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Oxycodone showed similar or superior analgesic effects than fentanyl and was proposed as an alternative for fentanyl for pain control in the postoperative period. However, it was mainly directed to control visceral pain, due to the mediation of analgesic effects by the kappa receptors. However, few studies compared the oxycodone to fentanyl for postoperative pain relief in patients undergoing total hip arthroplasty (replacement). Therefore, we established this randomized study to compare the efficacy of oxycodone and fentanyl for relief of postoperative pain after total hip arthroplasty (replacement).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group fentanyl | Active Comparator | Patients will receive 50 ug of fentanyl 20 min before the end of surgery. |
|
| Group oxycodone | Active Comparator | Patients will receive 4 mg of oxycodone 20 min before the end of surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| propofol, rocuronium and fentanyl | Drug | In fentanyl group (36 patients), 50 ug of fentanyl, and in oxycodone group, 4 mg of oxycodone will be administered 20 minutes before the end of the surgery, in triple blind manner. |
| Measure | Description | Time Frame |
|---|---|---|
| Improving A post-anesthesia care unit (PACU) pain score. | The visual analogue scale (VAS) will be used for assessment of postoperative pain severity (0 for no pain and 10 for the most severe pain). | 48 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Hemodynamics | Mean arterial blood pressure and heart rate will be recorded at baseline and every 5 min till the end of procedure. | 48 hours |
| Postoperative side effects | Any side effects will be documented. Postoperative nausea and vomiting (if occurred) will be treated by intravenous administration of metoclopramide (10mg). |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Facualty of Medicine (Damietta), Al Azhar University | Damietta | 34711 | Egypt |
Data can be shared with a reasonable request with corresponding author.
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| ID | Term |
|---|---|
| D015742 | Propofol |
| D000077123 | Rocuronium |
| D005283 | Fentanyl |
| ID | Term |
|---|---|
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
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| 48 hours |
| Postoperative consumption of opioid | The overall dose of fentanyl administrated in the first 48 postoperative hours will be documented at 6, 12, 24 and 48 hours. | 48 hours postoperatively |
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |
| D000732 | Androstanols |
| D000731 | Androstanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |