The management of acute pain after intermediate thoracic surgery MedDRA version: 9.1 Level: LLT Classification code 10066714 Term: Acute pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: o Adults over the age of 18 years able to give informed consent o Patients able to write and understand English o Patients scheduled for intermediate thoracic surgery, likely to require intravenous patient controlled analgesia (PCA). This group may include patients scheduled for talc pleurodesis or pleural abrasion. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: o Patients having heart, heart-lung and lung transplantation surgery o Patients who have had a previous thoracotomy o Patients scheduled for thoracotomy o Patients with pre-operative opioid use (thus not opioid naive) o Patients with chronic painful syndromes o Inability to understand the concept of PCA o Inability to understand English o Known allergy or sensitivity to opioids o Previous Abdominal Surgery (including oesophageal/gastric) o Patients taking medicines to enhance gastric transit (eg metoclopramide)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To determine if oxycodone modified release reduces static and dynamic pain intensity after intermediate thoracic surgery. ; Secondary Objective: Does OxyContin (modified release Oxycodone) 10mg bd reduce intravenous morphine Patient Controlled Analgesia (PCA) consumption in the immediate 48hrs postoperatively? Does OxyContin 10mg bd reduce the frequency and intensity of opioid related side-effects? Does OxyContin10mg improve the quality of patients’ recovery and reduce hospital length of stay? ; Primary end point(s): Parenteral opioid (PCA morphine) consumption in mg at 12, 24, 36 and 48 hours Static pain intensity measured using a visual analogue scale (SVAS) at 4 hour intervals Dynamic pain intensity measured using a visual analogue scale (DVAS) at 4 hours intervals Pain location, nature and PPI measured using the short form McGill Pain Questionnaire (SF-MPQ) Quality of recovery measured using the QOR-40 assessment tool Duration of hospital stay | — |
Countries
United Kingdom