Dual-chamber Patient-controlled Analgesia for Postoperative Recovery
Comparison of Postoperative Recovery Between Dual-channel Pump for Intravenous Patient-controlled Analgesia(IV-PCA) and Conventional Single-channel Pump After Laparoscopic Sleeve Gastrectomy: a Prospective Randomized Controlled Trial
Seoul National University Bundang Hospital
92 participants
Oct 11, 2022
INTERVENTIONAL
Conditions
Summary
Postoperative nausea and vomiting (PONV) are the most common complications that can occur after general anesthesia. Postoperative use of opioids and morbid obesity have been reported as risk factors of PONV. In this study, the investigators aimed to compare the degree of postoperative side effects and pain control when an intravenous patient-controlled analgesia combining fentanyl and ketorolac via a dual-chamber device was provided to participants undergoing laparoscopic sleeve gastrectomy.
Eligibility
Inclusion Criteria4
- Adult females aged 19 to 65 years
- American Society of Anesthesiologists physical status (ASA class) 1 to 3
- Patients scheduled for laparoscopic sleeve gastrectomy under general anesthesia
- Patients requesting the use of IV-PCA after surgery
Exclusion Criteria10
- Patients with hypersensitivity to the drugs used in this study (Ketorolac, Fentanyl)
- Patients with alcohol or drug dependence, long-term use of opioids or analgesics
- Patients with liver disease or renal failure
- Patients with peptic ulcer, patients with gastrointestinal bleeding predisposition
- Patients with suspected cerebrovascular hemorrhage, organic disorders of the head related to increased intracranial pressure
- Patients with bronchial asthma or bronchospasm symptoms
- Patients with severe respiratory depression
- Nasal polyps, angioedema
- Patients with or history of convulsive disease
- Patients for whom the use of neuromuscular blocking agents is contraindicated
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Interventions
combination of fentanyl and ketorolac through dual-chamber PCA
fentanyl only through dual-chamber PCA
Locations(1)
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NCT07051109