Pain, Postoperative Clinical Trial
Official title:
the Prediction of Postoperative Pain With Surgical Incision Stimulation in the Patients Undergoing Gastrectomy
Verified date | November 2018 |
Source | Samsung Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
If the individual patient's pain is assessed and the amount of analgesic needed after surgery
is predicted, appropriate injection of pain control and excessive injection of narcotic
analgesic can be prevented. Therefore, investigators try to evaluate the relation
intraoperative nociception response with postoperative pain score.
In similar anesthetic depth(End tidal sevoflurane 3%) , changes of surgical pleth index
values for stimulus of skin incision are thought to reflect the individual nociception
characteristics.
Status | Completed |
Enrollment | 50 |
Est. completion date | May 20, 2019 |
Est. primary completion date | May 20, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 20 Years to 80 Years |
Eligibility |
Inclusion Criteria: -undergoing laparotomy gastrectomy Exclusion Criteria: - cardiac arrythmia - allergic history for drugs - renal failure (Cr> 1.5 mg/dl) |
Country | Name | City | State |
---|---|---|---|
Korea, Republic of | Samsung medical center | Seoul |
Lead Sponsor | Collaborator |
---|---|
Samsung Medical Center |
Korea, Republic of,
Baron-Stefaniak J, Götz V, Allhutter A, Schiefer J, Hamp T, Faybik P, Berlakovich G, Baron DM, Plöchl W. Patients Undergoing Orthotopic Liver Transplantation Require Lower Concentrations of the Volatile Anesthetic Sevoflurane. Anesth Analg. 2017 Sep;125(3):783-789. doi: 10.1213/ANE.0000000000002250. — View Citation
Ledowski T, Burke J, Hruby J. Surgical pleth index: prediction of postoperative pain and influence of arousal. Br J Anaesth. 2016 Sep;117(3):371-4. doi: 10.1093/bja/aew226. — View Citation
Robertson TC, Hall K, Bear S, Thompson KJ, Kuwada T, Gersin KS. Transversus abdominis block utilizing liposomal bupivacaine as a non-opioid analgesic for postoperative pain management. Surg Endosc. 2018 Nov 2. doi: 10.1007/s00464-018-6543-z. [Epub ahead of print] — View Citation
Schreiber KL, Martel MO, Shnol H, Shaffer JR, Greco C, Viray N, Taylor LN, McLaughlin M, Brufsky A, Ahrendt G, Bovbjerg D, Edwards RR, Belfer I. Persistent pain in postmastectomy patients: comparison of psychophysical, medical, surgical, and psychosocial characteristics between patients with and without pain. Pain. 2013 May;154(5):660-8. doi: 10.1016/j.pain.2012.11.015. Epub 2012 Dec 5. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | The expectation of postoperative pain | The postoperative pain score (numeric rating pain score, no pain=0~ worst pain=10) | The day before surgery | |
Other | The expectation of analgesics consumption | less than average, average, more than average | The day before surgery | |
Primary | The requirement of postoperative analgesics for postoperative 24 hours | The requirement of postoperative analgesics for postoperative 24 hours (opioid conversion to fentanyl dose mcg) | postoperative 24 hour | |
Primary | The immediate postoperative pain score | The numeric rating pain score, no pain=0 ~ worst pain=10 | postoperative 24 hour | |
Primary | intraoperative nociception score (surgical pleth index) | under End tidal sevoflurane 3%, surgical pleth index score following surgical incision | intraoperative at the time of skin incision | |
Secondary | The correlation of requirement of summed postoperative analgesics and intraoperative nociception score | The consumption of analgesics (opioid conversion to fentanyl dose mcg) and intraoperative surgical pleth index value | postoperative 1 hour | |
Secondary | The correlation of highest postoperative pain score and intraoperative nociception score | The postoperative pain score (numeric rating pain score, no pain=0~ worst pain=10)and intraoperative surgical pleth index score | postoperative 1 hour |
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