Postoperative pain after spine surgery MedDRA version: 20.0 Level: LLT Classification code 10049130 Term: Back surgery System Organ Class: 100000004865
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 18-75-year old patient undergoing elective spine surgery BMI 18-35 kg/m2 Participants must understand the meaning of the study, and the procedures, and provide informed consent 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 60 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 60
Exclusion criteria
Exclusion criteria: Age75 years Hypersensitivity to ibuprofen, other non-steroidal anti-inflammatory drugs, paracetamol, tramadol or their exipients Astma, urticaria or allergic reaction to ASA/NSAIDs Acute bleeding or history if hemorrhage in gastrointestinal tract or peptic ulcer Bleeding disorder Use of nonoamineoxidase inhibitors within last two weeks Severe hepatic impairment. Epilepsy not controlled by treatment Patients susceptible to seizures or taking other medications that lower the seizure threshold Severe liver or renal failure Severe respiratory impairment Severe cardiac insufficiency History or acute intoxication with alcohol, hypnotic medicinal products, centrally-acting analgesics, opioids or psychotropic medicinal products Pregnancy or breastfeeding Other reason investigator estimates prelude participation
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Patient's decision or investigator's concern of patient's safety;Timepoint(s) of evaluation of this end point: Not applicable | — |
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evalaute the patient satisfaction on analgesia efficacy of tramadol-paracetamol combination product for postoperative pain management in spine surgery;Secondary Objective: Need for rescue analgesia and the amount of pain during the first postoperative week, adverse effects, pain and need for analgesigs at 12 months after surgery;Primary end point(s): The participants will use tramadol-paracetamol or placebo as long as their postoperative pain is moderate ot severe, on a numeric rating scale at rest 3/10 or higher and/or dynamic pain 5/10 or higher. The drugs will be used up to 5 days. A maximum of 20 tablets. After that the patients will be treated according to their clinical status. The study continues as a survey.;Timepoint(s) of evaluation of this end point: The last questionnaire will be filled an year after the operation. | — |
Countries
Finland
Contacts
Kuopio University Hospital