- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01908491
Comparison of IV PCA and Wound Infusion After Repair of Pectus Excavatum
November 13, 2013 updated by: Jeong Eun Kim, The Catholic University of Korea
Comparison of the Effects of Opioid-Based Intravenous Patient Controlled Analgesia and Continuous Ropivacaine Infusion Through Wound Catheters After Repair of Pectus Excavatum
Postoperative pain management is a major problem after repair of pectus excavatum.Various methods of pain management have been introduced.
However, the effects of continuous wound infusion of local anesthetics through ON-Q catheters were not well evaluated in pectus surgery.
Therefore, we conducted prospective randomized controlled study to compare the effects of IV PCA and continuous wound infusion after repair of pectus excavatum.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Pain control is an important issue after correction of pectus excavatum.
Insufficient pain control leads to develop postoperative pulmonary complications, such as hypoxia, atelectasis and pneumonia.
Additionally, hospital length of stay could be prolonged.
Therefore, successful pain management is mandatory to improve clinical outcome, to decrease postoperative morbidity and to shorten the duration of hospital stay.
Various methods of pain management have been introduced.
Current typical methods for pain management include thoracic epidural analgesia and intravenous patient-controlled analgesia (IV PCA).
Epidural analgesia has shown superior pain control effects.
However, there may be rare but serious complications, such as spinal cord and nerve root lesions, epidural hematoma, or infections.
IV PCA is a well-established method of postoperative pain management.
However, the systemic side effects of opioid, such as nausea, vomiting, sedation, or respiratory depression may occur.
Continuous wound infusion of local anesthetics through ON-Q catheters is another method for pain management.
It has been used for various surgical procedures.
However, the effect is not well evaluated in pectus surgery.
The purpose of this study is to compare the effects of opioid-based IV PCA and continuous wound infusion using a catheter.
Study Type
Interventional
Enrollment (Actual)
80
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
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Seoul, Korea, Republic of, 137-040
- Seoul St. Mary's Hospital, The Catholic University of Korea
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- patients undergoing the repair of pectus excavatum
Exclusion Criteria:
- allergy to opioid or local anesthetics
- reoperation
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: IV PCA
hydromorphone with ketorolac
|
On arrival in the postanesthetic care unit, a patient-controlled analgesia (IV PCA) was connected to the iv catheter.
The PCA regimen consisted of hydromorphone (2 mcg/kg/hr) and ketorolac (0.02 mg/kg/hr) with normal saline (total volume 100ml).
PCA was programmed to deliver 1 ml/hr as background infusion and 1 ml per demand with a 10 min lockout during 48 hr period.
|
Experimental: Continuous wound infusion
ON-Q Painbuster with ropivacaine
|
Patients underwent insertion of wound catheters by the surgeon just before the closure of incision site.
The wound catheters, consisting of double branch and connected to elastomeric pump filled with ropivacaine (0.15~0.25%) and administered at a constant flow rate of 2 ml/hr in each branch of the catheter for 48 hr.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes of pain score
Time Frame: during 48 hours after surgery
|
Pain score was measured by the Wong-Baker FACES pain scale at 1, 2, 6, 24, 48 hours after surgery.
Pain scale consists of 6 faces with word descriptors and numbers from 0 to 10.
The child look at the faces, the nurse or parent uses the words to describe the expression, and the child is asked to point to the face that describes how he/she feels.
The number is used to record a pain score.
This simple and quick scale can be easily reproduced for use at the bed-side with children as young as 3 years of age.
|
during 48 hours after surgery
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of side effects
Time Frame: during 48 hours after surgery
|
Number of patients who developed nausea, vomiting, sedation, respiratory depression,or wound catheter related complications are recorded.
|
during 48 hours after surgery
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Jeong Eun Kim, MD, PhD, Seoul St. Mary's Hospital, The Catholic University of Korea
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
October 1, 2012
Primary Completion (Actual)
October 1, 2013
Study Completion (Actual)
October 1, 2013
Study Registration Dates
First Submitted
July 19, 2013
First Submitted That Met QC Criteria
July 23, 2013
First Posted (Estimate)
July 25, 2013
Study Record Updates
Last Update Posted (Estimate)
November 14, 2013
Last Update Submitted That Met QC Criteria
November 13, 2013
Last Verified
November 1, 2013
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- pectus-pain study
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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