Comparison of the Incidence of Inadequate Epidural Analgesia Between Protocol Based and Current Practice
Overview
- Phase
- Not Applicable
- Intervention
- Current practice
- Conditions
- Epidural Analgesia
- Sponsor
- Mahidol University
- Enrollment
- 29
- Locations
- 1
- Primary Endpoint
- Overall incidence of inadequate epidural analgesia
- Status
- Terminated
- Last Updated
- 3 years ago
Overview
Brief Summary
Epidural analgesia is the recommended analgesic technique in patients having surgery with severe postoperative pain such as thoracic and upper abdominal surgery. However, from the previous study, the incidence of inadequate pain control in patients receiving epidural analgesia is very high 48.6% in our hospital.
Detailed Description
A high incidence of inadequate epidural analgesia may result from variety of epidural techniques and epidural drug administrations. The protocol based practice has been developed from acute pain service which founded for more than 10 years. By using protocol based practice, the investigators believed that the incidence of inadequate epidural analgesia will be less compared with the current practice.
Investigators
Eligibility Criteria
Inclusion Criteria
- •All patients age ≥ 18 years old undergo surgery with epidural catheter insertion at Siriraj hospital.
Exclusion Criteria
- •Coagulopathy
- •Allergy to study drugs: local anesthetics and opioids
- •History of chronic pain
Arms & Interventions
Current practice
Epidural insertion and epidural drug administration depend on anesthetist in charge
Intervention: Current practice
Protocol based
Epidural insertion and epidural drug administration depend on anesthetist in research team using protocol based
Intervention: Protocol based
Outcomes
Primary Outcomes
Overall incidence of inadequate epidural analgesia
Time Frame: 72 hours
To compare the overall incidence of inadequate epidural analgesia until considered removal between protocol-based and current practice by using the definition of inadequate analgesia as pain score of 4 or more out of 10 on numeric rating scale (0; no pain, 10; worst imaginable pain) at rest.
Secondary Outcomes
- Side effects(72 hours)