Pain after laparoscopic gyaecological surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult female patients of ASA I or II scheduled for elective day case gynaecological laparoscopic procedure (laparoscopy +/- diathermy)with the exception of laparoscopic tubal ligation. 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: Inability to give informed consent Patients undergoing laparoscopy with tubal ligation Pregnancy Intolerance or allergy to non-steroidal anti inflammatory agents (NSAIDS) Intolerance or allergy to paracetamol Intolerance or allergy to lignocaine or other amide local anaesthetic agent Renal or hepatic impairment Congestive cardiac failure, sino-atrial disorders, atrio-ventricular block (all grades) Patients recieving treatment with beta blocking agents Patients receiving antipsychotic agents which prolong the QT interval Patients receiving treatment with Atazanavir, Lopinavir, Darunavir, Fosamprenavir Patients suffering from hypokalaemia (K+ < 3.5mmol/L) Acute porphyria Myasthenia gravis ASA status III or IV Patients prescribed pre-operative opioid analgesic agents Active gastro-oesphageal reflux disease, patients receiving regular cimetidine Patients scheduled for laparoscopy plus microwave endometrial ablation therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Does a single bolus of intravenous lidocaine reduce opioid analgesic requirements after day case gynaecological laparoscopic procedures?;Secondary Objective: Are there any adverse effects demostrable with the technique? Is there any reduction in nausea and vomiting demonstrable in the treatment group? Is there a difference in time to discharge home between groups?;Primary end point(s): Difference in total dose of fentanyl required to obtain pain score <2 after operation between treatment and placebo groups. | — |
Countries
United Kingdom