Comparing fixed-rate versus time-programmed decreasing IV PCA after surgery
Official title: Prospective Randomized Controlled Study of Individualized PCA Model Based on Multi-dimensional Strategies (Fixed-rate Basal Infusion Mode and Time-programmed Decremental Background Infusion Mode)
Run by Beijing Tiantan Hospital · NCT07375121 · Data updated 2026-11-12
This trial will try two different IV patient-controlled analgesia infusion methods to see which reduces opioid use and improves pain control for adults after elective mixed surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 450 (estimated) |
| Sponsor | Beijing Tiantan Hospital Academic / other |
| Locations | 1 site (Beijing) |
| Status | Recruiting |
| Started | December 30, 2025 |
| Main results expected | October 30, 2026 |
| Study ends | December 30, 2026 |
| Registry record updated | April 6, 2026 |
| Trial ID | NCT07375121 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–65 with ASA physical status I–III who are scheduled for elective mixed surgeries (for example thoracoscopic, laparoscopic, hysteroscopic, laparotomy, thoracotomy, open spinal surgery, or craniotomy) are ideal candidates.
✕Probably not a fit
Patients with chronic pain syndromes, psychiatric disorders, severe cardiac/cerebrovascular disease, significant renal or hepatic dysfunction, or allergies to PCA medications are unlikely to benefit or be eligible for this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults having elective mixed surgery will receive intravenous patient-controlled analgesia programmed either as a fixed-rate basal infusion or as a time-programmed decremental background infusion. The study will compare total opioid consumption, postoperative pain scores, and the incidence of opioid-related adverse events between the two infusion modes. Patients aged 18–65 with ASA physical status I–III who meet eligibility criteria will be enrolled at Beijing Tiantan Hospital and assigned to one of the two PCA strategies. Results are intended to support more individualized and time-adaptive postoperative pain management.
Why it matters
Potential benefit: If successful, the optimized PCA mode could lower opioid doses, improve postoperative pain relief, and reduce opioid-related side effects.
How similar studies have gone: Related PCA optimization approaches have been tested in smaller studies with some promise in reducing opioid use and side effects, but evidence is mixed and not yet widely adopted.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * aged between 18 to 65 years; * American Society of Anesthesiologists physical status Ⅰ - Ⅲ; * Patients scheduled for elective mixed surgery were enrolled. Mixed surgeries included thoracoscopic surgery, laparoscopic surgery, hysteroscopy surgery, laparotomy, thoracotomy, open spinal surgery, craniotomy, and so on. Exclusion Criteria: * Chronic pain syndromes; * Psychiatric disorders; * Severe cardiovascular or cerebrovascular disease, renal or hepatic functional dysfunction, or allergic to PCA medications.
Where it's running
-
Beijing Tiantan Hospital, Beijing, Beijing 100070
Beijing, China Recruiting
Study contacts
- Study coordinator: Fang Luo
- Email: 13611326978@163.com
- Phone: 59976661
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Comparing adjustable feedback IV patient-controlled pain pumps with fixed-rate pumps after surgery.
This study will test whether an adjustable feedback IV patient-controlled pain pump can reduce opioid use and improve pain control compared with a fixed-rate pump for adults having elective surgeries.
-
Opioid-sparing pain plan after anterior total hip replacement
This study will test whether a reduced-opioid pain plan after anterior total hip replacement lowers opioid use while keeping pain well controlled for adults with osteoarthritis.
-
Dexmedetomidine as add-on for refractory cancer pain in palliative care
This study tests whether adding dexmedetomidine helps improve pain control for adults with cancer in palliative care whose pain remains high despite opioids.
-
Two Ways to Help Pain After Breast Surgery: Education-Based Analgesia vs Standard Care
This trial tests whether teaching patients about pain management and using a multimodal pain plan improves pain control and recovery after breast surgery compared with standard care.
-
Virtual Reality Therapy to Improve Arthroplasty Outcomes
This pilot test checks whether using virtual reality during the perioperative period helps knee or hip replacement patients feel better about their care and recover more easily.
-
Suzetrigine for pain relief after knee replacement
This trial tests whether suzetrigine can reduce opioid use after a total knee replacement compared with placebo.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.