Pain, Postoperative
Conditions
Keywords
numeric rating scale, opioid side effects
Brief summary
In this study, numeric rating scale (NRS) and side effects are measured after usage of a sublingual sufentanil tablet system (SSTS) in comparison to intravenous patient controlled analgesia (PCIA).
Detailed description
Sublingual sufentanil tablet system (SSTS) is compared in pain relief and side effect profile with the routinely used intravenous patient controlled analgesia (PCIA) with morphine in the postoperative phase after back surgery. The common use of PCIA with morphine is associated with a rather slow onset-time and active metabolites, with occurrence of potential harmful side effects as sedation and desaturation. This mono-centric project involving American Society of Anesthesiologists (ASA) classification I-II patients undergoing elective neurosurgery (laminectomy) are recruited. Enrolled patients undergo numeric rating scale (NRS) and side effect questionnaire during the first 72h postoperatively.
Interventions
Usage of a new patient-controlled SSTS in the postoperative phase after laminectomy or spinal fusion.
Usage of classically used patient-controlled intravenous mophine-based postoperative analgesia after laminectomy or spinal fusion.
Sponsors
Study design
Intervention model description
Single center case-control study design
Eligibility
Inclusion criteria
* scheduled elective laminectomy or spinal fusion * American Society Anesthesiology Classification system (ASA) I-III
Exclusion criteria
* chronic opioid use (\>3 months) * pregnancy * obstructive sleep apnea syndrome * supplemental oxygen therapy at home * postoperative use of non-steroidal anti-inflammatory or anti-neuropathic drugs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Rating Scale (NRS) | 72 hours postoperatively | Pain assessment by NRS |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of side effect | 72 hours postoperatively | Evaluation of pruritus, constipation, desaturation, nausea, vomiting, urine retention, hypotension, dizziness |
Countries
Belgium