Unique ID issued by UMIN | UMIN000028193 |
---|---|
Receipt number | R000032221 |
Scientific Title | The research to take the oral tablet morphine sulphate for preoperative under general anesthesia: to postoprative pain and sedation |
Date of disclosure of the study information | 2017/07/12 |
Last modified on | 2017/07/12 00:00:03 |
The research to take the oral tablet morphine sulphate for preoperative under general anesthesia: to postoprative pain and sedation
The research to take the oral tablet morphine sulphate for preoperative under general anesthesia: to postoprative pain and sedation
The research to take the oral tablet morphine sulphate for preoperative under general anesthesia: to postoprative pain and sedation
The research to take the oral tablet morphine sulphate for preoperative under general anesthesia: to postoprative pain and sedation
Japan |
We intend for ASA PS 1-2 from 20-80years old having anoperation of limbs among orthopedics patients
Orthopedics |
Others
NO
Before surgery, oral tablet morphine sulphate 60mg preparation (surveyed group) or diazepam 5-7mg (comparative control group) is taken orally, and the difference between postoperative pain and sedation between the two groups and side effects are compared.
Safety,Efficacy
Postoperative pain and side effects for oral tablet morphine sulfate are mainly determined around 4-6,18-24 hours after oral.
For postoperative pain relief, use of analgesic drugs as a main index.And we also visited patients up to 3 days postoperatively, including confirmation of side effects.
Key secondary outcomes for postoperativepain,and sedation :Postoperativepain are determined VAS scale, and diverted part of face scale. For sedation, use the Ramsay sedation score (RSS). In addition, measure the blood concentration at the perioperative period from some patients, and use it as a reference index of the drug effect.
Interventional
Parallel
Non-randomized
Open -no one is blinded
No treatment
2
Treatment
Medicine |
Study group: 60 mg of sustained-release morphine sulfate administered orally at 90 to 120 minutes before introduction of general anesthesia. Then I went to the operating room.
General anesthesia is 1% propofol (1 mg / kg) with introduction drug, sevoflurane, nitrous oxide, oxygen (oxygen concentration in the circuit 50%) for maintenance. The concentration of sevoflurane in the intraoperative carburetor will be set appropriately according to the situation of anesthesia and surgery. After that, we perform fundamental perioperative management and at the same time conduct surveys to be described later.
investigation:
Analgesia: Study using visual analog scale (VAS) score face scale (part diverted) immediately after returning home (4-6 hours after oral administration) and blood collection after returning (12-18 hours after oral administration) .In addition, 50 mg intravenous flurbiprofen (Flurbiprofen) as an analgesic, intramuscular injection of 30 mg pentazocine + 50 mg hydroxyzine (Hydroxyzine), 50 mg dose of diclofenac sodium (Diclofenac) according to the degree of analgesia. The use standard was VAS 50 mm or more. Also investigate the use of analgesics.
Sedation: Investigate using Ramsay sedation score (RSS) after oral administration, 2 hours, 4-6 hours, 12-18 hours.
and Investigation of circulatory dynamics during operation: (blood pressure, heart rate) etc.
And Morphine blood concentration is collected (at least twice) in 2, 4-6 and 12-18 hours after premedication.
The intervention period was up to 24 hours after drug oral.
In addition, when side effects appear, appropriate drug administration and treatment corresponding to symptoms should be carried out.
Comparative control group: 5-7 mg of diazepam orally administered 90 to 120 minutes before introduction of general anesthesia. Then I went to the operating room.
In the control group. No blood was drawn. Other general anesthesia management, postoperative analgesia, evaluation of sedation, and analgesic treatment were performed in the same manner as in the survey group.
20 | years-old | <= |
80 | years-old | >= |
Male and Female
Patients with good overall condition of 1-2 at ASA ps and cooperative patients for this survey were targeted.
Also, in the survey group, those who got an understanding of this research before the surgery and gave the consent form were targeted.
We excluded those less than ASA physical status and non-cooperative in research.
20
1st name | |
Middle name | |
Last name | Makoto Ozaki |
Tokyo women's medical university medical hospital
Anestheology
8-1 Kawadamachi, Shinjuku-ku, Tokyo
03-3353-8111
doku_kumo@yahoo.co.jp
1st name | |
Middle name | |
Last name | Takaaki Chino |
Tokyo Women's medical University Medical Hospital
Anestheology
8-1 Kawadamachi, Shinjuku-ku, Tokyo
03-3353-8111
ikyoku@anes.twmu.ac.jp
Tokyo women's medical university medical hospital
Tokyo women's medical university medical hospital
Self funding
NO
谷津保健病院(千葉県)、総合守谷第一病院(茨城県)
2017 | Year | 07 | Month | 12 | Day |
Unpublished
Completed
2006 | Year | 08 | Month | 22 | Day |
2006 | Year | 11 | Month | 24 | Day |
2013 | Year | 06 | Month | 03 | Day |
2017 | Year | 06 | Month | 25 | Day |
2017 | Year | 07 | Month | 05 | Day |
2017 | Year | 07 | Month | 10 | Day |
2017 | Year | 07 | Month | 12 | Day |
2017 | Year | 07 | Month | 12 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032221