Comparison of Perioperative Analgesia Between Intravenous Paracetamol and Fentanyl for Rigid Hysteroscopy

NCT ID: NCT04762147

Last Updated: 2021-02-21

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-10-31

Study Completion Date

2017-06-30

Brief Summary

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Objective of study:

To compare the efficacy of intravenous paracetamol and fentanyl for intra-operative and post-operative pain relief in patients undergoing diagnostic and therapeutic hysteroscopy.

Hypothesis of study:

There is no difference in pain control between intravenous fentanyl and paracetamol in patients undergoing hysteroscopy.

Detailed Description

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Intraoperative pain assessment will be based on:

Hemodynamic vital (SBP, DBP. MAP and HR) increase 20% from the baseline will be observed and assumed pain.

Postoperative pain assessment will be based on:

Mean Pain score :Visual analogue pain scale (VAS) of 0-10 cms will be used to assess the pain at the end of the procedure.

Diagnostic hysteroscopy:

Patients presenting with abnormal premenopausal or postmenopausal uterine bleeding, pain, infertility, intrauterine adhesions, endometrial biopsy, foreign body.

Therapeutic hysteroscopy:

To remove IUD, uterine polyps, fibroid, foreign body and submucosal fibroids, sterilization.

Conditions

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Analgesia Effect of Drug

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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Paracetamol group-P

Paracetamol 15mg/Kg was dministered 30 minutes before the start of surgery

Group Type EXPERIMENTAL

paracetamol, the group P

Intervention Type DRUG

The paracetamol was administered 30 minutes before the start of surgery for intra-operative and post-operative analgesia in patients undergoing for hysteroscopy

Fentanyl group-F

Fentanyl 2mcg/kg was administered at the time induction of anaesthesia

Group Type ACTIVE_COMPARATOR

fentanyl, group-F administered as an active comparator

Intervention Type DRUG

The fentanyl 2mcg/kg was administered at the time induction of anaesthesia for intra-operative and post-operative analgesia in patients undergoing for hysteroscopy

Interventions

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paracetamol, the group P

The paracetamol was administered 30 minutes before the start of surgery for intra-operative and post-operative analgesia in patients undergoing for hysteroscopy

Intervention Type DRUG

fentanyl, group-F administered as an active comparator

The fentanyl 2mcg/kg was administered at the time induction of anaesthesia for intra-operative and post-operative analgesia in patients undergoing for hysteroscopy

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Elective surgery
* American Society of Anaesthesiologists (ASA) grade I \& II

Exclusion Criteria

* Patients with anticipated difficult airway
* Gastro-oesophageal reflux disorder
* Body mass index (BMI) \>30kg/m2
* Known Hepatic disorder
* Known ischemic heart disease
* History of hypersensitivity reactions to paracetamol and fentanyl or already taking paracetamol and fentanyl
* Patient experiencing the iatrogenic intra-operative uterine perforation
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Aga Khan University

OTHER

Sponsor Role lead

Responsible Party

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Dileep Kumar

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dileep Kumar, FCPS

Role: PRINCIPAL_INVESTIGATOR

Aga Khan University

References

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Ali MA, Shamim F, Chughtai S. Comparison between intravenous paracetamol and fentanyl for intraoperative and postoperative pain relief in dilatation and evacuation: Prospective, randomized interventional trial. J Anaesthesiol Clin Pharmacol. 2015 Jan-Mar;31(1):54-8. doi: 10.4103/0970-9185.150542.

Reference Type BACKGROUND
PMID: 25788774 (View on PubMed)

Other Identifiers

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4370-Ane-ERC-16

Identifier Type: -

Identifier Source: org_study_id

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