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| Name | Class |
|---|---|
| Kaohsiung Municipal Hsiaokang Hospital | OTHER_GOV |
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To investigate pre-op peripheral nerve block in reducing peri-op IL-6 level and post-op pain
In orthopedic surgery, peripheral nerve block can be used as an anesthesia adjuvant prior to surgery. In this study, we hypothesized that peripheral nerve blocks may alleviate inflammatory response and reduce the analgesics requirement. Sixty patients undergoing limb orthopedic surgery will be enrolled. Peripheral nerve block was injected with 0.25% bupivacaine under ultrasound guidance. 30 patients (Study group) underwent surgery with nerve blocks and another 30 patients (Control group) underwent surgery with morphine. The anesthetic protocol was standardized for both groups by experienced anesthesiologists. Surgical stress was assessed by blood pressure fluctuation and proinflammatory cytokine. Pain intensity was measured by numeric rating scale (NRS) score for 24 hours
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nerve block(+) | Active Comparator | patient accept nerve block for post-op pain control |
|
| Morphine | Sham Comparator | patient received morphine for post-op pain control |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 0.25% bupivacaine | Procedure | nerve block procedure will be decided by patients' will for post-op pain |
|
| Measure | Description | Time Frame |
|---|---|---|
| peak pain intensity in the postoperative care unit | pain score evaluated by pain score | 2 hours |
| Measure | Description | Time Frame |
|---|---|---|
| change of perioperative IL-6 level | blood samples assessed by ELISA | up to 6 hours |
| Measure | Description | Time Frame |
|---|---|---|
| changes of perioperative hemodynamic parameter | heart rate | up to 3 hours |
| changes of perioperative hemodynamic parameter | blood pressure | up to 3 hours |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| I-Cheng Lu, MD, PHD | Kaohsiung Medical University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| I-Cheng Lu | Kaohsiung City | 807 | Taiwan | |||
| Kaohsiung Municipal Siaogang Hospital |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| D007431 | Intraoperative Complications |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| D009407 | Nerve Block |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| Kaohsiung City |
| 812 |
| Taiwan |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D000588 |
| Amines |
| D000765 | Anesthesia, Conduction |
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
| D003714 | Denervation |
| D019635 | Neurosurgical Procedures |
| D013514 | Surgical Procedures, Operative |