Post-Operative Pain Control Using Direct Continuous Bupivacaine Infusion After Pelvic Organ Prolapse Repair
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Post-Operative Pain
- Sponsor
- St. Luke's Hospital, Kansas City, Missouri
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- The primary outcome was a difference in the Wisconsin Brief Pain Inventory and Visual Acuity Score after treatment with the direct continuous analgesia device compared to PCA alone.
- Last Updated
- 17 years ago
Overview
Brief Summary
This prospective randomized controlled study will determine the efficacy of continuous local anesthesia at decreasing pain scores compared to patient controlled analgesia for pelvic organ prolapse procedures including posterior colporrhaphy and sacrospinous ligament fixation.
Detailed Description
Direct post-operative analgesia can be administered via a direct continuous analgesia pumps providing local anesthetic into a dissected area. To date, no studies have been conducted to evaluate pain control or infection with vaginal placement of catheters for pelvic organ prolapse surgery. To help pelvic surgeons assess the relative benefit of continuous local infusion of topical anesthetic following sacrospinous ligament fixation versus PCA pump, we compared pain scores, narcotic, anti-pruritic and anti-emetic drug usage, and wound complications.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Female patients greater than 18 years of age
- •Undergoing posterior colporrhaphy at Saint Lukes Hospital, Kansas City, MO.
Exclusion Criteria
- •Patients with chronic pain conditions requiring daily narcotics were excluded
Outcomes
Primary Outcomes
The primary outcome was a difference in the Wisconsin Brief Pain Inventory and Visual Acuity Score after treatment with the direct continuous analgesia device compared to PCA alone.
Time Frame: Each day post-operatively
Secondary Outcomes
- Secondary outcome was differences in the amount of narcotics, NSAIDS, antiemetics, time to return of bladder function, and complications between the study groups.(Each day post-operatively)