Unique ID issued by UMIN | UMIN000047606 |
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Receipt number | R000054286 |
Scientific Title | A study of analgesic effect of local infiltration analgesia with levobupivacaine after cervical laminoplasty. |
Date of disclosure of the study information | 2022/05/01 |
Last modified on | 2022/09/05 13:21:13 |
A study of analgesic effect of local infiltration analgesia with levobupivacaine after cervical laminoplasty.
A study of analgesic effect of local infiltration analgesia with levobupivacaine after cervical laminoplasty.
A study of analgesic effect of local infiltration analgesia with levobupivacaine after cervical laminoplasty.
A study of analgesic effect of local infiltration analgesia with levobupivacaine after cervical laminoplasty.
Japan |
cervical spondylosis
Anesthesiology |
Others
NO
The degree of pain following cervical laminoplasty is severe, and appropriate postoperative pain management is important. Postoperative pain is caused by multiple factors, including pain from nociceptors, nerves, and inflammation, and it is common to use a combination of analgesics. The current mainstream of analgesia is the use of opioids, mainly fentanyl, but these drugs also have side effects such as postoperative nausea, vomiting, and respiratory depression. With the advent of long-acting local anesthetics, local infiltration of local anesthetics has begun to be applied in various surgeries because it is easy and complication-free. In 2020, a retrospective study reported the efficacy of ropivacaine in cervical vertebroplasty. In this study, we prospectively compare the analgesic effect and opioid reduction effect of levobupivacaine, which is even longer acting than ropivacaine. Local infiltration of local anesthetics is a simple and safe method, and if this study demonstrates its efficacy, it will improve the quality of postoperative management.
Efficacy
Numerical rating scale(NRS) immediately after surgery, 1 hour, 2 hours, 6 hours, 12 hours, and 24 hours
・Frequency of use of rescue drugs
・Circulation, SpO2
・Side effects such as nausea and itching
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
Active
2
Treatment
Medicine |
Local infiltration anesthesia of the paraspinal muscles, subcutaneous tissue, and skin along the surgical wound using 20 ml of 0.25% levobupivacaine bilaterally at the time of wound closure
No local infiltration anesthesia
20 | years-old | <= |
90 | years-old | >= |
Male and Female
ASA-PS1-2 patients who undergo cervical laminoplasty of 3 or more vertebrae
Patients with liver or kidney dysfunction, ulcers, or asthma
44
1st name | Yoshiaki |
Middle name | |
Last name | Terao |
Nagasaki Rosai Hospital
Department of anesthesia
857-0134
2-12-5,Setogoe,Sasebo City, Nagasaki, Japan
0956-49-2191
yoterao@nagasakih.johas.go.jp
1st name | Yoshiaki |
Middle name | |
Last name | Terao |
Nagasaki Rosai Hospital
Department of anesthesia
857-0134
2-12-5,Setogoe,Sasebo City, Nagasaki, Japan
0956-49-2191
yoterao@nagasakih.johas.go.jp
Nagasaki Rosai Hospital
Research funds to promote the hospital functions of Japan of Organization of Occupational Health and Safety
Other
Nagasaki Rosai Hospital
2-12-5,Setogoe,Sasebo City, Nagasaki, Japan
0956-49-2191
shomu@nagasakih.johas.go.jp
NO
2022 | Year | 05 | Month | 01 | Day |
Unpublished
Preinitiation
2022 | Year | 03 | Month | 31 | Day |
2022 | Year | 05 | Month | 01 | Day |
2023 | Year | 04 | Month | 30 | Day |
2022 | Year | 04 | Month | 27 | Day |
2022 | Year | 09 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000054286
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