Efficacy of a Nurse-based, Anesthesiologist-supervised Acute Pain Service for Pediatric Patients

Phase 3

• Conditions: Postoperative Pain; Satisfaction
• Interventions: Other: model of health care service

• Registration Number: NCT01325077
• Lead Sponsor: Mahidol University

Brief Summary

Can a nurse-based, anesthesiologist-supervised model reduce prevalence of postoperative pain in pediatric patients?

Detailed Description

Comparison of 2 treatment model in reducing prevalence of postoperative pain in pediatric patients:

Conventional model(C): Nurses give fixed-dose analgesic according to surgeons' prescription Study model(S): Nurses give initial-dose analgesic according to surgeons' prescription. In case of inadequate pain relief, another half of initial dose will be given twice at 15-min interval and acute pain service will be consulted if there is still pain.

Study Timeline

• Status Verified: 2011-03
• Study Start: 2011-03
• Study First Submitted: 2011-03-06
• Study First Submitted QC: 2011-03-27
• Last Update Submitted: 2011-03-27
• Study First Posted: 2011-03-29
• Last Update Posted: 2011-03-29
• Primary Completion: 2011-10
• Study Completion: 2011-10

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 103

Inclusion Criteria

• Age up to15 years old
• Underwent surgery with moderate to severe pain

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Exclusion Criteria

• ENT, Eye, ambulatory surgery
• Cardiac, Neurosurgery
• Severe neurocognitive impairment
• Continuous epidural analgesia which anesthesiologists take care by themselves

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Conventional model, Study model	model of health care service	Conventional model(C): Nurses give fixed-dose analgesic according to surgeons' prescription Study model(S): Nurses give initial-dose analgesic according to surgeons' prescription. In case of inadequate pain relief, another half of initial dose will be given twice at 15-min interval and acute pain service will be consulted if there is still pain.

Primary Outcome Measures

Name	Time	Method
prevalence of patients with moderate to severe pain more than once in first postoperative day	24 hours	moderate to severe pain = Neonatal Infant Pain Scale =,\>4 or CHEOPS =,\>8 or Verbal numerating scale =,\>4

Trial Locations

Locations (1)

Departnment of Anesthesiology,Siriraj Hospital, Mahidol University; 🇹🇭 Bangkok, Thailand