postoperative epidural analgesia MedDRA version: 9.1 Level: LLT Classification code 10054891 Term: Epidural analgesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - aged 18 - 75 years - ASA class I to III, - lung resection (posterior-lateral or axillary thoracotomy) Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - previous thoracic surgical procedure, - contraindication to epidural analgesia - chronic pain, - contraindication to the administration of ketamine: hypersensitivity to ketamine or any of the excipients, uncontrolled hypertension, stroke, heart failure, hepatic porphyria, - contraindication to the administration of sufentanil: hypersensitivity to sufentanil to morphine or any of the excipients, treatment with a morphine agonist-antagonist, - contraindication to the administration of levobupivacaine: hypersensitivity to levobupivacaine or to amide local anesthetics or any of the excipients, hypotension, shock, - poor understanding of french.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Main objective is to compare the side effects and the efficacy of postoperative analgesia between two groups of patients : - one group will receive epidural administration of sufentanil and levobupivacaine and iv saline (as the placebo for iv ketamine) - the other group will receive epidural administration of levobupivacaine associated with intravenous infusion of ketamine and epidural saline (as the placebo for epidural levobupivacaine );Secondary Objective: The secondary objectives relate to post-operative rehabilitation, post-operative complications, quality of life, patient satisfaction, length of hospitalization, occurrence of chronic pain of neuropathic origin;Primary end point(s): - side effects due to epidural analgesia or ketamine infusion - efficacy of both regimens | — |
Countries
France