A study to find out if giving pain medication through small tubes placed under lower belly muscle is as good as giving pain medicine through tube placed in the lower back after belly operation .

Not yet recruiting

Conditions: All ASA 1 and 2 patients of age 18-70 years posted for lower abdominal surgeries with incision at or below the level of umbilicus

Registration Number: CTRI/2017/05/008654

Lead Sponsor: Jawaharlal Institute of Postgraduate Medical Education and Research

Brief Summary: Neuraxial blockade is associated with higher degree of complications. If same analgesic efficacy can be achieved with TAP block catheters, then with enough evidence it can be included in a post operative pain management protocol. Also single shot local anaesthetic post operatively have shown to act for 6-8 hours.Using a continuous infusion would be more rational for prolonged post operative analgesia.We are expecting that TAP infusion has comparable analgesic efficacy to continuous epidural infusion. Thus in the future TAP catheter infusions can be included in multi model post operative analgesia in place of epidural once enough evidence is available. Our research hypothesis is continuous bilateral Transversus Abdominis Plane (TAP) catheter infusion is as efficacious as continuous lumbar epidural infusion in post operative pain management.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 70

Inclusion Criteria

ASA 1 and 2 patients posted for lower abdominal surgeries with incision at and below the level of umbilicus.

Exclusion Criteria

Contraindications to regional anaesthesia (coagulopathy and patient refusal), Renal or hepatic derangement, Known hypersensitivity to drugs used, Pregnancy, Abdominal wall abscess,Obese patients (BMI > 35).

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Visual analogue score at rest and on coughing	1,4,8,12 and 24 hrs after surgery

Secondary Outcome Measures

Name	Time	Method
Incidence of hypotension taken as systolic fall in BP of more than 20% of baseline value	During the period of 24 hrs after surgery
Rescue morphine dose requirement	During the period of 24 hrs after surgery
Sensory dermatome block by pin prick and cold perception	1,4,8,12,24 hours
Post operative nausea and vomiting	During 24 hrs after surgery
Patients satisfaction scale using Likerts scale	At the end of 24 hrs

Trial Locations

Locations (1): JIPMER hospital
🇮🇳
Pondicherry, PONDICHERRY, India
JIPMER hospital
🇮🇳Pondicherry, PONDICHERRY, India
Dr Srinivasan Swaminathan
Principal investigator
9626493045
srinidnb@gmail.com