivacaine and morphine, bupivacaine and fentanyl and bupivacaine and ketamine in alleviating post operative pain following laparoscopic cholecystectomy.

NCT ID: NCT03354572 Completed - Postoperative Pain Clinical Trials

Pilot Study: Postoperative Pain Reduction by Pre Emptive N-Acetylcysteine

Start date: October 20, 2017
Phase: Phase 4
Study type: Interventional

Despite current available analgesic drugs, post-surgical pain management remains challenging. A potential new target for analgesic drugs are group-II metabotropic glutamate receptors subtypes (mGlu2 and mGlu3 receptors), since growing evidence from animal models show that activation of these receptors produce s analgesic effects in inflammatory and in neuropathic pain states. . N-Acetylcysteine (NAC) is a safe agent and with little to no side effects. NAC can induce analgesia by activating the glutamate:cystein antiporter, causing endogenous activation of the mGlu 2/3 receptors. However, this has only been investigated once in the peri-operative setting, were it showed preliminary promising result of reduction in opiate necessity. In healthy subjects there was a significant reduction in pain ratings to laser stimuli and amplitudes of laser evoked potentials after NAC. Based on these promising results, we hypothesize that pre emptive intravenous NAC can reduce postoperative pain and thereby cause less necessity for escape analgesics like opiates.

NCT ID: NCT03350841 Not yet recruiting - Postoperative Pain Clinical Trials

Pain After PRP Revascularization and Endodontic Treatment of Non-vital Mandibular Molars With Apical Periodontitis

Start date: January 2018
Phase: N/A
Study type: Interventional

randomized clinical trial which Evaluate thr Post-operative Pain Following Platelet Rich Plasma (PRP) Revascularization versus Conventional Endodontic Treatment of Non-vital Mature Mandibular Molars with Chronic Peri-apical Periodontitis

NCT ID: NCT03350334 Completed - Postoperative Pain Clinical Trials

Perioperative Duloxetine for Pain Management After Laparoscopic Hysterectomy

Start date: December 4, 2017
Phase: N/A
Study type: Interventional

The aim of the investigators of the study is to evaluate the effect of peri-operative duloxetine on post-operative recovery in patients undergoing laparoscopic hysterectomy.