Remote Ischemic PreConditioning Effect on Postsurgical Pain



Status:Completed
Conditions:Chronic Pain
Therapuetic Areas:Musculoskeletal
Healthy:No
Age Range:30 - 80
Updated:9/7/2018
Start Date:June 2011
End Date:April 30, 2017

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Remote Ischemic Preconditioning (RIPC) and Its Effect on the Postoperative Pain Experience Following Intra-abdominal Surgery

Remote Ischemic PreConditioning (RIPC) will improve the postoperative pain experience in
patients undergoing abdominal surgery. Although abdominal surgery can be a lifesaving
procedure many people have a significant amount of postsurgical pain. Severe postsurgical
pain may lead to chronic pain in some people. "Remote Ischemic Preconditioning" may reduce
the amount of postsurgical pain. Remote ischemic preconditioning is done by inflating a
balloon (very similar to a blood pressure cuff) on the leg until it blocks blood flow for a
few minutes. The cuff is then deflated and blood flow resumes. The process is repeated up to
three times. This procedure causes the body to increase its natural pain relief system that
may help to decrease the amount of postsurgical pain.


Inclusion Criteria:

1. Ages 30-80

2. Undergoing elective open intra-peritoneal surgery

3. Able to provide written informed consent to participate

4. Laparoscopic abdominal surgery

Exclusion Criteria:

1. Ongoing Workman's Compensation claim

2. >50mg/day of oral morphine or morphine equivalent

3. Currently being treated for lower extremity DVT

4. Known intracranial hypertension (not excluding patients with a functioning VP shunt)

5. Known Hypercoagulable state (e.g. factor V Leiden, protein s or c deficiency)

6. Ongoing localized thigh pain

7. Planned epidural analgesia

8. Pregnancy

9. Any DSM IV-R Axis I psychotic disorders

10. Unable to understand English

11. Unable to understand the consent form
We found this trial at
1
site
1 Medical Center Blvd
Winston-Salem, North Carolina 27103
(336) 716-2011
Wake Forest University Baptist Medical Center Welcome to Wake Forest Baptist Medical Center, a fully...
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Winston-Salem, NC
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