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Analgesic efficacy of combined celiac and splanchnic nerve blocks in upper gastrointestinal tumours; A preliminary study

Phase 4
Completed
Conditions
Patients suffer from visceral pain originating from in-operable abdominal cancer which originated from the upper abdominal viscera
Cancer - Pancreatic
Cancer - Biliary tree (gall bladder and bile duct)
Anaesthesiology - Pain management
Registration Number
ACTRN12614000410651
Lead Sponsor
Mohamed Y. Makharita
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
60
Inclusion Criteria

Patients suffer from visceral pain originating from in-operable abdominal cancer (originated from the upper abdominal viscera, from the stomach to the proximal transverse colon) reporting VAS equal to or greater than 7 after failure of strong opioids analgesics (3rd step of WHO analgesic ladder

Exclusion Criteria

Patients have INR >1.5 or platelet count <50,000,infection at the site of needle entry, persistent hypotension, ascites or whom receive previous neurolytic block or have psychiatric illness or whom declines to participate will be excluded from the study.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Pain intensity was evaluated by visual analogue scale 0 – 10 (where 0 means no pain and 10 means the worst possible pain). <br>[At first visit (pre-enrollment), then every 2 weeks for one month and then monthly till patients' death.];Consumption of analgesics will be assessed by revision of participant medical records.[At first visit (pre-enrollment), then every 2 weeks for one month and then monthly till patients' death]
Secondary Outcome Measures
NameTimeMethod
Patient satisfaction will be assessed by using quality of life Questionnaire (QLQ- C30), [At first visit (pre-enrollment), then every 2 weeks for one month and then monthly till patients' death];Opioids side effects, including loss of appetite, nausea or vomiting, insomnia, constipation, urinary retention, pruritis will be evaluated. A score of 0–3 for each symptom (0, no symptom; 1, mild whereas no treatment was required; 2, moderate; 3, severe and intolerable) will be determined by each patient. [At first visit (pre-enrollment), then every 2 weeks for one month and then monthly till patients' death]
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