Patient Control Epidural Versus Conventional Epidural After Total Hip Replacement
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Visual analogue score
研究概览
简要总结
As one of the complications of THR is post operative pain, which usually requires epidural catheter insertion.
We are comparing the effect of patient control epidural versus conventional epidural for patient's satisfaction.
详细描述
More than 20 years of successful usage of epidural analgesia for post operative pain treatment include intermittent provider-administer bolus, patient control analgesia and continuous epidural infusion with or without patient control epidural analgesia. The main drawback of conventional epidural infusion is that it does not allow for individual variation in management of pain. As a result, patient control epidural analgesia has replaced it in recent years.3. It has been demonstrated that continuous epidural infusion with patient control epidural analgesia is highly effective at providing consistent analgesia, improving patient satisfaction, and reducing the workload of anesthesia provider but it is linked to higher local anesthetic consumption4 In patient undergoing THR, patient control epidural analgesia may be considered as an appropriate alternative for managing post operative pain.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 19 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age >18 years. ASA 1-2 on pre anesthesia evaluation. Spontaneous breathing. Spo2 >95% Informed consent for participation.
排除标准
- •A history of long-term opioid therapy (use of opioid analgesic at doses higher than codeine 120mg/day, hydrocodone 40mg/day, tramadol 200mg/day or oxycodone 40mg/day 0-4 days before surgery).
- •Indication of revision surgery during immediate post operative care. Acute skin disease. Patients' refusal. ASA 3 and
- •Hypersensitivity to study drugs.
结局指标
主要结局
Visual analogue score
时间窗: 24 hours
Patient satisfaction will be assessed after 2hours, 12hours and 24hours after surgery according to patient's pain intensity. Score will be from 1-10, 10 means maximum satisfaction and 1 means minimal satisfaction.
次要结局
未报告次要终点
研究者
Uruba Shamshad
Dr Uruba
Liaquat National Hospital & Medical College
