Postoperative Pain Therapy With Hydromorphone Using TCI-PCA
NCT ID: NCT02035709
Last Updated: 2015-07-03
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
PHASE4
50 participants
INTERVENTIONAL
2013-12-31
2015-04-30
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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TCI-PCA
Intravenous Patient-Controlled Analgesia with Target-Controlled Infusion
Hydromorphone
Hydromorphone is given by PCA or TCI-PCA. The TCI-PCA System steer the hydromorphone infusion pump to achieve plasma concentrations of hydromorphone in predefined increasing steps on patient request and in predefined decreasing steps on lack of patient request within predefined plasma concentration range, lock times and infusion speed.
PCA
Intravenous Patient-Controlled Analgesia
Hydromorphone
Hydromorphone is given by PCA or TCI-PCA. The TCI-PCA System steer the hydromorphone infusion pump to achieve plasma concentrations of hydromorphone in predefined increasing steps on patient request and in predefined decreasing steps on lack of patient request within predefined plasma concentration range, lock times and infusion speed.
Interventions
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Hydromorphone
Hydromorphone is given by PCA or TCI-PCA. The TCI-PCA System steer the hydromorphone infusion pump to achieve plasma concentrations of hydromorphone in predefined increasing steps on patient request and in predefined decreasing steps on lack of patient request within predefined plasma concentration range, lock times and infusion speed.
Eligibility Criteria
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Inclusion Criteria
* Age between 40 and 85 years, both genders
* Scheduled for elective cardiac surgery involving thoracotomy and subsequent ICU stay
Exclusion Criteria
* Administration of hydromorphone in the period between screening and surgery
* Severe hepatic or renal impairment in medical history
* BMI ≥35 kg/m²
* ASA ≥4
40 Years
85 Years
ALL
Yes
Sponsors
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German Federal Ministry of Education and Research
OTHER_GOV
University of Erlangen-Nürnberg Medical School
OTHER
Responsible Party
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Principal Investigators
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Christian Jeleazcov, MD, Associate Professor
Role: PRINCIPAL_INVESTIGATOR
Department of Anesthesiology, University Hospital Erlangen
Locations
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Department of Anesthesiology, University Hospital Erlangen
Erlangen, Bavaria, Germany
Department of Anesthesiology, University Hospital Erlangen
Erlangen, , Germany
Countries
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References
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Jeleazcov C, Saari TI, Ihmsen H, Mell J, Frohlich K, Krajinovic L, Fechner J, Schuttler J. Population pharmacokinetic modeling of hydromorphone in cardiac surgery patients during postoperative pain therapy. Anesthesiology. 2014 Feb;120(2):378-91. doi: 10.1097/ALN.0b013e3182a76d05.
Wehrfritz A, Ihmsen H, Fuchte T, Kim M, Kremer S, Weiss A, Schuttler J, Jeleazcov C. Postoperative pain therapy with hydromorphone; comparison of patient-controlled analgesia with target-controlled infusion and standard patient-controlled analgesia: A randomised controlled trial. Eur J Anaesthesiol. 2020 Dec;37(12):1168-1175. doi: 10.1097/EJA.0000000000001360.
Ihmsen H, Rohde D, Schuttler J, Jeleazcov C. External Validation of a Recently Developed Population Pharmacokinetic Model for Hydromorphone During Postoperative Pain Therapy. Eur J Drug Metab Pharmacokinet. 2017 Feb;42(1):17-28. doi: 10.1007/s13318-015-0318-x.
Other Identifiers
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2013-002875-16
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
TCI-PCA-001
Identifier Type: -
Identifier Source: org_study_id
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