Unique ID issued by UMIN | UMIN000032475 |
---|---|
Receipt number | R000027092 |
Scientific Title | Comparison of intrathecal morphine with continuous patient-controlled epidural anesthesia versus intrathecal morphine alone for post-cesarean section analgesia: a randomized controlled trial |
Date of disclosure of the study information | 2018/05/06 |
Last modified on | 2020/02/28 15:28:50 |
Comparison of intrathecal morphine with continuous patient-controlled epidural anesthesia versus intrathecal morphine alone for post-cesarean section analgesia: a randomized controlled trial
Comparison of intrathecal morphine with continuous patient-controlled epidural anesthesia versus intrathecal morphine alone for post-cesarean section analgesia: a randomized controlled trial
Comparison of intrathecal morphine with continuous patient-controlled epidural anesthesia versus intrathecal morphine alone for post-cesarean section analgesia: a randomized controlled trial
Comparison of intrathecal morphine with continuous patient-controlled epidural anesthesia versus intrathecal morphine alone for post-cesarean section analgesia: a randomized controlled trial
Japan |
pregnancy
Obstetrics and Gynecology |
Others
NO
The purpose of this study is to examine that the combined use of PCEA and spinal anesthesia with intrathecal morphine may have an advantage in postoperative analgesia following caesarean section compared to intrathecal morphine and single shot spinal anesthesia alone.
Efficacy
The primary outcome of this study is postoperative pain as measured by NRS at 12 hours after intrathecal administration of morphine at rest and during mobilization
Secondary outcomes are NRS and Bromage score at 4, 8, 24, 48 hours after intrathecal administration of morphine at rest and during mobilization, the number of patients who requested rescue analgesics, the number of requests for rescue analgesics per patient, the interval time before the first request of rescue analgesics, the incidence of delayed ambulation, and the incidence of requested treatment for pruritus and postoperative nausea and vomiting (PONV) during the first 24 hours after intrathecal administration of morphine.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
2
Treatment
Maneuver |
spinal anesthesia and epidural anesthesia
spinal anesthesia
Not applicable |
Not applicable |
Female
1.The case of the American Society of Anesthesiologists (ASA) physical status classification scale I and II and that regional anesthesia is thought to be adaptated.
2.The case that a written agreement is provided about the participation in this study.
We excluded patients with contraindications for spinal or epidural anesthesia due to hemodynamic, infectious, hemostatic, neurological statuses, and medication use. In addition, we excluded cases of which we were unable to obtain informed consent such as extremely emergent caesarean sections and cases of which general anesthesia was selected for reasons such as urgency or prediction of massive hemorrhage.
46
1st name | Hajime |
Middle name | |
Last name | Iwasaki |
Asahikawa Medical University
Department of Anesthesiology and Critical Care Medicine
078-8510
Midorigaoka-higashi, Asahikawa-shi, Hokkaido 078-8510,
0166-68-2583
iwasakih@asahikawa-med.ac.jp
1st name | Izumi |
Middle name | |
Last name | Sato |
Asahikawa Medical University
Department of Anesthesiology and Critical Care Medicine
078-8510
Midorigaoka-higashi, Asahikawa-shi, Hokkaido 078-8510
0166-68-2583
izumihata323@yahoo.co.jp
Asahikawa Medical University
none
Other
IRB of Kushiro Red Cross Hospital
21-14, Shinei-cho, Kushiro, Hokkaido, Japan
0154-22-7171
nakagoshi@kushiro.jrc.or.jp
NO
2018 | Year | 05 | Month | 06 | Day |
Unpublished
46
Completed
2016 | Year | 08 | Month | 06 | Day |
2016 | Year | 07 | Month | 16 | Day |
2016 | Year | 08 | Month | 06 | Day |
2020 | Year | 12 | Month | 31 | Day |
2018 | Year | 05 | Month | 05 | Day |
2020 | Year | 02 | Month | 28 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027092