Role of Opioids in Epidural Solutions
NCT04251962 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 135
Last updated 2023-04-12
Summary
It is unclear whether addition of opioids to epidural solutions for postoperative analgesia is beneficial. In this multicenter randomized double-blinded trial, we aim to test the primary hypothesis that epidural solutions containing only bupivacaine are as effective as solutions containing both bupivacaine and fentanyl in promoting analgesia in patients recovering from open abdominal surgery. We also aim to assess the incidence of epidural-induced hypotension, the difference in patient-reported opioid side-effects between the two groups. If we demonstrate no clinically important difference between the two interventions, clinicians will be able to substantially reduce the amount of opioids patients receive during their postoperative recovery, and potentially decrease the associated high incidence of opioid adverse effects in post-surgical patients.
Conditions
- Postoperative Pain
Interventions
- DRUG
-
Bupivacaine
epidural solution containing bupivacaine 0.1% in normal saline
- DRUG
-
Epidural solution containing fentanyl 3 mcg/ml (in addition to bupivacaine) in normal saline
Sponsors & Collaborators
-
Israel Society of Anesthesiologists
collaborator UNKNOWN -
Tel-Aviv Sourasky Medical Center
lead OTHER_GOV
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-08-01
- Primary Completion
- 2022-03-02
- Completion
- 2022-03-02
Countries
- Israel
Study Locations
More Related Trials
-
A Study to Determine the Effectiveness of Utilizing Intraperitoneal Bupivacaine
NCT03004222 ·Status: COMPLETED ·Phase: NA
-
Intrathecal Analgesia for Normal Labour
NCT04221568 ·Status: UNKNOWN ·Phase: PHASE1
-
Intrathecal Midazolam, Fentanyl and Nalbuphine as Adjuvants to Bupivacaine in Spinal Anesthesia for Cesarean Section
NCT04932083 ·Status: COMPLETED ·Phase: NA
-
Trial of Onset of Epidural Pain Relief With Low Dose Bupivacaine and Different Doses of Fentanyl in Laboring Women
NCT02004899 ·Status: COMPLETED ·Phase: PHASE3
-
Perioperative Epidural Versus Intravenous Local Anesthetic Infusion in Open Upper Abdominal Surgery
NCT03005171 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Postoperative Analgesia in Laparoscopic Abdominal Surgery After Exparel Via TAP or Local Infiltration
NCT03927326 ·Status: UNKNOWN ·Phase: NA
-
Bupivacaine Verus Pethidine for Post Cesarean Section Pain Relief
NCT03652116 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Determination of the Effective Volume of 0.125% Bupivacaine-fentanyl 5mcg/mL in Labour Epidurals
NCT01972269 ·Status: COMPLETED ·Phase: NA
-
Intrathecal Injection of Hyperbaric Bupivacaine Versus a Mixture of Hyperbaric and Isobaric Bupivacaine in Patients Undergoing Lower Abdominal Surgery
NCT06050044 ·Status: COMPLETED ·Phase: NA
-
Selective Intraoperative Administration of Local Anesthesia in Breast Reconstruction
NCT02525718 ·Status: COMPLETED ·Phase: PHASE2
-
Randomized Trial of Wound Infiltration With Extended-release Bupivacaine Before Laparoscopic or Robotic Hysterectomy
NCT02352922 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy of Transverses Abdominis -Plane Block With Bupivacaine Versus Bupivacaine With Morphine Postoperatively
NCT02566096 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy of Extended-Release Liposomal Bupivacaine for Post-Operative Urogynecologic Surgery
NCT02287246 ·Status: UNKNOWN ·Phase: PHASE4
-
Effect of Adding Midazolam Versus Fentanyl to Intrathecal Levobupivacaine in Patients Undergoing Caesarean Section
NCT03824314 ·Status: COMPLETED ·Phase: PHASE1
-
Epidural Analgesia Use in Pancreatic Resections
NCT02681796 ·Status: COMPLETED ·Phase: PHASE1
-
Nalbuphine, Fentanyl and no Additive to Local Anaesthetic Mixture
NCT03824665 ·Status: COMPLETED ·Phase: PHASE4
-
Evaluation of the Analgesic Effect of Dexmedetomidine Versus Fentanyl as Adjuvants to Epidural Bupivacaine in Patients Undergoing Lumbar Spine Surgeries
NCT03463083 ·Status: COMPLETED ·Phase: NA
-
Intrathecal Dexmedetomidine Versus Fentanyl With Bupivacaine in Children Undergoing Major Abdominal Cancer Surgery
NCT02861716 ·Status: UNKNOWN ·Phase: PHASE2
-
Subcutaneous Bupivacaine Decrease Post-op Pain in Patients Undergoing C-Section
NCT03383588 ·Status: TERMINATED ·Phase: PHASE2
-
Programmed Intermittent Bolus Dosing Versus Continuous Epidural Infusion for Epidural Analgesia in Abdominal Surgery.
NCT03307174 ·Status: COMPLETED ·Phase: PHASE4
-
Intraperitoneal Bupivacaine With Magnesium or Nalbuphine for Postoperative Pain Control in Laparoscopic Hysterectomy
NCT03393572 ·Status: COMPLETED ·Phase: PHASE4
-
Wound Infiltration of Liposomal Bupivacaine v Plain Bupivacaine for Post-Op Pain Control in Elective Cesarean Delivery
NCT03353363 ·Status: UNKNOWN ·Phase: PHASE4
-
Bupivacaine Pain Pumps to Decrease Mastectomy Post-Operative Pain
NCT01494259 ·Status: WITHDRAWN ·Phase: PHASE4
-
Spinal Anesthesia for Cesarean Delivery: Bupivacaine With or Without Fentanyl
NCT00808327 ·Status: COMPLETED ·Phase: NA
-
Assessment of Systemic Pharmacokinetics of Levobupivacaine and Ropivacaine During Continuous Epidural Infusion
NCT01229241 ·Status: COMPLETED ·Phase: PHASE4