Multimodal Perioperative Pain Management
NCT01513564 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2015-05-28
Summary
Convalescence after lumbar fusion is dependent on pain. In orthopaedic and abdominal surgery accelerated stay programs with optimized pain management enhance recovery.
The objective is to evaluate the effect of a revised and optimized perioperative fast track program in lumbar fusion surgery.
Conditions
- Degenerative Spondylolisthesis
Interventions
- DRUG
-
Postoperative epidural morphine
The control group received postoperative epidural morphine 0.4 mg/ml four times a day, epidural bupivacaine 2.5 mg/ml, 3-4 ml on request for 75 hours and a 7 day rehabilitation program.
- DRUG
-
Local anaesthesia
Preemptively and posteruptively, the intervention group received local anaesthesia with bupivacaine 2.5 mg/ml, 10 + 10 ml posteriorly and 10 + 10 anteriorly; preemptive epidural analgesia with 3 ml lidocaine 20 mg/ml, 3 ml, 10 ml morphine 0.4 mg/ml plus 5 ml bupivacaine; postoperative continuous epidural analgesia for 72 hours with 250 ml with bupivacaine 1 mg/ml + morphine 50 ug/ml, and 0.5 ml epinephrine 1 mg/ml, 4 ml/hour, and after wound closure ketorolac 30 mg intravenously.
Sponsors & Collaborators
-
Vejle Hospital
collaborator OTHER -
Aarhus University Hospital
collaborator OTHER -
Copenhagen University Hospital, Denmark
collaborator OTHER -
Northern Orthopaedic Division, Denmark
lead OTHER
Principal Investigators
-
Sten Rasmussen, M.D. · Orthopaedic Surgery Research Unit, Aalborg University Hospital, Denmark
-
David S. Krum-Moeller, M.D. · Department of Orthopaedic Surgery, Vejle and Give Hospital
-
Lene R. Lauridsen · Department of Orthopaedic Surgery, Vejle and Give Hospital
-
Henrik Kehlet, M.D. · Section for Surgical Pathophysiology, Juliane Marie Centre, Rigshospitalet, Copenhagen
Study Design
- Allocation
- NA
- Masking
- SINGLE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2001-01-31
- Primary Completion
- 2003-12-31
- Completion
- 2006-06-30
Countries
- Denmark
Study Locations
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