Intraperitoneal Ropivacaine Nebulization for Pain Control After Gynecologic Laparoscopic Surgery
Do Peritoneal Nebulization of Ropivacaine Reduce the Use of Morphine After Short Gynecologic Laparoscopic Surgery?
1 other identifier
interventional
140
1 country
1
Brief Summary
The purpose of this study is to assess if intraperitoneal nebulization of Ropivacaine 150 mg may prevent the use of morphine during the first day after laparoscopic ovarian cyst surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Apr 2010
Typical duration for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2010
CompletedFirst Submitted
Initial submission to the registry
June 9, 2010
CompletedFirst Posted
Study publicly available on registry
June 11, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2012
CompletedFebruary 25, 2013
February 1, 2013
2.7 years
June 9, 2010
February 22, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Morphine consumption (mg)
The total dose of morphine at every evaluation after awakening will be quantified using the PACU clinical chart and/or PCA infusers memory display.
Up to 24 hours
Secondary Outcomes (5)
Postoperative Pain
Up to 24 hours
Time of unassisted walking
Up to 24 hours
Hospital morbidity
Up to 24 hours
Hospital stay
Up to 24 hours
Quality of life after surgery
Four weeks after surgery
Study Arms (2)
Ropivacaine nebulization
EXPERIMENTALPreoperative nebulization of 150 mg of Ropivacaine in the peritoneal cavity
Ropivacaine instillation
ACTIVE COMPARATORPreoperative instillation of 150 mg of Ropivacaine in the peritoneal cavity before surgery
Interventions
Preoperative nebulization of 150 mg of Ropivacaine in the peritoneal cavity.
Preoperative instillation of 150 mg of Ropivacaine in the peritoneal cavity.
Eligibility Criteria
You may qualify if:
- Females 18-65 years old
- ASA Score I-III
- Scheduled for ovarian cyst laparoscopic surgery
- Free from pain in preoperative period
- Not using analgesic drugs before surgery
- Without cognitive impairment or mental retardation
- Written informed consent
You may not qualify if:
- Emergency/urgency surgery
- Postoperative admission in an intensive care unit
- Cognitive impairment or mental retardation
- Progressive degenerative diseases of the CNS
- Seizures or chronic therapy with antiepileptic drugs
- Severe hepatic or renal impairment
- Pregnancy or lactation
- Allergy to one of the specific drugs under study
- Acute infection or inflammatory chronic disease
- Alcohol or drug addiction
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- San Gerardo Hospitallead
- A.O. Ospedale Papa Giovanni XXIIIcollaborator
Study Sites (1)
San Gerardo Hospital
Monza, MB, 20052, Italy
Related Publications (3)
Greib N, Schlotterbeck H, Dow WA, Joshi GP, Geny B, Diemunsch PA. An evaluation of gas humidifying devices as a means of intraperitoneal local anesthetic administration for laparoscopic surgery. Anesth Analg. 2008 Aug;107(2):549-51. doi: 10.1213/ane.0b013e318176fa1c.
PMID: 18633034BACKGROUNDAlkhamesi NA, Peck DH, Lomax D, Darzi AW. Intraperitoneal aerosolization of bupivacaine reduces postoperative pain in laparoscopic surgery: a randomized prospective controlled double-blinded clinical trial. Surg Endosc. 2007 Apr;21(4):602-6. doi: 10.1007/s00464-006-9087-6. Epub 2006 Dec 16.
PMID: 17180268BACKGROUNDSchlotterbeck H, Schaeffer R, Dow WA, Diemunsch P. Cold nebulization used to prevent heat loss during laparoscopic surgery: an experimental study in pigs. Surg Endosc. 2008 Dec;22(12):2616-20. doi: 10.1007/s00464-008-9841-z. Epub 2008 Mar 18.
PMID: 18347861BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Pablo M Ingelmo, MD
San Gerardo Hospital, Monza. Italy
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Consultant Anesthesiologyst
Study Record Dates
First Submitted
June 9, 2010
First Posted
June 11, 2010
Study Start
April 1, 2010
Primary Completion
December 1, 2012
Study Completion
December 1, 2012
Last Updated
February 25, 2013
Record last verified: 2013-02