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临床试验/NCT06721000
NCT06721000Enrolling By Invitation不适用

Patient Control Epidural Versus Conventional Epidural After Total Hip Replacement

Liaquat National Hospital & Medical College1 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2023年11月10日最近更新:
适应症

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

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

申办方类型
Other
责任方
Principal Investigator
主要研究者

Uruba Shamshad

Dr Uruba

Liaquat National Hospital & Medical College

研究点 (1)

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