Video-assisted Thoracoscopic Surgery
Conditions
Keywords
postoperative pain, spinal morphine, video-assisted thoracoscopic surgery
Brief summary
One-thirds of patients underwent video-assisted thorascopic surgery still have severe pain. Therefore we want to demonstrate weather 0.15 mg spinal morphine would reduce 24 hour postoperative requirement comparing to control group.
Interventions
spinal morphine 0.15 mg
Patient receive only local infiltration without spinal analgesia
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA (American Society of Anesthesiologist) physical status I to III, * Undergoing elective video-assisted thoracoscopic surgery at Siriraj and Thammasart Hospitals * capable of using a patient-controlled analgesia (PCA) machine * understanding the numeric rating scale (NRS) score for pain assessment.
Exclusion criteria
* history of allergy to the study drugs * bleeding disorder * infection of the back * refusing spinal anesthesia * history of cerebrovascular disease * using postoperative ventilator support were excluded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total post-operative morphine requirement. | 48 hours |
Secondary
| Measure | Time frame |
|---|---|
| Pain after surgery | 48 hour |
Countries
Thailand