Dual-chamber Patient-controlled Analgesia for Postoperative Recovery

NCT ID: NCT07051109

Last Updated: 2025-07-03

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

RECRUITING

Clinical Phase

NA

Total Enrollment

92 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-11

Study Completion Date

2026-03-11

Brief Summary

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Postoperative nausea and vomiting (PONV) are the most common complications that can occur after general anesthesia. Postoperative use of opioids and morbid obesity have been reported as risk factors of PONV. In this study, the investigators aimed to compare the degree of postoperative side effects and pain control when an intravenous patient-controlled analgesia combining fentanyl and ketorolac via a dual-chamber device was provided to participants undergoing laparoscopic sleeve gastrectomy.

Detailed Description

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Morbidly obese patients undergoing laparoscopic sleeve gastrectomy experience a relatively high incidence of postoperative nausea and vomiting, but no effective treatment method has been established yet to prevent them. Through this study, the investigators can expect that if a dual-chamber patient-controlled analgesia device can provide effective analgesia while reducing the amount of opioid used, and thus reduce postoperative nausea and vomiting, it can have the effect of increasing the quality of recovery and satisfaction of participants who have undergone laparoscopic sleeve gastrectomy. Furthermore, this dual-chamber patient-controlled analgesia device can be applied to various surgeries and various patient groups who are at risk for postoperative nausea and vomiting, and it is expected that it can be adapted as one of the methods to prevent postoperative nausea and vomiting.

Conditions

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Morbid Obesity PCA Analgesia PONV

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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dual-chamber PCA

Group Type EXPERIMENTAL

multimodal analgesia via dual-chamber PCA

Intervention Type DEVICE

combination of fentanyl and ketorolac through dual-chamber PCA

single regimen PCA

Group Type ACTIVE_COMPARATOR

single regimen (only fentanyl)

Intervention Type DEVICE

fentanyl only through dual-chamber PCA

Interventions

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multimodal analgesia via dual-chamber PCA

combination of fentanyl and ketorolac through dual-chamber PCA

Intervention Type DEVICE

single regimen (only fentanyl)

fentanyl only through dual-chamber PCA

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Adult females aged 19 to 65 years
* American Society of Anesthesiologists physical status (ASA class) 1 to 3
* Patients scheduled for laparoscopic sleeve gastrectomy under general anesthesia
* Patients requesting the use of IV-PCA after surgery

Exclusion Criteria

* Patients with hypersensitivity to the drugs used in this study (Ketorolac, Fentanyl)
* Patients with alcohol or drug dependence, long-term use of opioids or analgesics
* Patients with liver disease or renal failure
* Patients with peptic ulcer, patients with gastrointestinal bleeding predisposition
* Patients with suspected cerebrovascular hemorrhage, organic disorders of the head related to increased intracranial pressure
* Patients with bronchial asthma or bronchospasm symptoms
* Patients with severe respiratory depression
* Nasal polyps, angioedema
* Patients with or history of convulsive disease
* Patients for whom the use of neuromuscular blocking agents is contraindicated
Minimum Eligible Age

19 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Bundang Hospital

OTHER

Sponsor Role lead

Responsible Party

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Park InSun

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Seoul National University Bundang Hospital

Seongnam-si, Gyunggi-do, South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Insun Park, M.D./Ph.D.

Role: CONTACT

823178777499

Facility Contacts

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Insun Park, M.D./Ph.D.

Role: primary

823178777499

Other Identifiers

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B-2208-775-002

Identifier Type: -

Identifier Source: org_study_id

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