Post Operative Pain Clinical Trial
Official title:
Find the Adequate Dose of Nalbuphine for Laparoscopic Cholecystectomy
This study evaluate the adequate dose of mutonpain for laparoscopic cholecystectomy in the management of post operative pain. The investigators will randomize patients into three groups to compare the analgesia effects and side effects.
Nalbuphine is a FDA approved noncontrolled drug of opioid. And it had been applied for post
operative pain for different surgeries, claiming that less nausea and vomiting with the same
analgesic effect when comparing with morphine.
However, several studies concerning post pain management usually used nalbuphine 0.15-0.3
mg/kg for laparoscopic cholecystectomy. If the analgesic effect of nalbuphine is similar with
morphine, less nalbuphine injection could reduce the side effects of opioid.
The investigators will randomize patients into three groups of different initial nalbuphine
dose for post laparoscopic cholecystectomy surgical pain, and set patient control analgesia
machine with nalbuphine for further pain management. If the pain or side effects of opioid
were intolerable, the investigators will change pain medications into NSAIDs or other
adequate medications to comfort the patient.
The primary outcome were numerical rating pain score and consumption of nalbuphine. The
secondary outcomes were nausea, vomiting, pruritus and satisfactory score, and if any other
medications use.
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