Epidural vs. Wound Catheter Following Liver Resection
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- The length of hospital stay following open liver resection
研究概览
简要总结
Good postoperative pain control after any major surgery allows early mobilization, minimises postoperative complications and reduces patient distress. Multiple different methods of delivering analgesia have been described.
This study aims to compare postoperative pain control between patients with epidural analgesia versus the combination of continuous infiltration of local anaesthetic with wound catheters, TAP block and IV PCA with opiate analgesia following open liver resection. The investigators expect that pain control will be similar between the two groups but that the utilization of wound catheters will confer benefit due to the lack of systemic side effects associated with epidural analgesia
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Other
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All adult patients scheduled to undergo an open liver resection at this hospital will be eligible to participate.
排除标准
- •Patients with a contraindication to either epidural or wound catheter
- •Inability to give written, informed consent
- •Aged less than 18 years old
- •Liver resection combined with a secondary surgical procedure
- •Body mass index of <18 or >40
- •Pregnancy or lactation
- •A history of chronic pain requiring regular opioid analgesia
- •Prisoners
研究组 & 干预措施
Standard treatment
Intervention arm
干预措施: This arm will received perioperative transversus abdominis plane (TAP) block followed by continuous infusion of local anaestheic by wound catheters and an IV morphine PCA. (Procedure)
结局指标
主要结局
The length of hospital stay following open liver resection
时间窗: 6 months (or length of the study)
次要结局
未报告次要终点