postoperative pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - 18-75 years of age - BMI = 35 - Patient is able to give informed consent - Patient understands the use of morphine PCIA - Patient is scheduled for elective laparoscopic colorectal surgery - ASA I-III 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 65 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 85
Exclusion criteria
Exclusion criteria: - Refusal to participate in the trial - Inability to operate a PCIA system - Chronic opioid use - Patient has moderate to severe kidney failure (GFR < 44 mL/min) - Patient has acute or chronic liver insufficiency as defined by: ? Bilirubine (µmol/l) = 34 ? Albumine (g/l) = 35 INR<=1.7
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Secondary Objective: not applecable;Main Objective: The goal of this study is to improve pain management, minimize the need for postoperative opioids and to facilitate postoperative recovery after laparoscopic colorectal surgery. Our hypothesis is that a bilateral single shot QLB 3 block with 30mL ropivacaine 0,375% on each side is associated with a reduction in postoperative morphine consumption as compared to normal saline 0,9%. Superiority of the QLB 3 block will be defined as a 30% reduction in the cumulative 24-hour morphine consumption post-surgery.;Primary end point(s): cumulative 24-hour morphine consumption;Timepoint(s) of evaluation of this end point: 24 hours after start PCIA pump | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Pain intensity as assessed with the numerical rating score for pain Extent of motor block extent of sensory block incidence of adverse events during treatment ; Timepoint(s) of evaluation of this end point: NRS Pain: every 15 min after arrival in the PACU until +120 min, 2h, 3h, 4h and 24h postoperative Extent of motor and sensory block 1h, 2h, 3h and 4h after arrival in the PACU Patient satisfaction score 24h post surgery. Incidence of adverse events: continuously until 24h post operative | — |
Countries
Belgium
Contacts
University hospitals Leuven