Unique ID issued by UMIN | UMIN000022372 |
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Receipt number | R000025382 |
Scientific Title | Estimation of the Region Blocked by Epidural Anesthesia based on Skin Temperature Change, and Research on Improving Postoperative Analgesia |
Date of disclosure of the study information | 2016/06/01 |
Last modified on | 2023/11/06 10:59:56 |
Estimation of the Region Blocked by Epidural Anesthesia based on Skin Temperature Change, and Research on Improving Postoperative Analgesia
Estimation of the Region Blocked by Epidural Anesthesia based on Skin Temperature Change, and Research on Improving Postoperative Analgesia
Estimation of the Region Blocked by Epidural Anesthesia based on Skin Temperature Change, and Research on Improving Postoperative Analgesia
Estimation of the Region Blocked by Epidural Anesthesia based on Skin Temperature Change, and Research on Improving Postoperative Analgesia
Japan |
Patients who are scheduled to undergo combined general and epidural anesthesia at our hospital.
Operative medicine |
Others
NO
Continuous epidural anesthesia with local anesthetics is useful as a postoperative analgesic. However, its effect decreases if the anesthetic area is not sufficiently large; on the other hand, if the anesthetic area is too large, adverse reactions such as a decrease in blood pressure may occur because of sympathetic ganglion block. Ideally, an anesthetic area should spread from the wound site to an adequately large area in a seamless manner, starting from the perioperative phase to the postoperative phase. However, a detailed patient interview for evaluating skin sensation cannot be conducted immediately after general anesthesia. Thus, in this study, a thermographic camera will be used to indirectly evaluate the analgesic area of continuous epidural anesthesia; the usefulness of this method for postoperative analgesia will also be assessed.
Efficacy
An epidural anesthetic will be continuously administered starting 30-60 minutes before the completion of surgery. After the patient awakens from the general anesthesia, a thermographic camera will be used to determine how many segments the wound site is apart from the site of the sympathetic ganglion block. Although it is an unlikely event, if the analgesic effect is assessed to be inadequate (less than 2 segments), 3 ml of 0.2% ropivacaine will be added; on the other hand, if the effect is assessed to be excessive(>5 segments), the flow rate of continuous anesthesia will be decreased. The severity of postoperative pain will be assessed by ward nurses on a 4-point scale based on the amount of rescue analgesic administered to the patient.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine | Other |
An epidural anesthetic will be continuously administered starting 30-60 minutes before the completion of surgery. After the patient awakens from the general anesthesia, a thermographic camera will be used to determine how many segments the wound site is apart from the site of the sympathetic ganglion block. Although it is an unlikely event, if the analgesic effect is assessed to be inadequate(less than 2 segments), 3 ml of 0.2% ropivacaine will be added; on the other hand, if the effect is assessed to be excessive(>5 segments), the flow rate of continuous anesthesia will be decreased.
20 | years-old | <= |
100 | years-old | >= |
Male and Female
Among patients who are scheduled to undergo combined general and epidural anesthesia at our hospital, those who agree to participate in our study will be selected as study subjects.
None.
100
1st name | Taeko |
Middle name | |
Last name | Fukuda |
Kasumigaura Medical Center
Department of Anesthesiology
305-8585
2-7-4 Shimotatatsu Tsuchiura-shi IB
029-822-5050
kasumi@kasumi.hosp.go.jp
1st name | Taeko |
Middle name | |
Last name | Fukuda |
Kasumigaura Medical Center
Department of Anesthesiology
305-8585
2-7-4 Shimotatatsu Tsuchiura-shi IB
029-822-5050
kasumi@kasumi.hosp.go.jp
Kasumigaura Medical Center
Not applicable
Other
Kasumigaura Medical Center
Ibaraki, Tsuchiura-city, Shimotakatsu 2-7-14
029-822-5050
029-822-5050
NO
2016 | Year | 06 | Month | 01 | Day |
Unpublished
Terminated
2016 | Year | 02 | Month | 10 | Day |
2016 | Year | 03 | Month | 22 | Day |
2016 | Year | 03 | Month | 22 | Day |
2018 | Year | 03 | Month | 31 | Day |
2016 | Year | 05 | Month | 20 | Day |
2023 | Year | 11 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000025382
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