Anesthesiologist-led pain management for anorectal surgery

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This open, prospective, parallel-group, randomized controlled trial aims to evaluate the effectiveness and safety of anesthesiologist-led postoperative analgesia compared to surgeon-led analgesia in patients undergoing complex anorectal surgery under general anesthesia. Patients will be randomly assigned to either the anesthesiologist-led group or the surgeon-led group, both receiving general anesthesia and multi-modal analgesia. The study will assess pain management outcomes, quality of life, and patient satisfaction over a follow-up period after surgery. The goal is to establish a more effective analgesia protocol for managing postoperative pain in this patient population.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. American Society of Anesthesia (ASA) grading I-III
2. ≥18 years old
3. 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

Exclusion Criteria:

1. Informed consent not obtained
2. Allergic to general anesthetics, hydromorphone, non-steroidal anti-inflammatory drugs and other related ingredients
3. Opioid abuse or pathological pain that requires long-term analgesic treatment
4. History of severe asthma attack and acute phase of asthma
5. Moderate or above ventilatory function or diffusion dysfunction
6. Liver dysfunction reached Child B grade; Renal insufficiency reached chronic kidney disease (CKD) stage IV
7. Gastric retention and paralytic ileus
8. Pregnant and lactating patients

Where it's running

• China-Japan Friendship Hospital
  Beijing, Beijing Municipality, China Recruiting
• Department of Anesthesiology
  Beijing, Beijing Municipality, China Recruiting

Study contacts

• Study coordinator: Li Fang WANG, Doctor
• Email: lilythewolf@sina.com
• Phone: +8615011393879

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.