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Acute Pain clinical trials

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NCT ID: NCT05069805 Recruiting - Chronic Pain Clinical Trials

Comparison of Erector Spinae Plane Block and Pectoral Nerve Block for Acute and Chronic Pain in Mastectomies

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

Ultrasound-guided blockage of the erector plane of the spine (known as ESP BLOCK) is a recently described block and a very useful strategy in the perioperative period as it provides effective analgesia in thoracic surgery. Ultrasound-guided type II pectoral nerve block (internationally known by the acronym Pecs II block) is a very useful strategy in the perioperative period because it provides effective analgesia in breast surgeries and can optimize results. The aim of this study is to assess perioperative pain in mastectomies. This is a prospective, randomized, single-blinded study that will compare the effects of spinal erector plane block versus pectoral nerve block in patients scheduled for mastectomy. The ESP group will receive balanced general anesthesia associated with ESP BLOCK with 0.5% ropivacaine guided by ultrasound. The Pecs II group will receive balanced general anesthesia associated with Pecs II block with 0.5% ropivacaine guided by USG.

NCT ID: NCT05069350 Completed - Pain, Acute Clinical Trials

Bupivacaine vs Oxybuprocaine Topical Anesthesia in IVI

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

comparing two local anaesthetic agents, Bupivacaine 0.5% versus Oxybuprocaine used topically to provide surface anaesthesia before IVI procedures.

NCT ID: NCT05069311 Completed - Chronic Pain Clinical Trials

Effects of Multimodal Analgesia on Serum MCP-1, BDNF, and MiRNA-124 in Hysterectomy Surgery

Start date: October 15, 2021
Phase: N/A
Study type: Interventional

The inflammatory process is the main mechanism in the occurrence of acute postoperative pain. It is also the main risk for the development of acute pain into persistent pain. Inflammation occurs in the process of peripheral sensitization and central sensitization with various inflammatory mediators. Postoperatively, there will be proliferation and activation of microglia and astrocytes which will then activate inflammatory receptors and signaling cascades of neurotransmitters, cytokines, and chemokines. There has been a lot of clinical research evidence that multimodal analgesia can adequately treat acute pain and can prevent the development of acute postoperative pain into persistent pain and chronic postoperative pain, but the molecular mechanisms are not fully understood.

NCT ID: NCT05068245 Completed - Anxiety Clinical Trials

Music to Reduce Patient Reported Pain During Intrauterine Device (IUD) Placement in the Office

MIUD
Start date: August 28, 2020
Phase: N/A
Study type: Interventional

This study seeks to determine if music reduces pain and anxiety in comparison to routine pain control measures alone during insertion of intrauterine contraceptive devices (Mirena, Paragard)

NCT ID: NCT05068063 Recruiting - Pain, Postoperative Clinical Trials

Femoral Triangle + IPACK Blocks for ACL Reconstruction Analgesia

Start date: June 1, 2022
Phase: N/A
Study type: Interventional

An adequate balance between analgesia and motor function is an essential requirement to facilitate functional recovery and early discharge after anterior cruciate ligament (ACL) reconstruction surgery. Proximal nerve blocks (i.e. femoral and sciatic nerve blocks) are associated with optimal analgesia, but they can cause muscle weakness, interfering with rehabilitation and increasing the risk of falls . A recent randomized controlled trial concluded that, compared to mid-and distal ACB, a distal femoral triangle block (FTB) is associated with lower opioid consumption and improved postoperative analgesia for ambulatory ACL reconstruction. In ACL reconstruction surgery there are other potential sources of pain not covered by a FTB, such as intra-articular structures (menisci, cruciate ligaments), posterior knee capsule and the graft donor site. Evidence supporting the addition of an IPACK block to a FTB has been studied for patients undergoing total knee replacement, nonetheless, there is no trial analyzing the analgesic contribution of IPACK to a FTB in the context of ACL reconstruction surgery. In this multicentric trial, the investigators set out to analyze the analgesic benefit of adding an IPACK block to a FTB.

NCT ID: NCT05064072 Completed - Pain, Acute Clinical Trials

Pain Felt During Removal of the Products From Infant's Skin Used in Nasogastric Tube Fixation

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

The present study was planned to evaluate the pain of 4-6 weeks infants felt during removal of the adhesive products from newborn's skin used in the fixation of nasogastric tube in neonatal and infant units. The hypothesis of the study is "Water-based barrier tape is more effective to reduce pain than hydrocolloid barrier tape.

NCT ID: NCT05054179 Recruiting - Acute Pain Clinical Trials

Pecto-Intercostal Fascial Plane Block Catheter Trial for Reduction of Sternal Pain

Start date: September 7, 2022
Phase: Phase 2/Phase 3
Study type: Interventional

One of the most painful aspects of open heart surgery is the incision made through the skin and the sternum to access the heart (a "sternotomy"). Post-sternotomy pain is a potentially debilitating complication of surgery that slows recovery immediately after surgery and can lead to issues with chronic pain. Previous research has shown that by injecting local anesthesia in the pecto inter-fascial plane, the space between the pectoralis major and the intercostal muscles, pain relief can be provided. The investigators aim to assess if repeated injections of local anesthesia via catheters is a useful adjunct compared to routine care.

NCT ID: NCT05054023 Completed - Acute Pain Clinical Trials

Topical Piroxicam vs Soulagel in the Treatment of Acute Extremity Pain After Emergency Department Discharge

TPS
Start date: October 21, 2021
Phase: Phase 2/Phase 3
Study type: Interventional

Acute soft tissues injuries are a common complaint for emergency department (ED) visit. RICE and Topical non-steroidal anti-inflammatory drugs (NSAIDs) are frequently used to reduce pain and inflammation. Herbal therapy is commonly used to treat pain but few studies assessed its efficacy and tolerability.

NCT ID: NCT05049577 Completed - Analgesia Clinical Trials

Preanesthetic Analgesia/Nociception Index (ANI) and Propofol Injection Pain

Start date: April 1, 2023
Phase: N/A
Study type: Interventional

Recently, Analgesia Nociception Index (ANI) has been evaluated for objectively measuring peri-operative pain and to guide intra-operative opioid administration during various surgeries. Propofol injection pain (PIP) is a common problem and can be very distressing to the patient.

NCT ID: NCT05034952 Completed - Acute Pain Clinical Trials

A Study Evaluating Efficacy and Safety of VX-548 for Acute Pain After an Abdominoplasty

Start date: August 30, 2021
Phase: Phase 2
Study type: Interventional

The purpose of this study is to evaluate the efficacy and safety of VX-548 doses in treating acute pain after an abdominoplasty.