The Prediction for Postoperative Pain
Can we Predict Postoperative Analgesic Requirement by Intraoperative Nociception?
1 other identifier
interventional
53
1 country
1
Brief Summary
If the individual patient's pain is assessed and the amount of analgesic needed after surgery is predicted, appropriate injection of pain control and excessive injection of narcotic analgesic can be prevented. Therefore, investigators try to evaluate the degree of pain during surgery and the amount of analgesic use for management of postoperative pain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jun 2018
Shorter than P25 for not_applicable
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
First Submitted
Initial submission to the registry
June 29, 2018
CompletedStudy Start
First participant enrolled
June 30, 2018
CompletedFirst Posted
Study publicly available on registry
July 12, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 19, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
October 19, 2018
CompletedOctober 26, 2018
May 1, 2018
4 months
June 29, 2018
October 24, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
The correlation of requirement of postoperative analgesics for postoperative 24 hours and intraoperative nociception score
The consumption of patient controlled analgesia and intraoperative surgical pleth index score
intraoperative nociception score: 3 minutes during closure peritoneum and skin; requirement of postoperative analgesics: the first 24 hour in postoperative phase
Secondary Outcomes (4)
The correlation of requirement of postoperative analgesics for postoperative 6 hours and intraoperative nociception score
intraoperative nociception score: 3 minutes during closure peritoneum and skin; requirement of postoperative analgesics: the first 6 hour in postoperative phase
The correlation of requirement of postoperative analgesics for postoperative 48 hours and intraoperative nociception score
intraoperative nociception score: 3 minutes during closure peritoneum and skin; requirement of postoperative analgesics: the first 48 hour in postoperative phase
The correlation of postoperative pain score and intraoperative nociception score
awaken after general anesthesia in post-anesthesia care unit , postoperative 6, 24, 48 hours
The side effects of analgesics
awaken after general anesthesia in post-anesthesia care unit , postoperative 6, 24, 48 hours
Study Arms (1)
SPI Group
OTHERAll patients who received the liver resection surgery will receive surgical pleth index
Interventions
All patients applied surgical pleth index after recovery of spontaneous breathing at the time of peritoneum and skin closure under Bispectral index score \<=60.
Eligibility Criteria
You may qualify if:
- undergoing liver resection (laparoscopic or laparotomy)
You may not qualify if:
- patients who refused to participate patients who have cardiac arrythmia patients who have allergic history for remifentanil
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Samsung medical center
Seoul, 06351, South Korea
Related Publications (3)
Dolin SJ, Cashman JN. Tolerability of acute postoperative pain management: nausea, vomiting, sedation, pruritus, and urinary retention. Evidence from published data. Br J Anaesth. 2005 Nov;95(5):584-91. doi: 10.1093/bja/aei227. Epub 2005 Sep 16.
PMID: 16169893BACKGROUNDLedowski T, Sommerfield D, Slevin L, Conrad J, von Ungern-Sternberg BS. Surgical pleth index: prediction of postoperative pain in children? Br J Anaesth. 2017 Nov 1;119(5):979-983. doi: 10.1093/bja/aex300.
PMID: 29028932BACKGROUNDLedowski T, Burke J, Hruby J. Surgical pleth index: prediction of postoperative pain and influence of arousal. Br J Anaesth. 2016 Sep;117(3):371-4. doi: 10.1093/bja/aew226.
PMID: 27543532BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 29, 2018
First Posted
July 12, 2018
Study Start
June 30, 2018
Primary Completion
October 19, 2018
Study Completion
October 19, 2018
Last Updated
October 26, 2018
Record last verified: 2018-05
Data Sharing
- IPD Sharing
- Will not share