Health Condition 1: C23- Malignant neoplasm of gallbladder Health Condition 2: C158- Malignant neoplasm of overlappingsites of esophagus Health Condition 3: C258- Malignant neoplasm of overlappingsites of pancreas Health Condition 4: C168- Malignant neoplasm of overlappingsites of stomach Health Condition 5: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients above the age of 18 who will undergo thoracic surgeries and upper abdominal surgeries NEIGRIHMS in the Department of Surgical Oncology. Thoracic surgery will include VATS esophagectomy and upper abdominal surgery will include all patients who have abdominal incision at and above the umbilicus eg gastrectomy, radical cholecystectomy or Whipple procedure.
Exclusion criteria
Exclusion criteria: 1. ASA 4 or above 2. Patient not consented 3. Contraindication to epidural catheter insertion (e.g., coagulopathy) 4. Inability to insert epidural catheter pre induction for any reason. 5. Pure laparoscopic abdominal surgeries
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.To compare pain using visual analogue scale (VAS) in post operative patients on patient controlled epidural analgesia (PCEA)and intravenous patient-controlled analgesia (PCA). 2.To compare the amount of opioids used in PCEA and intravenous analgesia. Timepoint: Upto post operative 72 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare post operative complicationsTimepoint: Upto post operative 72 hours;To compare post operative hemodynamic status, nausea, sedation and respiratory rate.Timepoint: upto post operative 72 hours | — |
Countries
India
Contacts
Northeastern Indira Gandhi Regional Institute of Health and Medical Sciences