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Spin?l m?rphine f?r p?st?per?tive ?n?lgesi? - safety and effectiveness depending on doses

Not Applicable
Completed
Conditions
Outcomes after different spinal morphine doses for patients undergoing hip replacement surgery
Surgery
Registration Number
ISRCTN37212222
Lead Sponsor
niversity of Latvia
Brief Summary

2022 Results article in https://pubmed.ncbi.nlm.nih.gov/36471258/ (added 06/12/2022)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
90
Inclusion Criteria

1. Patient is scheduled for total hip replacement under spinal anaesthesia
2. Aged 18-80 years
3. Body mass index (BMI) <35 kg/m²
4. ASA Physical Status Classification System < IV

Exclusion Criteria

1. Patient rejection
2. Drug allergy to medications included in this study
3. Severe respiratory disorders
4. BMI >35 kg/m²
5. Patient is not able to understand the main points of the research
6. Patient is enrolled in another clinical trial

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<br> 1. Pain measured using the numeric rate scale (NRS) at baseline, 4, 7, 12, ?nd 24 hours<br> 2. Respiratory rate (x/min) measured using a vital sign monitor in the postoperative recovery room at baseline, 4, 7, 12, ?nd 24 hours<br> 3. Arterial blood oxygen saturation (Sp?2,%) measured using a vital sign monitor in the postoperative recovery room at baseline, 4, 7, 12, ?nd 24 hours<br>
Secondary Outcome Measures
NameTimeMethod
<br> 1. M?rphine 10 mg s/? is injected by a nurse on patient request if pain is more than 5 points (by NRS), each injected dose is noted by a nurse in the narcotic drug copy-book and ??nsumpti?n is counted in 24 h by the researcher and noted in the research protocol<br> 2. Additional oxygen consumption: time (min) and speed (l/min) of additional oxygen supply. The period of time when the patient has inhaled additional oxygen and the speed (l/min) of the supply is noted in the patient observation form by a nurse and in the research protocol by the researcher.<br> 3. The incidence of any adverse reactions (n?use?, v?miting, it?hing, urine retention) measured using a formula (incidence = cases/total number of patients in the research group). The case of each adverse reaction is noted by a nurse in the patient observation form during 48 h after surgery.<br>
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