C15
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. = 18 years pf age 2. ability to give written consent 3. elective RAMIE as a treatment for esophageal cancer 4. written informed consent 5. no simultaneous participation in another study which influences outcome parameters
Exclusion criteria
Exclusion criteria: 1. age =18 years 2. chronic pain syndrome 3. preoperative use of opioids 4. polyneuropathy 5. psychological disorders e.g. depression 6. ASA status =4 7. simultaneous participation in another study which influences outcome parameters 8. inability to give written consent 9. pregnancy 10. emergency patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| comparison of postoperative quality of analgesia between intercostal catheter and thoracic epidural analgesia after RAMIE evaluating 1. numeric rating scale (NRS) at rest, arm movement, mobilization to bed side and during deep inspiration/coughing 2. total dosage of analgesic medication 3. total dosage of co-analgesic medication 4. total duration of postoperative pain therapy | — |
Secondary
| Measure | Time frame |
|---|---|
| comparison in aspect to: 1. time to first mobilization 2. duration of hospital stay and days spent on intensive care unit (ICU) common side effects: 1. sedation via Richmond Agitatation and Sedation Score (RASS) 2. nausea (NRS) 3.Vomiting (NRS) 4. lung capacity pre-and postoprative measurement of forced one second capacity (FEV1) postoperative complications: 1. readmission on ICU, 2. Pulmonary complications (Re-intubation, pathogen in sputum, pneumonia), 3. sepsis, 4. insufficiency of anastomosis | — |
Countries
Germany
Contacts
Universitätsmedizin MainzKlinisches Studienzentrum Anästhesiologie