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CUHK_CCRB00501
2016-01-29
Prospective
CREC 2015.364-T
Investigator initiated trial
N/A
N/A
Not Applicable
Lydia Lau
Department of Anaesthesia and Intensive Care, Prince of Wales Hospital, Shatin, HK
69018306
lydialnlau@gmail.com
Prince of Wales Hospital, Hospital Authority
Hong Kong
Lydia Lau
Department of Anaesthesia and Intensive Care, Prince of Wales Hospital, Shatin, HK
69018306
lydialnlau@gmail.com
Department of Anaesthesia and Intensive Care, Prince of Wales Hospital
Hong Kong
Efficacy and Safety of Lignopad in Acute Post-operative Pain Management
Efficacy and Safety of Lignopad® (5% lignocaine medicated plaster) in Acute Post-operative Pain Management (A Pilot Study)
Lignopad 急性術後疼痛治療研究
Hong Kong
Yes
2015-12-14
Joint CUHK-NTEC Clinical Research Ethics Committee
CREC 2015.364-T
Acute post-operative pain
Drug
5% lignocaine medicated plaster (lignopad®) is a 10cm x 14cm white hydrogel plaster, each containing 700mg (5% w/w) lignocaine, which diffuses continuously into the applied skin, providing a local analgesic effect, and pain relief was effective and observed 30 minutes after application . It has a low systemic absorption rate and high safety profile.
1 patch (700mg)
1 patch (700mg) over 24 hours
3 days
once a day
Placebo patch of same size made of Omnifix® (commonly used latex-free dressing retention tape) and sterile gauze
1 patch
1 patch over 24 hours
3 days
once a day
Patient 18-60 years old
Planned major abdominal non-malignant gynaecological surgery
Planned open midline surgical incision
Willing and able to give consent
ASA (American Society of Anaesthesiologists) Class 1 to 2
Patient refused either intravenous PCA or lignopad®
Contraindicated to lignopad®: hypersensitivity to local anaesthetics of the amide type; inflamed or injured skin peri-surgical site (e.g. atopic dermatitis, open wounds)
Planned transverse or oblique incisional approach
Allergy or tolerance to opiates
Extensive existing midline abdominal scarring
Unable to communicate in English or Chinese
18
60
Female
Interventional
Randomized
Simple randomization by computer-generated numbers
Placebo
Double-blind
Parallel
4
2016-02-08
30
Recruiting
Difference in mean visual analogue scale (VAS) pain score at rest and on movement at 24 hours after extubation
Visual analogue scale (VAS) pain score
24 hours after extubation
Mean visual analogue scale (VAS) pain scores at rest and on movement at 48 and 72 hours after extubation
Visual analogue scale (VAS) pain score
48 and 72 hours after extubation
Intravenous PCA morphine consumption at 24, 48 and 72 hours after extubation
PCA morphine dose used (mg)
24, 48 and 72 hours after extubation
Pre-operative and post-operative peak flow rate difference comparison at 24, 48 and 72 hours extubation
Peak flow rate (ml)
24, 48 and 72 hours after extubation
Complications arising from lignopad® application
Nominal
24, 48 and 72 hours after extubation
2017-11-06
ChiCTR-IOR-16007868
2016-01-29
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