Unique ID issued by UMIN | UMIN000019777 |
---|---|
Receipt number | R000021083 |
Scientific Title | Efficacy of programmed intermittent bolus compared to continuous infusion in combination with patient-controlled epidural analgesia for postoperative pain management after pylorus-preserving pancreaticoduodenectomy |
Date of disclosure of the study information | 2015/11/16 |
Last modified on | 2015/12/05 07:43:44 |
Efficacy of programmed intermittent bolus compared to continuous infusion in combination with patient-controlled epidural analgesia for postoperative pain management after pylorus-preserving pancreaticoduodenectomy
PIB in combination with PCEA
Efficacy of programmed intermittent bolus compared to continuous infusion in combination with patient-controlled epidural analgesia for postoperative pain management after pylorus-preserving pancreaticoduodenectomy
PIB in combination with PCEA
Japan |
Pancreatic cancer
Hepato-biliary-pancreatic surgery | Anesthesiology |
Malignancy
NO
The purpose of this study was to determine whether programmed intermittent bolus (PIB) automatically provides better postoperative pain relief without increasing adverse effects after PPPD than that provided by CI as a background infusion technique of PCEA.
Safety,Efficacy
Confirmatory
Explanatory
Phase IV
1) Pain intensity at rest and during movement at 0, 2, 4, , 8, 12 postoperatively
2) Dose of PCA bolus for 12 hours
3) Dose of supplemental analgesic for 12 hours
1) Hemodynamic data (heart rate, blood pressure)at 0, 2, 4, , 8, 12 postoperatively
2) Adverse effects for 12 hours
3) Patient's satisfaction at 12 hr postoperatively
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
Active
YES
Institution is not considered as adjustment factor.
Numbered container method
2
Treatment
Device,equipment |
Patients were assigned as a delivery method to 2 groups.
Group P(programed intermittent bolus; 4 or 6 ml every 60 min, PCA bolus; 3 ml, lock out time; 30 min)
dose of intermittent bolus
HT < 155 cm; 4 ml
HT > 155 cm; 6 ml
HT: height
Group C (continuous infusion; 4 or 6 ml/h, PCA bolus; 3 ml, lock out time; 30 min)
rate of continuous dose
HT < 155 cm; 4 ml/h
HT > 155 cm; 6 ml/h
HT: height
20 | years-old | <= |
80 | years-old | >= |
Male and Female
American Society of Anesthesiologists physical status I or II
Patients were scheduled for elective pylorus-preserving pancreaticoduodenectomy (PPPD) under epidural block and general anesthesia
Patients with respiratory disorder
Patients with heart failure
Patients with anticoagulant therapy
Patients with obesity(BMI > 35)
40
1st name | |
Middle name | |
Last name | Yukitoshi Niiyama |
Sapporo Medical University School of Medicine
Department of Anesthesiology
School of Medicine, South 1 West 16 Chuo-ku, Sapporo, Hokkaido, Japan
011-611-2111
niiyama@sapmed.ac.jp
1st name | |
Middle name | |
Last name | Yukitoshi Niiyama |
Sapporo Medical University School of Medicine
Department of Anesthesiology
South 1 West 16 Chuo-ku, Sapporo, Hokkaido, 060-8556, Japan
011-611-2111
niiyama@sapmed.ac.jp
Sapporo Medical University School of Medicine
Smiths Medical, Japan
Profit organization
NO
2015 | Year | 11 | Month | 16 | Day |
Unpublished
Enrolling by invitation
2014 | Year | 01 | Month | 09 | Day |
2014 | Year | 01 | Month | 22 | Day |
2015 | Year | 11 | Month | 13 | Day |
2015 | Year | 12 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021083