Patient Re-education vs. Background Morphine to IV-PCA in Patient With Unsatisfactory Analgesia Post Laparotomy

• Status: Unknown status
• Trial end date: 1969-12-31
• Target enrollment: 0
• Participant gender: All

Summary

The purpose of this study is to improve IV-Patient Controlled Analgesia (IV-PCA) technique for postoperative analgesia. Investigators are comparing between patient re-education and the background morphine infusion among patients who fail to achieve satisfactory analgesia using IV-PCA Morphine after laparotomy.

• Phase: Phase 4
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Clinical Research Centre, Malaysia
• Treatments: Morphine

Criteria

Inclusion Criteria:

• American Society of Anesthesiologists (ASA)Physical Status Classification Class I and II

• Elective laparotomy

• able to understand either malaysia, mandarin, english language or local dialect

• patient with dynamic pain score 4/10 and more within the first 4-hour after initiation of IV-PCA

Exclusion Criteria:

• patient refusal

• laparotomy with pfannenstiel incision

• patients with a history of allergy to opioids

• patients who required post-operative ventilation support

• patients ASA III and above

• patients unable to use PCA due to insufficient comprehension

• morbid obesity/ obstructive sleep apnea

• chronic opioid or alcohol abuse