A randomised controlled trial of thoracic epidural analgesia versus rectus sheath catheters for open midline incisions in major abdominal surgery within an Enhanced Recovery Program

East Lancashire Hospitals NHS Trust (UK)0 个研究点目标入组 132 人开始时间: 2014年1月16日最近更新: 2018年10月22日

试验速览

•1. Patients over 18 years of age
•2. Planned elective major abdominal surgery including major colorectal resections, upper GI surgery (e.g. pancreaticoduodectomy) and major urological surgery (e.g. radical cystectomy)
•3. Planned open midline surgical incision
•4. Included in the ERP
•5. Willing and able to give consent
•6. American Society of Anesthesiologists (ASA) score 13

•1. Contraindication to epidural analgesia (e.g. coagulopathy, local infection, systemic sepsis, severe aortic stenosis)
•2. Consent refused for either thoracic epidural analgesia (TEA) or Rectus Sheath Catheters (RSCs)
•3. Non-English speaker
•4. Ano-rectal excision (e.g. pan-proctocolectomy or AP resection)
•5. Planned transverse or oblique incisional approach
•6. Allergy to local anaesthetic drugs or opiates
•7. Opiate tolerance
•8. Pre-existing chronic abdominal pain
•9. Extensive existing midline abdominal scarring

发起方

East Lancashire Hospitals NHS Trust (UK)