Continuous Wound Infiltration With Local Anaesthetic vs. Epidurals in an Enhanced Recovery Protocol: A Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Length of hospital stay
研究概览
简要总结
The purpose of this study is to find out whether the use of Painbuster® (a local anaesthetic wound catheter) can be used instead of epidurals for patients having bowel surgery in an enhanced recovery programme. The investigators want to find out whether or not using this device means people need to stay in hospital for less time after surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients who are undergoing either laparoscopic or open colorectal resection will be considered eligible for the study.
排除标准
- •Patients under 18 years of age
- •Pregnant females
- •Patients undergoing an abdominoperineal resection
- •Patients unable to understand English
研究组 & 干预措施
Epidural
Subjects will have an epidural catheter placed to provide postoperative pain relief. This is standard care for those undergoing an enhanced recovery program.
干预措施: Epidural (Other)
Painbuster
Subjects will have a local anaesthetic wound catheter inserted into the wound at time of surgery rather than an epidural for the provision of postoperative pain relief.
干预措施: Local anaesthetic wound catheter (Other)
结局指标
主要结局
Length of hospital stay
时间窗: determined on discharge from hospital
Length of stay will be measured in days for each group.This will be determined by a set of predefined discharge criteria.
次要结局
- Postoperative complications(Whilst an inpatient)
- Episodes of hypotension in the postoperative period(whilst an inpatient)
- Postoperative pain(as an inpatient)
- Amount of postoperative IV fluid administered(as an inpatient)
- Body composition(Tests will be performed daily until the epidural or Painbuster® has been removed.)
- Postoperative analgesic requirement(As an inpatient)
- Postoperative stress response(As an inpatient)
- Anaesthetic time required(On the day of operation)
- Postoperative mobility(as an inpatient)
- Day of return of gut function(As an inpatient)