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The purpose of this study is to test whether a dose of paracetamol given before surgical incision is more effective at reducing postoperative pain and analgesic consumption in cervical spine surgery versus a dose given at the end of surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Preemptive paracetamol | Experimental | 1000mg intravenous paracetamol given ≥15 minutes before surgical incision and intravenous saline 15 minutes before the end of surgery |
|
| Postincision paracetamol | Active Comparator | Intravenous saline ≥15 minutes before surgical incision and 1000mg intravenous paracetamol given 15 minutes before the end of surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intravenous paracetamol | Drug | 1000mg intravenous solution for infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Morphine consumption | Measured from PCA machine | 24 hours postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Time to first analgesic request | In minutes | 24 hours |
| Nausea and vomiting | Incidence of nausea or vomiting 24 hours postoperatively |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| John Williams, PhD | Contact | 01332 724641 | john.williams7@nottingham.ac.uk |
| Name | Affiliation | Role |
|---|---|---|
| John Williams | University of Nottiongham | Principal Investigator |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D000072836 | Surgical Wound |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014947 | Wounds and Injuries |
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| Intravenous saline 0.9% | Drug | 0.9% sodium chloride in order to ensure double-blinding |
|
| 24 hours |
| Pruritus | Incidence of pruritus 24 hours postoperatively | 24 hours |
| Sedation | Incidence of sedation 24 hours postoperatively | 24 hours |
| Urinary retention | Incidence of urinary retention 24 hours postoperatively | 24 hours |
| Allergic reaction | Incidence of allergic reaction (defined as diagnosed by clinician 24 hours postoperatively) | 24 hours |
| Pain score | Numeric rating scale (NRS) | 1 hour |
| Pain score | Numeric rating scale (NRS) | 2 hours |
| Pain score | Numeric rating scale (NRS) | 6 hours |
| Pain score | Numeric rating scale (NRS) | 12 hours |
| Pain score | Numeric rating scale (NRS) | 24 hours |