Superiority Study for Pain Treatment After Cesarean

NCT ID: NCT01115101

Last Updated: 2016-12-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

239 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2009-11-30

Brief Summary

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The purpose of this study is to investigate adequate pain treatment for patients after cesarean. In this study oral opioids were compared to intravenous opioids as they are supposed to provide superior pain control.

Detailed Description

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Pain management after cesarean is an important topic for women. Pain during and after surgery is their greatest concern.

After surgery quick mobilization is important to take care of the newborn. When using a patient controlled analgesia (PCA) device mobilization is limited and women can not meet their expectations to take care of the newborn. Oral analgesia in comparison offers superior patient satisfaction.

This trial was conducted to investigate the effectiveness of both treatment options and improve patients pain management and overall content after cesarean.

Conditions

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Pain

Keywords

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pain after cesarean visual analog scale oxycodon piritramid

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Oxycodon

Group Type EXPERIMENTAL

Oral Oxycodon

Intervention Type DRUG

Patients assigned to the oral analgesia group received 20mg oxycodon at fixed intervals: 2 hours (h) and between 12h and 14h after cesarean.

Patient controlled analgesia (PCA) device with Pritramid

Group Type ACTIVE_COMPARATOR

Piritramid

Intervention Type DRUG

Patients assigned to the PCA group received a single use intravenous PCA device (Vygon, Medical Products, Aachen, Germany) with a 30ml deposit of 9% sodium chloride solution containing 60mg piritramide. Bolus injection of 0.5ml was administered by the patient herself if needed, with a lock out interval of 5 minutes

Patients assigned to the oral analgesia group received 20mg oxycodon at fixed intervals: 2 hours (h) and between 12h and 14h after cesarean. The PCA was discontinued after 24 hours or earlier if demanded.

Interventions

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Oral Oxycodon

Patients assigned to the oral analgesia group received 20mg oxycodon at fixed intervals: 2 hours (h) and between 12h and 14h after cesarean.

Intervention Type DRUG

Piritramid

Patients assigned to the PCA group received a single use intravenous PCA device (Vygon, Medical Products, Aachen, Germany) with a 30ml deposit of 9% sodium chloride solution containing 60mg piritramide. Bolus injection of 0.5ml was administered by the patient herself if needed, with a lock out interval of 5 minutes

Patients assigned to the oral analgesia group received 20mg oxycodon at fixed intervals: 2 hours (h) and between 12h and 14h after cesarean. The PCA was discontinued after 24 hours or earlier if demanded.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* cesarean in spinal anesthesia,
* no history of opioid or metamizol treatment
* written consent
* ability to use a Patient-controlled analgesia device

Exclusion Criteria

* cesarean in general anaesthesia
* use of peridural catheter for pre-, peri- or post cesarean analgesia
* additional post cesarean metamizol use
* allergy/hypersensitivity to morphine, oxycodon, acetaminophen or ibuprofen
* chronic use of general anaesthesia
* history of known pain syndrome
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Rostock

OTHER

Sponsor Role collaborator

Max Dieterich

OTHER

Sponsor Role lead

Responsible Party

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Max Dieterich

Dr. Max Dieterich

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Max Dieterich, MD

Role: PRINCIPAL_INVESTIGATOR

University of Rostock, Department of Obstetrics and Gynecology

Locations

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University of Rostock, Department of Obstetrics and Gynecology

Rostock, Mecklenburg-Vorpommern, Germany

Site Status

Countries

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Germany

References

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Stamer UM, Wiese R, Stuber F, Wulf H, Meuser T. Change in anaesthetic practice for Caesarean section in Germany. Acta Anaesthesiol Scand. 2005 Feb;49(2):170-6. doi: 10.1111/j.1399-6576.2004.00583.x.

Reference Type BACKGROUND
PMID: 15715617 (View on PubMed)

Davis KM, Esposito MA, Meyer BA. Oral analgesia compared with intravenous patient-controlled analgesia for pain after cesarean delivery: a randomized controlled trial. Am J Obstet Gynecol. 2006 Apr;194(4):967-71. doi: 10.1016/j.ajog.2006.02.025.

Reference Type BACKGROUND
PMID: 16580284 (View on PubMed)

Gammaitoni AR, Galer BS, Bulloch S, Lacouture P, Caruso F, Ma T, Schlagheck T. Randomized, double-blind, placebo-controlled comparison of the analgesic efficacy of oxycodone 10 mg/acetaminophen 325 mg versus controlled-release oxycodone 20 mg in postsurgical pain. J Clin Pharmacol. 2003 Mar;43(3):296-304. doi: 10.1177/0091270003251147.

Reference Type BACKGROUND
PMID: 12638399 (View on PubMed)

Carvalho B, Cohen SE, Lipman SS, Fuller A, Mathusamy AD, Macario A. Patient preferences for anesthesia outcomes associated with cesarean delivery. Anesth Analg. 2005 Oct;101(4):1182-1187. doi: 10.1213/01.ane.0000167774.36833.99.

Reference Type BACKGROUND
PMID: 16192541 (View on PubMed)

Dieterich M, Muller-Jordan K, Stubert J, Kundt G, Wagner K, Gerber B. Pain management after cesarean: a randomized controlled trial of oxycodone versus intravenous piritramide. Arch Gynecol Obstet. 2012 Oct;286(4):859-65. doi: 10.1007/s00404-012-2384-5. Epub 2012 May 24.

Reference Type DERIVED
PMID: 22622852 (View on PubMed)

Other Identifiers

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KJ-2009-MD

Identifier Type: -

Identifier Source: org_study_id