Intrathecal Morphine Injection Versus Continuous Wound Infiltration After Pancreaticoduodenectomy
NCT06761989 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 104
Last updated 2025-03-19
Summary
This is a prospective randomized open-label noninferiority trial that compares intrathecal morphine injection and continuous wound infiltration after open pancreaticoduodenectomy.
Conditions
- Pain Management
- Pain, Postoperative
Interventions
- DEVICE
-
Continuous wound infiltration
Prior to closure of the abdominal wall, a catheter is placed in the preperitoneal space lateral to the surgical incision through the tunneler. The catheter is connected to a prepared infusion pump (275 ml of 0.5% ropivacaine, 4 ml/hr/catheter), and the remaining catheter protruding from the abdomen is secured with a catheterization dressing. The preperitoneal catheter is removed in the afternoon of postoperative day 3.
- DRUG
-
Intrathecal morphine injection
A single dose of intrathecal morphine is administered prior to induction of general anesthesia. The patient is placed in the lateral decubitus position on the bed and a 25 guage quincke spinal needle is inserted intrathecally at the L4/5 median or paramedian approach to administer 0.2 mg of morphine.
Sponsors & Collaborators
-
Seoul National University Hospital
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 19 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-01-15
- Primary Completion
- 2026-12-31
- Completion
- 2027-01-07
Countries
- South Korea
Study Locations
More Related Trials
-
A Comparison of the Safety and Effectiveness of Two Forms of Patient-controlled Pain Medication Used After Scheduled Abdominal or Pelvic Surgery: The Fentanyl Transdermal System Versus the Morphine Intravenous Pump
NCT00266539 ·Status: COMPLETED ·Phase: PHASE3
-
Intrathecal Morphine for Postoperative Analgesia Following Laparoscopic Bariatric Surgery
NCT02731430 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Nefopam/Fentanyl Postoperative Intravenous Patient-Controlled-Analgesia
NCT02596269 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
A Phase Ⅱ Study to Evaluate the Efficacy and Safety of YZJ-4729 in Patients With Moderate to Severe Acute Pain After Abdominal Surgery
NCT06680466 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Analgesia and Pancreatic Cancer Surgery
NCT01929915 ·Status: COMPLETED ·Phase: NA
-
Evaluating the Relationship of Morphine Consumption and Pain-related Molecules in Hepatic Surgical Patients
NCT01919034 ·Status: COMPLETED
-
Optimal Perioperative Pain Control in Minimally Invasive Abdominal Cancer Surgery
NCT06731998 ·Status: RECRUITING ·Phase: NA
-
The Use of Intrathecal Morphine in the Management of Acute Pain Following Decompressive Lumbar Spinal Surgery
NCT01053039 ·Status: COMPLETED ·Phase: PHASE4
-
Analgesic Effect of Intrathecal Morphine Combined With Low Dose Local Anesthetics on Postoperative Analgesia After Liver Resection
NCT05208801 ·Status: COMPLETED ·Phase: NA
-
intrathecaم Ketamine, Morphine and Both for Lower Abdominal Cancer Surgery Pain
NCT02726828 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Pharmacokinetic, Pharmacodynamic and Pharmacogenetic of Morphine After Surgery
NCT00822549 ·Status: COMPLETED
-
Intraoperative Administration of Intravenous Morphine in Patients Undergoing Laparoscopic Cholecystectomy
NCT06182111 ·Status: RECRUITING
-
Effect of Epidural Anesthesia and Analgesia on Patients' Outcomes After Liver Resection
NCT01617811 ·Status: COMPLETED ·Phase: NA
-
Ketamine Versus Morphine Change Pain Profile
NCT03664622 ·Status: COMPLETED ·Phase: NA
-
Comparing the Outcome of Two Intraoperative Analgesia Techniques After Hepato-pancreato-biliary Surgery
NCT01201499 ·Status: UNKNOWN ·Phase: NA
-
Intravenous Remifentanil Plus Morphine or Morphine Alone for Postthoracotomy Pain
NCT01830296 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy of Perioperative Opioid Sparing Techniques on Time to Initiation of Chemotherapy
NCT07153614 ·Status: RECRUITING ·Phase: NA
-
Tailored PCA Based on Preoperative Pain Sensitivity
NCT03252977 ·Status: COMPLETED ·Phase: NA
-
Pain Medicine for Wound Care Procedures
NCT00701909 ·Status: COMPLETED ·Phase: PHASE3
-
Effect of Esketamine and Lidocaine on Postoperative Chronic Pain and Long-term Survival in Patients Undergoing Hepatectomy
NCT06778460 ·Status: RECRUITING ·Phase: NA
-
Improvement of Care of Patients Undergoing Pancreaticoduodenectomy
NCT04668781 ·Status: COMPLETED ·Phase: NA
-
Expectation, Pain Outcomes, and Pain Medication Following Oncology Abdominal Surgery: A Cohort Study
NCT07176052 ·Status: NOT_YET_RECRUITING
-
the Effect of Doctor-nurse-patient Cooperative Analgesic Linkage Program on Movement Evoked Pain
NCT03823846 ·Status: UNKNOWN ·Phase: NA
-
Continuous Pre-peritoneal Wound Infiltration Versus Epidural Analgesia in Cancer Surgery
NCT03002909 ·Status: COMPLETED ·Phase: NA
-
The Effectiveness and Outcomes of Epidural Analgesia in Patients Undergoing Open Hepatectomy
NCT06301932 ·Status: COMPLETED