- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04691856
Efficacy of Intravenous Paracetamol and Ibuprofen on Postoperative Pain and Morphine Consumption in Hysterectomy (ibupro-hyst)
Efficacy of Intravenous Paracetamol and Ibuprofen on Postoperative Pain and Morphine Consumption in Hysterectomy: Prospective, Randomized, Double-Blind, Placebo-Controlled Clinical Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
All surgical procedures are associated with acute pain and inflammation, varying degrees of severity for the patients, causing significant stres and discomfort. Effective postoperative pain management in hysterectomy can reduce complications and improve postoperative care. In postoperative pain, multimodal analgesic techniques are used to provide synergistic effects through different nociceptive mechanisms.
Hysterectomy is the second most common gynecological surgery performed after cesarean section. It is known that effective postoperative analgesia management decreases complications and increases patients' comfort.
Various analgesics are used for pain. Opioids, frequently used for postoperative pain, are the most frequently used drug group. The combination of opioids with adjuvant agents may reduce the opioid consumption used systemically. Side effects such as sedation, respiratory depression, nausea, vomiting, rash and urinary retention that develop secondary to opioids may also be reduced by the combination of supplemental analgesics.
Adjuvant agents, including nonsteroidal antiinflammatory drugs (NSAID), may be used in combination with opioids. NSAIDs do not only reduce pain, but also control the underlying inflammatory process. In addition, combining NSAIDs and opioids can help reduce the side effects by reducing administration of total opioid consumption.
Intravenous ibuprofen is the first and only intravenous NSAID approved in the United States for both pain and fever control in adults. It has been reported in multicenter, randomized, double-blind, placebo-controlled studies that IV ibuprofen is safe and effective in postoperative pain management for abdominal hysterectomy and orthopedic surgeries.
Intravenous paracetamol is an analgesic and antipyretic agent used as a first step drug for pain and fever control in adults and children. It has been clearly shown that IV paracetamol, with analgesic efficacy and safety profile, reduces analgesic requirements for pain management. It has also been shown that it provides better analgesic efficacy and reduces the opioid consumption when used in combination with opioids.
The investigators aimed to compare the effects of intravenous paracetamol and ibuprofen on postoperative pain and morphine consumption in patients undergoing hysterectomy surgery and the side effects associated with opioids.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Türkiye-Türkçe
-
Malatya, Türkiye-Türkçe, Turkey, 44090
- Sedat Akbas
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- American Society of Anesthesiologists scores 1-3
- 18-65 years
Exclusion Criteria:
- American Society of Anesthesiologists scores IV,
- Under the age of 18,
- Over the age of 65,
- Peptic ulcer disease,
- Hepatic and renal dysfunction,
- Severe cardiovascular and pulmonary disease,
- Allergic history to propofol, fentanyl, rocuronium, paracetamol, ibuprofen and morphine,
- Emergency surgery,
- Refused informed consent form
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: placebo
250 ml saline will be administered 30 minutes before the end of surgery.
All administrations will be applied through IV infusion over 30 minutes.
Patients will be received Morphine Sulfate with intravenous patient controlled analgesia (IV PCA) pump during postoperative 24 hours.
The PCA solution will be prepared with 100 mg morphine in 200 mL of saline (0.5 mg/ml).
The PCA device was adjusted as infusion: 0 ml/h, bolus: 1 ml/h, lockout period: 7 min.
|
Patients will be received morphine with intravenous patient controlled analgesia (IV PCA) device during postoperative 24 hours.
The PCA solution will be prepared with 100 mg morphine in 200 mL of saline (0.5 mg/ml).
The PCA device was adjusted as infusion: 0 ml/h, bolus: 1 ml, lockout period: 7 min.
Other Names:
All patients were instructed to use intravenous patient-controlled analgesia (IV PCA).
All administrations will be applied through IV infusion over 30 minutes.
Patients will be received morphine with intravenous patient controlled analgesia (IV PCA) device during postoperative 24 hours.
The PCA solution will be prepared with 100 mg morphine in 200 mL of saline (0.5 mg/ml).
The PCA device was adjusted as infusion: 0 ml/h, bolus: 1 ml, lockout period: 7 min.
|
Active Comparator: Intravenous paracetamol
1 g paracetamol will be administered 30 minutes before the end of surgery.
All administrations will be applied through IV infusion over 30 minutes.
Patients will be received Morphine Sulfate with intravenous patient controlled analgesia (IV PCA) pump during postoperative 24 hours.
The PCA solution will be prepared with 100 mg morphine in 200 mL of saline (0.5 mg/ml).
The PCA device was adjusted as infusion: 0 ml/h, bolus: 1 ml/h, lockout period: 7 min.
|
Patients will be received morphine with intravenous patient controlled analgesia (IV PCA) device during postoperative 24 hours.
