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Postoperative analgesia of continuous wound catheters and ultrasound guided rectus sheath catheters for colorectal surgery.

Phase 4
Completed
Conditions
Post-operative pain following elective open colorectal surgery
Anaesthesiology - Pain management
Oral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
Surgery - Other surgery
Registration Number
ACTRN12615000636550
Lead Sponsor
Hoda Alsaid Ahmed Ezz
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
60
Inclusion Criteria

Adult patients of both sexes aged (40-65) years, (ASA) physical state class I and II scheduled for elective open colo-rectal surgery via midline exploratory abdominal incision in the general surgical department, Tanta University Hospital.

Exclusion Criteria

Patients were excluded from the study if they were presented with coagulopathies and impaired platelet functions, cardiovascular instability, cerebral strokes, renal disease or liver disease. Patients with local infection at the site of the block or with history of allergy to local anesthetics were, also excluded from the study.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Visual Analogue Pain Scale (VAS) score (0-10) at rest and with activity (movement in bed) [at 0, 6, 12, 24, 36 and 48 hours postoperatively.];I.V morphine consumption .[If pain score was greater than or equal to 4 the patient received 0.05 mg morphine per kg per dose repeated ( if needed) every 10 minutes up to 0.3 mg kg (maximum dose) for 48 hours post-operative. The time and number of doses and the number of patients in each group were recorded.];Patient satisfaction on a four-point verbal rating scale (1 = extremely unsatisfied, 2 = unsatisfied, 3 = satisfied, and 4 = extremely satisfied).[at 24 hours]
Secondary Outcome Measures
NameTimeMethod
Mean arterial blood pressure measured non-invasively. [at 0, 6, 12, 24, 36 and 48 hours postoperatively.]; Heart rate through ECG[at 0, 6, 12, 24, 36 and 48 hours postoperatively.];Any undesirable postoperative side effect or complications e.g post-operative ileus, catheter related infection, local anesthetic toxicity .....etc were recorded.[from the time of insertion of the catheters till 48 hours postoperatively]
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