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Is there any difference in the intensity of postoperative pain, nausea, urinary retention and legth of hospital stay in patients undergoing robotic assisted laparoscopic surgery if they receive intrathecal morphine or peroral and intravenous opiates during the surgery and is there a significant difference in the need of opiates after the surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| intrathecal morphine | Active Comparator | Spinal injection of 15mg Bupivakain and 0,25mg morphine before surgery. |
|
| opiate po/iv | Active Comparator | Patient given 10mg Oxycodone orally before surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Robotic-assisted hysterectomy | Procedure | Robotic-assisted surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| Postop morphine consumption | Amount of opiates given postop | First 48 hours after surgery |
| Postop grade of nausea & vomiting | Amount of antemetics given | First 24 hours after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital length of stay. | Time from surgery (day 0) until Fit For Discharge FFD, defined as: 1) is taking oral pain medication only; 2) is able to walk around independently; 3) is tolerating full oral diet and have bowel movements; 4) is hemodynamically an respiratory stable; 5) has no drains or urinary catheter. | Up to 7 days |
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Inclusion Criteria:
* Patients accepted for robotic-assisted laparoscopic surgery
Exclusion Criteria:
Hysterectomy
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| Name | Affiliation | Role |
|---|---|---|
| Ragnar N Henningsson, Associate Professor | Dpt of Anesthesiology & Intensive Care | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anesthesia & Intensive Care | Karlstad | Värmland County | 65181 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37073442 | Derived | Engstrom AJE, Ivarsson CA, Aldergard A, Henningsson RN. Analgesic effects of intrathecal morphine and bupivacaine during robotic-assisted surgery: A prospective randomized controlled study. Pain Pract. 2023 Jul;23(6):631-638. doi: 10.1111/papr.13233. Epub 2023 Apr 18. |
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| ID | Term |
|---|---|
| D009293 | Opioid-Related Disorders |
| ID | Term |
|---|---|
| D000079524 | Narcotic-Related Disorders |
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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| Patient overall satisfaction score. |
1-10, where 1 is unsatisfied and 10 is very satisfied. |
| Up to 7 days. |