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Postoperative Outcomes After Positive Intraoperative Messages

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424 General Military Hospital

キーワード

概要

The patients scheduled for laparoscopic cholecystectomy will be allocated to 3 groups. Group A and B patients will listen to a positive message under general anesthesia. Group C patients will not listen to the message. The postoperative pain, analgesic consumption and frequency of nausea, vomiting and emergence agitation episodes will be documented and compared between the 3 groups.

日付

最終確認済み: 05/31/2018
最初に提出された: 04/28/2016
提出された推定登録数: 05/05/2016
最初の投稿: 05/08/2016
最終更新が送信されました: 06/25/2018
最終更新日: 06/27/2018
実際の研究開始日: 02/29/2016
一次完了予定日: 01/31/2018
研究完了予定日: 02/28/2018

状態または病気

Postoperative Pain
Postoperative Nausea
Postoperative Vomiting

介入/治療

Behavioral: BIS 40-60

Behavioral: BIS 20-40

Behavioral: Placebo

段階

-

アームグループ

介入/治療
Experimental: BIS 40-60
Patient with intraoperative Bispectral Index (BIS) 40-60.
Behavioral: BIS 40-60
The message "You are in the operating room. Everything is going very well. When you wake up you will be very calm, you will not feel pain and you will not have nausea" will be played in greek language by headphones to the patient when the Bispectral Index (BIS) is 40-60.
Experimental: BIS 20-40
Patient with intraoperative Bispectral Index (BIS) 20-40.
Behavioral: BIS 20-40
The message "You are in the operating room. Everything is going very well. When you wake up you will be very calm, you will not feel pain and you will not have nausea" will be played in greek language by headphones to the patient when the Bispectral Index (BIS) is 20-40.
Placebo Comparator: Placebo
Placebo group
Behavioral: Placebo
The headphones will be placed on patient's ears but no message will be played.

適格基準

研究の対象となる年齢 18 Years に 18 Years
研究に適格な性別All
健康なボランティアを受け入れるはい
基準

Inclusion Criteria:

- Laparoscopic cholecystectomy.

- ASA 1-3

Exclusion Criteria:

- Hearing loss.

- Chronic use of drugs which affect the central nervous system (antidepressants, antiepileptics, opioids, benzodiazepines)

結果

主な結果の測定

1. Pain Intensity. [Within an average of 15 minutes after emergence from general anesthesia.]

The patients will be asked to evaluate their postoperative pain by using the 11grade Numerical Rating Scale (0 no pain, 10 maximum possible pain). Pain will be evaluated in supine position, after cough and after change of position from supine to standing.

2. Postoperative paracetamol consumption. [24 hours after emergence from general anesthesia.]

The patients will be instructed to ask for analgesics as needed. When rescue analgesia is required 1000mg paracetamol will be administered. The frequency of paracetamol administration will be documented.

3. Postoperative tramadol consumption. [24 hours after emergence from general anesthesia.]

If the administration of paracetamol doesn't relieve postoperative pain and the patients continues to ask for analgesia, 100mg tramadol will be administered. The frequency of tramadol administration will be documented.

4. Emergence agitation (yes/no). [Within an average of 10 minutes after emergence from general anesthesia.]

The patients' mental status will be evaluated with the 7grade Riker's Agitation-Sedation Scale. If the patient has a score of 5 or greater he will be documented as a case of emergence agitation.

5. Postoperative nausea. [24 hours after emergence from general anesthesia.]

The frequency of episodes of nausea will be documented.

6. Postoperative vomiting. [24 hours after emergence from general anesthesia.]

The frequency of episodes of vomiting will be documented.

7. Pain Intensity. [1 hour after the end of surgery.]

The patients will be asked to evaluate their postoperative pain by using the 11 grade Numerical Rating Scale (0 no pain, 10 maximum possible pain). Pain will be evaluated in supine position, after cough and after change of position from supine to standing.

8. Pain Intensity. [6 hours after the end of surgery.]

Numerical Rating Scale (0 no pain, 10 maximum possible pain). Pain will be evaluated in supine position, after cough and after change of position from supine to standing.

9. Pain Intensity. [12 hours after the end of surgery.]

Numerical Rating Scale (0 no pain, 10 maximum possible pain). Pain will be evaluated in supine position, after cough and after change of position from supine to standing.

10. Pain Intensity. [24 hours after the end of surgery.]

Numerical Rating Scale (0 no pain, 10 maximum possible pain). Pain will be evaluated in supine position, after cough and after change of position from supine to standing.

二次的な結果の測定

1. Explicit memory. [24 hours after emergence from general anesthesia.]

The patient will be asked to answer the modified Brice questionnaire in order to investigate for explicit memory of the intraoperative message or other events.

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