gynecologic disease
Conditions
Interventions
control group:The control group will receive standard preoperative and postoperative directions, with the anesthesiologist and surgeon's preferences for analgesia during and after surgery.
Experimental group:The experimental group will receive preemptive pain management before surgery, an opioid-free strategy during surgery, and an opioid-sparing multimodal pain management protocol afte
Sponsors
Guizhou Provincial People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: 1. Females aged 18-75 years; 2. Gynecological laparotomy is planned.
Exclusion criteria
Exclusion criteria: 1. Inability to provide informed consent; 2. Inability to understand written or spoken language; 3. ASA IV or V; 4. Plan to enter the ICU for more than one night; 5. Pregnancy; 6. Current or long-term (more than 7 days prior to visit) use of opioids or opioid antagonist medications.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAS score 1 hour after surgery;VAS score 6 hours after surgery;VAS score 24 hours after surgery;VAS score 48 hours after surgery;VAS score 72 hours after surgery;VAS score 30 days after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| 72-hour postoperative opioid use;Time to Bowel Movement;Time to Oral Intake;Time to Ambulation;Post-operative Nausea and Vomiting;hospital stay within 30 days;Readmission 30 days postoperatively;Patient Recovery Quality Assessment QoR-15;Occurrence of serious and minor complications within 30 days after surgery;Cost per patient; | — |
Countries
China
Contacts
Public ContactFang Kaiyun
Guizhou Provincial People's Hospital
Outcome results
None listed