Laparoscopic Gynecological Surgery
Conditions
Brief summary
In laparoscopic gynecological surgery, when intravenous patient-controlled analgesia (IV-PCA) device is used after surgery, the degree of postoperative side effects and pain control is compared when a combination of fentanyl and ketorolac is administered compared to when fentanyl alone is used.
Interventions
Selector (1 ml; Lock out 10 min): Fentanyl 200 mcg + N/S 16 ml = total 20 ml
Continuous (2 ml/hr): fentanyl 700 mcg + N/S 86 ml = total 100 ml
Continuous (2 ml/hr): Ketorolac 180 mg + N/S 94 ml = total 100 ml
Sponsors
Study design
Eligibility
Inclusion criteria
* American society of anesthesiology physical status 1 or 2 * Patients scheduled for gynecological laparoscopic surgery under general anesthesia * Patients who applied for the use of IV-PCA after surgery
Exclusion criteria
* Patients with side effects of opioids * Patients with hypersensitivity to aspirin or non-steroid anti-inflammatory drugs * Patients with alcohol or drug dependence * Patients with peptic ulcers, patients with gastrointestinal bleeding * Patients with suspected cerebrovascular hemorrhage, organic disorders, or damage to the head related to increased intracranial pressure * Symptoms of bronchial asthma or bronchospasm * Patients with severe respiratory depression * Moderate to severe renal impairment * Patients with reduced blood volume or dehydration * polyps in the nose * angioedema * Patients with or a history of the convulsive disease * Patients for whom the use of neuromuscular blocking agents is contraindicated
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the occurrence of postoperative nausea | postoperative 0 hour, 2 hour, 6 hour, 12 hour, 24 hour | Confirm the occurrence of postoperative nausea. |
| Change in the occurrence of postoperative vomiting | postoperative 0 hour, 2 hour, 6 hour, 12 hour, 24 hour | Confirm the occurrence of postoperative vomiting. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in the use of rescue antiemetics | postoperative 0 hour, 2 hour, 6 hour, 12 hour, 24 hour | Investigate the use of rescue antiemetics. |
| Change of postoperative pain score | postoperative 0 hour, 2 hour, 6 hour, 12 hour, 24 hour | Postoperative pain scores are scored on a scale of 0-10. |
| Change in the use of rescue analgesics | postoperative 0 hour, 2 hour, 6 hour, 12 hour, 24 hour | Investigate the use of rescue analgesics. |
Countries
South Korea