Retrospective Study to Investigate Intraoperative TIVA With Propofol on Postoperative Pain and Side Effects After Liver Resection Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 95
- 试验地点
- 1
- 主要终点
- Postoperative pain score
研究概览
简要总结
Postoperative pain can be severe after liver resection surgery. However, postoperative pain management may be difficult for this group of patients. Opioidergic neurotransmission may be altered in cirrhotic patients and selectively increasing receptor affinity for opioids. Large dose of strong opioid may be required to achieve adequate pain control. However, this may not be possible due to the side effect of opioid and liver dysfunction after liver resection.
Propofol is a commonly used anaesthetic with rapid recovery and less side effects and TIVA (total intravenous analgesia) with propofol is a common technique now. The reduction on certain serum pro- inflammatory cytokines may lead to more smooth post- surgical recovery.
Recent case report proved the analgesic effect of propofol infusion. However other animal and clinical studies showed controversial result.
The aim of this retrospective study is to investigate the postoperative analgesic effects and side effects of intraoperative TIVA with propofol in patient undergoing liver resection surgery at Queen Mary Hospital, Hong Kong between 2010 to 2012.
详细描述
Retrospective audit.
Anaesthetic records and acute pain service records of patient undergone liver resection surgery between 2010 to 2012 in Queen Mary Hospital would be retrieved from the computer.
Data Collection
- Demographic data;
- Types of analgesic techniques;
- Type of pain relief modalities;
- Pain score up to 72 hours postoperatively;
- Postoperative opioid consumption;
- Incidence of adverse events during APS care;
- Patients' satisfaction on pain relief.
Data Analysis For summarising analysis, mean or median with standard deviation or interquartile range will be reported. Parametric and non-parametric comparative tests will be used for analysis between/among patients with various characteristics. Kaplan Meier survival analysis and log-rank test will be used for duration of APS use.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient undergone liver resection surgery between 2010 to 2012 in Queen Mary Hospital
排除标准
- •Essential data were missing.
- •Patient participating in other research projects.
- •Changes in postoperative pain management technique.
- •Patients could not be assessed post-operatively for pain (i.e. post-operative IPPV)
结局指标
主要结局
Postoperative pain score
时间窗: From postoperative 1 hour to postoperative 72 hour
次要结局
- Adverse event(From postoperative 1 hour to postoperative 72 hour)
研究者
Dr. Chi-Wai Cheung
Clinical Associate Professor
The University of Hong Kong