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Pain, Postoperative clinical trials

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NCT ID: NCT03927911 Terminated - Clinical trials for Postoperative Pain Management

Phase 4 Study in Adult Subjects Undergoing Posterior Lumbar Spine Surgeries

FUSION
Start date: July 31, 2019
Phase: Phase 4
Study type: Interventional

Primary Objective: The primary objective of this study is to compare postsurgical opioid consumption through 72 hours postsurgery in patients receiving local infiltration analgesia (LIA) with EXPAREL and bupivacaine HCl (EXPAREL group) with that of patients receiving standard of care (SOC) (control group) in adult subjects undergoing posterior lumbar spine surgeries where both groups are receiving a multimodal pain regimen. Secondary Objectives: The secondary objectives of this study are to: 1. Compare safety and effectiveness outcomes following LIA with EXPAREL and bupivacaine hydrochloride (HCl) versus SOC in adult subjects undergoing posterior lumbar spine surgeries through 72 hours, including time to first opioid and opioid-related adverse events (ORAEs). 2. Compare health outcomes following LIA with EXPAREL and bupivacaine hydrochloride (HCl) versus SOC in adult subjects undergoing posterior lumbar spine surgeries, including discharge readiness, hospital (or other facility) length of stay (LOS), discharge disposition, hospital readmissions, and health service utilization.

NCT ID: NCT03822962 Terminated - Pain, Postoperative Clinical Trials

Pain Management Following Sinus Surgery

Start date: November 7, 2020
Phase: Early Phase 1
Study type: Interventional

This Study evaluates the effect of adding Non-steroidal anti-inflammatories (NSAIDs) to the post-operative pain management of sinus surgery patients and wether or not this addition reduces or eliminates the need for narcotic pain medications. Patients will be instructed to take an NSAID regimen after surgery and will be instructed to take narcotics only for breakthrough pain.

NCT ID: NCT03796403 Terminated - Post-operative Pain Clinical Trials

Bupivacaine Plus Diclofenac Versus Bupivacaine Alone for Postoperative Pain Relief in Gynecologic Cancer Patients

Start date: February 15, 2019
Phase: N/A
Study type: Interventional

compare the postoperative pain between Bupivacaine peritoneal Infiltration plus immediately postoperative intramuscular Diclofenac and Bupivacaine peritoneal infiltration alone by using visual analogue score (VAS).

NCT ID: NCT03794882 Terminated - Pain, Postoperative Clinical Trials

Impact of Quadratus Lumborum Block on Recovery Profile After Ventral Hernia Repair

Start date: May 6, 2019
Phase: Phase 4
Study type: Interventional

Ventral hernia repair may be associated with significant postoperative pain. Pain is typically managed with intravenous (IV) and oral medications that come with their own risks, such as nausea, constipation, sedation, respiratory depression, increased bleeding, and/or kidney or liver dysfunction. The quadratus lumborum peripheral nerve block has been shown to produce anesthesia of the anterior abdominal wall in the T7 to L1 distribution. This study aims to evaluate if the addition of the quadratus lumborum peripheral nerve block (QLB) can improve pain scores, decrease the need for IV and oral pain medications, and/or speed the patients' return to normal activity.

NCT ID: NCT03714906 Terminated - Clinical trials for Head and Neck Cancer

Stellate Ganglion Block in Head and Neck Cancer Surgery

Start date: March 22, 2019
Phase: N/A
Study type: Interventional

The purpose of this study is to evaluate and reduce pain and improve quality of life in patients being treated for head and neck cancer with unilateral surgery. In this study, patients will be randomly assigned to receive either pre-operative stellate ganglion block or no pre-operative treatment. Blocks will be placed by a trained anesthesiologist using ultrasound guidance in the preoperative holding area prior to surgery. All patients will receive the same post-operative pain medication regimen with appropriate pain treatment as needed. Patients will be asked to fill out surveys prior to surgery, while in the hospital after surgery, and at each follow-up appointment for up to 24 months.

NCT ID: NCT03711994 Terminated - Post Operative Pain Clinical Trials

Cold Therapy for Pain Control Following Caesarean Section

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

Cold Therapy has been used for a variety of procedures and has been studied in several but not recently studied for reducing postop pain following Caesarean Sections. The hypothesis is that Cold Therapy will reduce postop pain and increase patients mobility and improve care of her newborn.

NCT ID: NCT03695172 Terminated - Pain, Postoperative Clinical Trials

Comparison of TAP, Anterior QL, or ESP Block for Elective Cesarean Section

Start date: September 12, 2019
Phase: Phase 4
Study type: Interventional

The purpose of this prospective single center, randomized study is to determine if ultrasound guided Transversus Abdominis Plane (TAP), Quadratus Lumborum (QL), and Erector Spinae Plane (ESP) blocks decrease opioid consumption in subjects undergoing elective cesarean section.

NCT ID: NCT03684304 Terminated - Clinical trials for Pelvic Organ Prolapse

The Effect of Abdominal Binder Use on Postoperative Pain and Mobility in Patients Undergoing Pelvic Surgery

Start date: October 30, 2017
Phase: N/A
Study type: Interventional

To determine the effect of post-operative abdominal binder usage on total narcotic usage after undergoing surgery. To determine if abdominal binder usage results in decreased visual analog scale (VAS) pain scores and shorter time to first ambulation post operatively.

NCT ID: NCT03677830 Terminated - Pain, Postoperative Clinical Trials

Postoperative Pain Control & Relief in Neonates

POPCORN
Start date: April 19, 2019
Phase: Phase 4
Study type: Interventional

Pain control for newborns has made significant improvements over the last 30 years. The use of narcotics remains the standard of care for neonates undergoing minor and major surgeries. Narcotics, however, are associated with adverse effects such as respiratory depression, prolonged intubation and withdrawal symptoms. Acetaminophen (Tylenol©) has been proposed as an adjunct to reduce narcotic use but current evidence from well designed studies in newborns and premature infants is limited. This study will randomly assign neonates undergoing a surgery to either morphine plus acetaminophen or morphine alone for pain control. The subjects will be followed for 72 hours after the operation and evaluate the benefits of acetaminophen for pain control.

NCT ID: NCT03673358 Terminated - Pain, Postoperative Clinical Trials

Cognitive Behavioural Therapy to Optimize Post-Operative Recovery Pilot

COPE Pilot
Start date: January 9, 2019
Phase: N/A
Study type: Interventional

Psychological factors such as stress, distress, anxiety, depression, and poor coping strategies may be associated with ongoing pain following injuries such as fractures. To study this relationship, patients will undergo cognitive behavioural therapy (CBT) which is designed to modify such thoughts with the goal of reducing ongoing pain and improving quality of life. The goal of this study is to determine if CBT, versus usual care, reduces the prevalence of moderate to severe persistent post-surgical pain (PPSP) over 12-months post-fracture