Comparison of the Incidence of Inadequate Epidural Analgesia Between Protocol Based and Current Practice
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 29
- 试验地点
- 1
- 主要终点
- Overall incidence of inadequate epidural analgesia
研究概览
简要总结
Epidural analgesia is the recommended analgesic technique in patients having surgery with severe postoperative pain such as thoracic and upper abdominal surgery. However, from the previous study, the incidence of inadequate pain control in patients receiving epidural analgesia is very high 48.6% in our hospital.
详细描述
A high incidence of inadequate epidural analgesia may result from variety of epidural techniques and epidural drug administrations. The protocol based practice has been developed from acute pain service which founded for more than 10 years. By using protocol based practice, the investigators believed that the incidence of inadequate epidural analgesia will be less compared with the current practice.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Prevention
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All patients age ≥ 18 years old undergo surgery with epidural catheter insertion at Siriraj hospital.
排除标准
- •Coagulopathy
- •Allergy to study drugs: local anesthetics and opioids
- •History of chronic pain
研究组 & 干预措施
Current practice
Epidural insertion and epidural drug administration depend on anesthetist in charge
干预措施: Current practice (Drug)
Protocol based
Epidural insertion and epidural drug administration depend on anesthetist in research team using protocol based
干预措施: Protocol based (Drug)
结局指标
主要结局
Overall incidence of inadequate epidural analgesia
时间窗: 72 hours
To compare the overall incidence of inadequate epidural analgesia until considered removal between protocol-based and current practice by using the definition of inadequate analgesia as pain score of 4 or more out of 10 on numeric rating scale (0; no pain, 10; worst imaginable pain) at rest.
次要结局
- Side effects(72 hours)