The PCA solution will be prepared with 100 mg morphine in 200 mL of saline (0.5 mg/ml).
The PCA device was adjusted as infusion: 0 ml/h, bolus: 1 ml, lockout period: 7 min.
Other Names:
All patients were instructed to use intravenous patient-controlled analgesia (IV PCA).
All administrations will be applied through IV infusion over 30 minutes.
Patients will be received morphine with intravenous patient controlled analgesia (IV PCA) device during postoperative 24 hours.
The PCA solution will be prepared with 100 mg morphine in 200 mL of saline (0.5 mg/ml).
The PCA device was adjusted as infusion: 0 ml/h, bolus: 1 ml, lockout period: 7 min.
1 g paracetamol will be administered 30 minutes before the end of surgery.
All administrations will be applied through IV infusion over 30 minutes.
Patients will be received morphine with intravenous patient controlled analgesia (IV PCA) device during postoperative 24 hours.
The PCA solution will be prepared with 100 mg morphine in 200 mL of saline (0.5 mg/ml).
The PCA device was adjusted as infusion: 0 ml/h, bolus: 1 ml, lockout period: 7 min.
Other Names:
|
Active Comparator: Intravenous ibuprofen
800 mg ibuprofen (diluted with 250 ml saline) will be administered 30 minutes before the end of surgery.
All administrations will be applied through IV infusion over 30 minutes.
Patients will be received Morphine Sulfate with intravenous patient controlled analgesia (IV PCA) pump during postoperative 24 hours.
The PCA solution will be prepared with 100 mg morphine in 200 mL of saline (0.5 mg/ml).
The PCA device was adjusted as infusion: 0 ml/h, bolus: 1 ml/h, lockout period: 7 min.
|
Patients will be received morphine with intravenous patient controlled analgesia (IV PCA) device during postoperative 24 hours.
The PCA solution will be prepared with 100 mg morphine in 200 mL of saline (0.5 mg/ml).
The PCA device was adjusted as infusion: 0 ml/h, bolus: 1 ml, lockout period: 7 min.
Other Names:
All patients were instructed to use intravenous patient-controlled analgesia (IV PCA).
All administrations will be applied through IV infusion over 30 minutes.
Patients will be received morphine with intravenous patient controlled analgesia (IV PCA) device during postoperative 24 hours.
The PCA solution will be prepared with 100 mg morphine in 200 mL of saline (0.5 mg/ml).
The PCA device was adjusted as infusion: 0 ml/h, bolus: 1 ml, lockout period: 7 min.
800 mg ibuprofen (diluted with 250 ml saline) will be administered 30 minutes before the end of surgery.
All administrations will be applied through IV infusion over 30 minutes.
Patients will be received morphine with intravenous patient controlled analgesia (IV PCA) device during postoperative 24 hours.
The PCA solution will be prepared with 100 mg morphine in 200 mL of saline (0.5 mg/ml).
The PCA device was adjusted as infusion: 0 ml/h, bolus: 1 ml, lockout period: 7 min.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Postoperative pain scores
Time Frame: From end of anesthesia (15 minutes after awakening of anesthesia) to postoperative 24-hour period
|
Visual Analog Scale (VAS, 0-10)
|
From end of anesthesia (15 minutes after awakening of anesthesia) to postoperative 24-hour period
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Sedation score
Time Frame: From end of anesthesia (15 minutes after awakening of anesthesia) to postoperative 24-hour period
|
Ramsey sedation score (1-6)
|
From end of anesthesia (15 minutes after awakening of anesthesia) to postoperative 24-hour period
|
Cumulative morphine consumption (mg)
Time Frame: From end of anesthesia (15 minutes after awakening of anesthesia) to postoperative 24-hour period
|
All patients will be received morphine with intravenous patient controlled analgesia (IV PCA) device during postoperative 24 hours.
The PCA solution will be prepared with 100 mg morphine in 200 mL of saline (0.5 mg/ml).
The PCA device was adjusted as infusion: 0 ml/h, bolus: 1 ml/h, lockout period: 7 min.
Then cumulative morphine consumption will be recorded as milligram (mg).
|
From end of anesthesia (15 minutes after awakening of anesthesia) to postoperative 24-hour period
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Sedat MD AKBAS, Inonu University Medical Faculty
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Postoperative Complications
- Pain
- Neurologic Manifestations
- Pain, Postoperative
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Cyclooxygenase Inhibitors
- Antipyretics
- Analgesics, Opioid
- Narcotics
- Acetaminophen
- Morphine
- Ibuprofen
Other Study ID Numbers
- sedatakbas7
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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