Upper Abdominal Surgery Surgery
Conditions
Interventions
Please note that as of 05/07/10 this trial has been completed. The original anticipated end date was 30/12/10.
1. Ultrasound guided insertion of oblique subcostal transversus abdominis plane (TAP) ca
Sponsors
University Hospitals of Leicester NHS Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All patients aged over 18 years who are scheduled for elective upper abdominal surgery involving incisions with the lower end of the incision at or above thoracic T 10 dermatome 1. Bisubcostal incision 2. Unisubcostal incision 3. Upper midline incision 4. Nephrectomy incision
Exclusion criteria
Exclusion criteria: 1. Lack of consent including from those patients who lack mental capacity to give informed consent 2. Patients with history of drug allergy to bupivacaine 3. Patients with history of chronic pain conditions: defined as patients with history of pain for above 3 months and who consume regular analgesics for their chronic pain 4. American Society of Anesthesiologists (ASA) Class 4 and 5 5. Upper abdominal surgery where the lower end of the incision extends below T 10 dermatome
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Visual Analogue Scale (VAS) scores at rest and on coughing before surgery and at the 9 time periods after surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Post operative categorical nausea scores before surgery and at the 9 time periods after surgery (none = 0; mild = 1; moderate = 2; severe = 3). 2. Patient satisfaction with postoperative analgesia at 24 h, 48 h and 72 h 3. Any complications with either epidural catheters or TAP catheters during first 72 hours after surgery | — |
Countries
United Kingdom
Outcome results
None listed