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Comparison of the Effect of Propacetamol, Ibuprofen or Their Combination on Postoperative Pain and Quality of Recovery After Laparoscopic Hernia Repair in Children

Registration Number
NCT03352362
Lead Sponsor
Yonsei University
Brief Summary

There are difficulties in the progress of the study and cancel the plan. The purpose of this study is to evaluate the postoperative pain control using non - opioidal analgesics in children. The investigators will investigate the effect of single use and combination of caldorol(ibuprofen) compare to denogan(propacetamol) in children.

Participants who receive the laparoscopic inguinal hernia repair between 6 months and 6 years old are divided 3 groups(caldolor, denogan, combination). Each groups are received a medication by protocol during surgery. After operation patient's pain score and use of additional analgesics are recorded in postanesthesia care unit and general ward.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
159
Inclusion Criteria
  • scheduled to undergo laparoscopic inguinal hernia surgery
  • American Society of Anesthesiologists physical status classification 1 or 2
  • Children aged 6 months to 6 years
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Exclusion Criteria
  • history of Gastrointestinal bleeding
  • history or laboratory finding of suspected renal or hepatic dysfunction
  • bronchial asthma
  • bleeding disorder
  • hypersensitivity to NSAID or propacetamol
  • disagreement of investigation
  • The researcher determines that participation is inappropriate due to other reasons.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
denoganpropacetamol (denogan 30 mg / kg)intravenous denogan injection during intraoperative period
caldoloribuprofen (caldolor 10 mg / kg)intravenous caldolor injection during intraoperative period
combinationibuprofen + propacetamolintravenous denogan and caldolor injection during intraoperative period
Primary Outcome Measures
NameTimeMethod
additional administration of analgesicsduring stay time in PACU (postanesthesia care unit) average of over 30 minutes up to 1 hour

whether additional analgesics are administered during the postanesthesia care unit due to pain

Secondary Outcome Measures
NameTimeMethod
pain score (FLACC)Participant's pain score is evaluated by FLACC at the time of leaving the postanesthesia care unit(PACU) (up to 1 hour)

Face-legs-activity-cry-consolability scale(FLACC) - FLACC scale is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain. The scale is scored in a range of 0-10 with 0 representing no pain. The scale has five criteria, which are each assigned a score of 0, 1 or 2.

pain score (CHEOPS)Participant's pain score is evaluated by FLACC at the time of leaving the postanesthesia care unit(PACU) (up to 1 hour)

Children's Hospital of Eastern Ontario Pain Scale(CHEOPS) - The CHEOPS is an observational scale for measuring postoperative pain in children aged 1-7 years. It can be used to monitor the effectiveness of interventions for reducing the pain and discomfort. It includes six categories of pain behavior, each with 3-4 levels and scores range from 4 points (no pain) to 13 points (the worst pain).

pain score (PPPM scale)The PPPM scale is measured at 24 hours after surgery

Parents' Postoperative Pain Measure(PPPM scale): The number of items parents have circled "Yes" are summed for a total score out of 15. A score of at least 6 out of 15 signifies clinically significant pain.

incidence of complicationsduring stay time in PACU (postanesthesia care unit) average of over 30 minutes up to 1 hour

incidence of complications in PACU (postanesthesia care unit)

Trial Locations

Locations (1)

Department of Anesthesiology and Pain MedicineYonsei University College of Medicine Severance Hospital

🇰🇷

Seoul, Korea, Republic of

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