Lung cancer, metastatic lung cancer Thoracic surgery
Conditions
Interventions
1) Allocated PCA machine(conventional or COOPDECH Amy)will be started at surgery irrespective of injection type (venous or epidural)
2) Setting and medicine for PCA will be organized based on individu
Conventional or Conventional
COOPDECH) the day before PCA withdrawal under individual patients approval.(from COOPDECH Amy-PCA to conventional machine or from conventional machine to COOPDECH Amy-PCA)
6) Assessment (Survey) for P
Sponsors
Yamakage Michiaki
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients who meet all of the following; 1.Patients with lung cancer and metastatic cancer including open thoracotomy, laparoscopic surgery, robot-assisted surgery) 2.Patients with moderate pain (NRS3>=10) at surgical site preoperatively 3.Patients who are eligible for PCA using this device intravenously or epidurally after operations under general anesthesia. 4.Patients who will stay at hospital for at least three days 5.Age >= 20 6.Patients who live by themselves freely without any problems 7.Patients who can understand and accept this study by themselves fully after receiving enough explanation
Exclusion criteria
Exclusion criteria: 1) Pregnant and lactating women 2) Past allergic history of local anesthetics and narcotics 3) Severe heart failure(NYHA class>=3) 4) Severe respiratory failure(Hugh Jones class>=3) 5) Past history of hemodialysis 6) Past history of liver cirrhosis(Child-Pugh C) 7) Past history of delirium 8) American Society of Anesthesiologists physical status(ASA)>=4 9) Investigator(responsible person or contributory person) thought that their participation didn't cause most beneficical effect such as losing welfare, preventing or limiting or confusing reasonable assessment. [Investigator judged to be inappropriate for this research in case of epidural PCA] 10) Severe infection on the insertion site 11) PT-INR>2.0 or Platelet<70000/ul
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| NRS at rest POD1 | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Satisfaction assessment: satisfaction for pain management 2.Comparison for PCA machine (easy to use) 3.NRS at movement 4.Usage of other analgesics 5.Frequency of disease or machine's trouble 6.Recovery information (walk, drink, eat, unnecessity for PCA(applied to the order of PCA withdrwal) 7.Hospital stay | — |
Contacts
Public ContactShunsuke Tachibana
Sapporo Medical University Hospital
Outcome results
None listed