Intraoperative TIVA With Propofol on Postoperative Pain and Side Effects After Liver Resection Surgery

NCT ID: NCT02179437

Last Updated: 2024-05-16

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 95 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2014-08-01
• Study Completion Date: 2016-02-22

Brief Summary

Postoperative pain can be severe after liver resection surgery. However, postoperative pain management may be difficult for this group of patients. Opioidergic neurotransmission may be altered in cirrhotic patients and selectively increasing receptor affinity for opioids. Large dose of strong opioid may be required to achieve adequate pain control. However, this may not be possible due to the side effect of opioid and liver dysfunction after liver resection.

Propofol is a commonly used anaesthetic with rapid recovery and less side effects and TIVA (total intravenous analgesia) with propofol is a common technique now. The reduction on certain serum pro- inflammatory cytokines may lead to more smooth post- surgical recovery.

Recent case report proved the analgesic effect of propofol infusion. However other animal and clinical studies showed controversial result.

The aim of this retrospective study is to investigate the postoperative analgesic effects and side effects of intraoperative TIVA with propofol in patient undergoing liver resection surgery at Queen Mary Hospital, Hong Kong between 2010 to 2012.

Detailed Description

Retrospective audit.

Anaesthetic records and acute pain service records of patient undergone liver resection surgery between 2010 to 2012 in Queen Mary Hospital would be retrieved from the computer.

Data Collection

1. Demographic data;

2. Types of analgesic techniques;

3. Type of pain relief modalities;

4. Pain score up to 72 hours postoperatively;

5. Postoperative opioid consumption;

6. Incidence of adverse events during APS care;

7. Patients' satisfaction on pain relief.

Data Analysis For summarising analysis, mean or median with standard deviation or interquartile range will be reported. Parametric and non-parametric comparative tests will be used for analysis between/among patients with various characteristics. Kaplan Meier survival analysis and log-rank test will be used for duration of APS use.

Conditions

Postoperative Pain

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: RETROSPECTIVE

Eligibility Criteria

Inclusion Criteria

• Patient undergone liver resection surgery between 2010 to 2012 in Queen Mary Hospital

Exclusion Criteria

• Essential data were missing.
• Patient participating in other research projects.
• Changes in postoperative pain management technique.
• Patients could not be assessed post-operatively for pain (i.e. post-operative IPPV)

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

The University of Hong Kong

OTHER

Sponsor Role: lead

Responsible Party

Dr. Chi-Wai Cheung

Clinical Associate Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Chi Wai Cheung, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Anaesthesiology, The University of Hong Kong

Locations

Department of Anaesthesiology, The University of Hong Kong

Hong Kong, Hong Kong, China

Countries

China

References

Chan AC, Qiu Q, Choi SW, Wong SS, Chan AC, Irwin MG, Cheung CW. Effects of Intra-Operative Total Intravenous Anaesthesia with Propofol versus Inhalational Anaesthesia with Sevoflurane on Post-Operative Pain in Liver Surgery: A Retrospective Case-Control Study. PLoS One. 2016 Feb 22;11(2):e0149753. doi: 10.1371/journal.pone.0149753. eCollection 2016.

Reference Type: DERIVED

PMID: 26901037 (View on PubMed)

Other Identifiers

UW14-356

Identifier Type: -

Identifier Source: org_study_id