Outcomes for Anesthesiologist-Led Care of Analgesic Protocol in Anorectal Surgery

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Procedure, Drug
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

This will be an open, prospective, parallel-group, randomized controlled trial. Patients scheduled for complex anorectal surgery under general anesthesia will be enrolled, and the perioperative analgesia mode led by anesthesiologists will be established. Compared with the perioperative analgesia mode led by surgeons, the efficacy and safety of analgesia, quality of life and satisfaction of patients will be evaluated. This study is aimed at the feasibility and efficiacy of anesthesiologist-led treatment mode in the management of moderate and severe pain in patients after complex anorectal surgery.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 85
Healthy Volunteers: f
View:

• American Society of Anesthesia (ASA) grading I-III

• ≥18 years old

• Patients scheduled for complex anorectal surgery under general anesthesia, e.g., mixed hemorrhoidectomy/sclerosing agent injection/ligation, radical anal fistula resection, peri-anal abscess incision and drainage

Locations
Other Locations
China
China-Japan Friendship Hospital
RECRUITING
Beijing
Department of Anesthesiology
RECRUITING
Beijing
Contact Information
Primary
Li Fang WANG, Doctor
lilythewolf@sina.com
+8615011393879
Backup
Meng Tao ZHENG, Doctor
dragon0303@sina.com
+8613811000378
Time Frame
Start Date: 2024-09-10
Estimated Completion Date: 2025-10-10
Participants
Target number of participants: 216
Treatments
Experimental: Anes Group
In Anes Group, the anesthesiologist routinely works in the operating room, and will communicate with anorectal physicians through bedside visits, video telephone calls, and a hospital-wide electronic medical record system in the operating room. Anesthesiologists will evaluate the patient's pain degree and symptoms perioperatively at bedside, and will administer opioids or non-opioids at the optimal interval and standard dose until discharge. The anesthesiologist and the surgeon will jointly formulate the discharge medication plan and give the patient guidance on analgesic treatment.
Active_comparator: Surg. group
According to the current perioperative management mode, patients in the surgeon-led group (Surg. group) will be given local anesthesia during the operation, and will receive routine ambulatory surgery anesthesia plan, and routine postoperative analgesia plan in the ward will be given to the patients, under the guidance of the department of pharmacy. The patients will receive rescue opioids and standardized NSAIDs until discharge.
Related Therapeutic Areas
Sponsors
Leads: China-Japan Friendship Hospital

This content was sourced from clinicaltrials.gov