Pain management after laparotomy.
Conditions
Interventions
Intervention 1: In group "Catheter between fascia", two infant feeding tubes (6 Fr) - with added holes - are place between rectus muscle and posterior fascia. 20 cc of bupivacain 0.25% are administere
Treatment - Surgery
In group "Catheter between fascia", two infant feeding tubes (6 Fr) - with added holes - are place between rectus muscle and posterior fascia. 20 cc of bupivacain 0.25% are administered via each cathe
In group "Catheter on the fascia", after fascia closure, two infant feeding tubes (6 Fr) - with added holes - are placed over the fascia in subcutaneous space. 20 cc of bupivacain 0.25% are administer
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: Patients undergoing midline laparotomy for elective surgeries and sign informed consent for participating in the study Exclusion Criteria: substance abuse, no appropriate verbal communication, simultaneous other incisions, critically ill or unstable patients, being unconscious or intubated in postoperative period
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total postoperative narcotic consumption. Timepoint: Untill 72 hours based on PCA device. Method of measurement: Patient controlled analgesia device. | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative nausea and vomitting. Timepoint: daily till 48 hours after surgery. Method of measurement: History taking and clinical records.;Postoperative Cardiavascular complications. Timepoint: daily till 48 hours after surgery. Method of measurement: based on medical reocords.;Postoperative pulmonary complications. Timepoint: daily till 48 hours after surgery. Method of measurement: based on medical reocords.;Wound infection. Timepoint: daily till 5 days after surgery. Method of measurement: Physical examination.;Hospital stay. Timepoint: At the time of discharge. Method of measurement: based on medical reocords.;Postoperative pain. Timepoint: 12 hours intervals for 3 days. Method of measurement: Visual analogue scale. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactZhamak Khorgami
Tehran University of Medical Sciences - Shariati Hospital
Outcome results
None listed