Patient-Driven Analgesic Protocol Selection for Post-Cesarean Pain Management

Summary

The ability to predict pain and then apply modified treatment protocols has been limited. Current practice is for physicians to select standard post-operative pain treatment protocols without patient consultation. This study hopes to determine if patient's involvement in analgesic drug/dosage selection can optimize pain relief while minimizing related side effects. This could result in a more patient-centered care model and individualized perioperative analgesic treatment protocols based on patient's preferences, needs and expectations.

Conditions

• Postoperative Pain

Interventions

OTHER

No choice given

Patients are randomized to getting a choice or not getting a choice. If they do not get a choice, they receive standard dose.

OTHER

Choice given

Patients are randomized to getting a choice or not getting a choice. If they do get a choice, they will receive the protocol they select.

DRUG

Ibuprofen

Ibuprofen 600mg po q6h

DRUG

Acetaminophen

Acetaminophen 650mg po q6h

DRUG

Gabapentin

Gabapentin 600mg po one time within 1 hour of delivery

DRUG

Morphine (low)

Intrathecal morphine dose 50mcg

DRUG

Morphine (med)

Intrathecal morphine dose 150mcg

DRUG

Morphine (high)

Intrathecal morphine 300mcg

Sponsors & Collaborators

• Stanford University

  lead OTHER

Principal Investigators

• Brendan Carvalho, MBBCh, MDCH · Stanford University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

50 Years

Sex

FEMALE

Healthy Volunteers

No

Timeline & Regulatory

Start

2015-11-30

Primary Completion

2017-05-22

Completion

2017-05-22

Countries

• United States

Study Locations