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临床试验/NCT00209872
NCT00209872Unknown4 期

Optimal Multimodal Analgesia in Abdominal Hysterectomy

Hvidovre University Hospital2 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2005年10月最近更新:
适应症
相关药物

试验速览

阶段
4 期
入组人数
60
试验地点
2
主要终点
Postoperative abilities over time

研究概览

简要总结

The purpose of this study is to test the current standard of care (SOC) treatment for abdominal hysterectomy with a group receiving SOC minus epidural analgesia plus additional perioperative analgesics in terms of postoperative abilities, postoperative nausea and vomiting (PONV), pain and discharge time from the PACU (post-anaesthesia care unit).

详细描述

Aim of the study: to compare postoperative complaints (PONV, pain, etc) and PACU discharge time between two groups, for patients admitted for planned abdominal hysterectomy with or without BSO:

  • A: standard of care (SOC) receiving paracetamol, celecoxib, epidural analgesia, dexamethasone, ondansetron and droperidol, and general anaesthesia with propofol, remifentanil and cisatracurium
  • B: SOC with sham epidural analgesia, preoperative gabapentin, intraoperative lidocaine, s-ketamine and sufentanil

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • Planned abdominal hysterectomy with or without BSO
  • Age above 18 years
  • Written informed consent
  • American Society of Anesthesiologists (ASA) class I-III

排除标准

  • Planned vaginal or laparoscopic hysterectomy
  • Hysterectomy as part of other surgery
  • Allergy to part of the treatment regimen
  • Previous reactions to opioids (nausea, cognition)
  • Previous inability to place correct epidural catheter
  • Severe state anxiety according to the OCAP or STAI
  • ASA class IV
  • Dependency on alcohol, opioids or central stimulants
  • Chronic pain condition
  • Hemorrhagic diathesis
  • Participation in another study

结局指标

主要结局

Postoperative abilities over time

Discharge time from PACU according to fixed criteria

Consumption of analgesics and antiemetics in the PACU

次要结局

  • Degree of nursing requirements at the PACU
  • General tolerability of the regimes
  • Threshold for sensory perception and pain using the Pain Matcher device, pre- and postoperatively

研究者

申办方类型
Other

研究点 (2)

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