surgical patient MedDRA version: 14.1 Level: SOC Classification code 10017947 Term: Gastrointestinal disorders System Organ Class: 10017947 - Gastrointestinal disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - informed consent; - age between 18 and 80 y.o.; - ASA class I and II; - elective surgical operation, with length less than 6 hours Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 170 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 130
Exclusion criteria
Exclusion criteria: - age less than 18 yo - ASA class IIi and IV - emergency surgical operation - antidepressive drugs - chronic renal failure (dyalis or creatinine more than 2 mg/dl) - morphine ipersensivity -pregancy and nursing - history of abuse of alcohol or delirium tremens - seizure history - chronic respiratory failure (PaO2 less 60 mmHg or PaCO2 more than 60 mmHg) - Severe hepatic failure (Child Pugh class III and IV)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: evaluation of premedication with sub-lingual morphine on post-operative pain control following Pre-emptive Analgesia;Secondary Objective: 1. reduction of consumption of analgesic drugs in post-operative period 2 reduction of surgical stress response (inflammatory response, cortisol plasmatic concentration, resistence to insulin) 3. faster mobilization of patient (reduction of hosptial lenght stay);Primary end point(s): - reduction of post-operative pain of 50% in patient premedicated with sub-lingual morphine (static and dynamic VAS less than 30) in videolaparoscopic and open surgery;Timepoint(s) of evaluation of this end point: 48 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - reduction of IVPCA administered doses and failed doses of 40% in patient premedicated with sub-lingual morphine -reduction of morphine consumption of 40% with IVPCA in patient premedicated with sub-lingual morphine - reduction of aceatminophen rescue dose in patient premedicated with sub-lingual morphine;Timepoint(s) of evaluation of this end point: 48 hours | — |
Countries
Italy
Contacts
AZIENDA OSPEDALIERO-UNIVERSITARIA CAREGGI