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NCT05366777 | Completed | Postoperative Pain


Intravenous Acetaminophen/Ibuprofen Fixed-dose Combination on Postoperative Opioid Consumption
Sponsor:

Seoul National University Hospital

Information provided by (Responsible Party):

Hojin Lee, MD

Brief Summary:

This prospective, randomized, double-blinded study is designed to evaluate the postoperative analgesic effect of the intravenous acetaminophen/ibuprofen fixed-dose combination in patients undergoing video-assisted thoracic surgery (VATS). We hypothesize that the intravenous acetaminophen/ibuprofen fixed-dose combination can significantly reduce postoperative opioid consumption and pain severity in patients with VATS.

Condition or disease

Postoperative Pain

Intervention/treatment

acetaminophen/ibuprofen fixed-dose combination

Saline

Phase

Not Applicable

Detailed Description:

Adult patients undergoing elective unilateral VATS wedge resection, segmentectomy, or lobectomy are randomly allocated to receive intravenous acetaminophen (1000 mg)/ibuprofen (300 mg) fixed-dose combination (n=48) or not (n=48). At the end of induction, the intervention group will receive intravenous acetaminophen (1000 mg)/ibuprofen (300 mg) for 15 min, every 6 hours, a total of 4 times. The control group will receive intravenous normal saline with the same volume and same time points as the intervention group receives.}}

Study Type : Interventional
Estimated Enrollment : 96 participants
Masking : Quadruple
Masking Description : The nurse who is not involved in this study knows the allocated group and sends the bottle of the drug which looks the same in both groups, to the operation room and ward. The care provider, investigator, patients, and outcomes assessor will be not informed of the infusion of the drug by not attaching an identifiable label so that it cannot be distinguished from normal saline.
Primary Purpose : Treatment
Official Title : Effect of an Intravenous Acetaminophen/Ibuprofen Fixed-dose Combination on Postoperative Opioid Consumption and Pain After Video-assisted Thoracic Surgery: A Double-blind Randomized Controlled Trial
Actual Study Start Date : October 3, 2022
Estimated Primary Completion Date : July 14, 2023
Estimated Study Completion Date : October 15, 2023
Arm Intervention/treatment

Experimental: Maxigesic group

At the end of induction, the Maxigesic group will receive intravenous acetaminophen (1000 mg)/ibuprofen (300 mg) for 15 min, every 6 hours, a total of 4 times.

Drug: acetaminophen/ibuprofen fixed-dose combination

Placebo Comparator: Control group

At the end of induction, the control group will receive intravenous normal saline with the same volume and same time points as the intervention group receives.

Drug: Saline

Ages Eligible for Study: 19 Years to 80 Years
Sexes Eligible for Study: All
Accepts Healthy Volunteers: No
Criteria
Inclusion Criteria
  • Patients scheduled to undergo elective unilateral VATS segmentectomy or lobectomy under general anesthesia
  • American Society of Anesthesiologists (ASA)physical classification I-II
  • Consent to IV-patient controlled analgesia use
  • Willingness and ability to sign an informed consent document
Exclusion Criteria
  • Do not understand our study
  • Allergies to anesthetic or analgesic medications
  • Continuous local anesthetics infiltration for postoperative pain control
  • Patients who receive mechanical ventilation more than 2 hours after surgery
  • Pregnancy/Breastfeeder
  • Medical or psychological disease that can affect thetreatment response

Intravenous Acetaminophen/Ibuprofen Fixed-dose Combination on Postoperative Opioid Consumption

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Intravenous Acetaminophen/Ibuprofen Fixed-dose Combination on Postoperative Opioid Consumption

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Locations


Not yet recruiting

Korea, Republic of,

Seoul National University Hospital

Seoul, Korea, Republic of, KS013

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