- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT02819544
Evaluation of the Interest of the Instillation of Saline Intraperitoneally (INSI ) Versus Instillation of Naropin the Surgical Site Versus Lung Recruitment Maneuvers ( PVM ) in the Management of Pain After Laparoscopic Cholecystectomy in Ambulatory Care (VSD)
Prospective, Two-center , Randomized, ITT , Parallel Group Evaluating the Interest of the Instillation of Saline Intraperitoneally (INSI ) Versus Instillation of Naropin the Surgical Site Versus Lung Recruitment Maneuvers ( PVM ) in the Management of Pain After Laparoscopic Cholecystectomy in Ambulatory Care
Known to reduce analgesics and length of hospitalization in conventional surgery, laparoscopy is characterized by frequent post-operative pain and can decrease the patient's quality of immediate postoperative life and sometimes the results of decision ambulatory care.
In order to reduce these postoperative pain, various methods have been evaluated in numerous studies to determine their analgesic role.
As part of abdominal surgery, local anesthetics (Naropin (Ropivacaine)) are generally administered in the end of surgery to reduce postoperative pain and promote recovery of the patient. In addition, it is also possible to instill the anesthetic directly into the abdominal cavity reducing pain transmitted by nociceptor viscera.
In recent years, new methods have been proposed such as lung recruitment maneuvers and the instillation of saline solution to reduce postoperative pain.
However, no recommendation is on the use of intraperitoneal saline under the management of postoperative pain after laparoscopic cholecystectomy in ambulatory care.
Studieoversigt
Status
Intervention / Behandling
Undersøgelsestype
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
-
-
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Amiens, Frankrig, 80054
- CHU Amiens
-
Beauvais, Frankrig, 60000
- CH Beauvais
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Patient aged 18 to 80 years
- Patients with biliary pathology requiring cholecystectomy
- Patients with signed consent
- Patient eligible to outpatient care
- No allergy to Naropin
- Support by laparoscopy
- Patients affiliated to a social security s
Exclusion Criteria:
- Contraindications for laparoscopy
- Contraindications to outpatient surgery
- Patients with an allergy to paracetamol or tramadol
- Patient with an addiction to painkillers and / or alcohol
- Patient with a disease causing chronic pain
- Patient using analgesics bearing 1 , 2 or 3 chronically
- Pregnant or breastfeeding women , of reproductive age without effective contraception
- Minor Patient,
- Contraindication to surgery,
- Physical or psychological state does not allow the patient's participation in the study ,
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Aktiv komparator: Ropivacaine
Ropivacaine 7.5 mg/mL administration
|
Ropivacaine administration
|
|
Placebo komparator: Sodium chloride
NaCl 0.9% administration
|
Sodium chloride administration
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Pain measured by visual analog scale (VAS)
Tidsramme: between first postoperative day and 6th postoperative day
|
between first postoperative day and 6th postoperative day
|
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
global pain measured by BPI (Brief Pain Inventory) scale
Tidsramme: 30th postoperative day
|
30th postoperative day
|
|
analgesics use
Tidsramme: 30th postoperative day
|
30th postoperative day
|
|
global morbidity
Tidsramme: 30th postoperative day
|
30th postoperative day
|
|
specific complications for each treatment
Tidsramme: 30th postoperative day
|
30th postoperative day
|
Samarbejdspartnere og efterforskere
Efterforskere
- Ledende efterforsker: Jean-Marc REGIMBEAU, MD, PhD, CHU Amiens
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- PI2015_843_0020
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