Health Condition 1: null- suffering from acute pancreatitis predicted to be severe in form
Conditions
Interventions
Intervention1: Thoracic epidural: Standard recommended treatment of pancreatitis while using thoracic epidural block for providing analgesia.
The technique for providing segmental thoracic epidural b
while using parenteral opiod and paracetamol for providing analgesia.
Sponsors
University College of Medical Sciences and GTB Hospital
Eligibility
Inclusion criteria
Inclusion criteria: Patients once diagnosed as acute pancreatitis by the surgeon will be enrolled in the study. Those with features predicting severe acute pancreatitis will be included in the study. The predictors for severe attack will include presence of SIRS on admission or 48 hours later; or presence of obesity; or clinical suspicion of severity; or Glasgow (Imrie) score or Ransonâ??s score of 3 or more, or Acute Physiology And Chronic Health Evaluation (APACHE) II score greater than 8 within 48 hours after admission. All of these indicators have been previously established and are recommended to predict a severe attack.
Exclusion criteria
Exclusion criteria: Failure of epidural block or any contraindication to performance of epidural block.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Aggregate SOFA: calculated by summing the worst scores for each of the organ system during ICU stay.Timepoint: Aggregate SOFA: calculated by summing the worst scores for each of the organ system during ICU stay. | — |
Secondary
| Measure | Time frame |
|---|---|
| duration of hospitalization, duration of ICU stay, need of mechanical ventilation and occurrence of in-hospital mortality, if any, will also be recorded.Timepoint: from admission to discharge from hospital as well as ICU. | — |
Countries
India
Contacts
Public ContactYash Raj Gupta
University College of Medical Sciences and GTB Hospital
Outcome results
None listed