Signs and Symptoms: Pain Signs and Symptoms Pain
Conditions
Interventions
1. Group A: local infiltration of skin prior to incision with bupivacaine according to weight.
2. Group B: half the bupivacaine by weight infiltrated into the skin prior to incision. As incision deep
Sponsors
Record Provided by the NHSTCT Register - 2007 Update - Department of Health
Eligibility
Inclusion criteria
Inclusion criteria: All open appendectomies undertaken for acute appendicitis at Royal Berkshire Hospital. At time of analysis different sub groups formed according to operative findings: gangrenous / perforated appendix or normal appendix.
Exclusion criteria
Exclusion criteria: 1. Laparoscopic appendectomies. 2. Appendix removed at time of planned laparotomy (i.e. not through small incision). These exclusion criteria exist as we wish to judge the effect of local anaesthetic on post operative pain. Where a different size wound is left (laparoscopic or laparotomy) it would be an unfair comparison. Where the initial operation is appendectomy via a lanz incision but an alternative pathology is found or the wound is extended for a laparotomy then the patient will be included in the study until the time of analysis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Post operative pain in recovery: by questionnaire in recovery 2. Post operative pain on ward at 4 and 8 hours post op: by questionnaire 3. Post operative pain at 24 hours or at discharge, whichever is sooner. 4. Hours from operation to discharge. | — |
Secondary
| Measure | Time frame |
|---|---|
| Not provided at time of registration | — |
Countries
United Kingdom
Outcome results
None listed