Major hepatobiliary and pancreatic surgeries Surgery Hepatobiliary and pancreatic surgeries
Conditions
Interventions
Epidural catheters and surgical wound catheters.
On the day of surgery, the patient will be randomised to either the epidural or wound catheter. The wound catheter will be placed by the attending su
Sponsors
University of British Columbia (Canada)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients will be eligible to be enrolled in the study only after each of the following criteria are met: 1. Aged greater than or equal to 18 years, either sex 2. Cheyne abdominal incision used 3. Pre-operative International Normalised Ratio (INR) less than or equal to 1.3 4. Pre-operative platelet count greater than or equal to 100,000/uL 5. No prior epigastric incision 6. Body mass index (BMI) less than 30 kg/m^2 7. No signs of systemic sepsis 8. No allergies to agents or medications 9. Willingness to accept either surgical wound catheter or epidural catheters
Exclusion criteria
Exclusion criteria: Does not meet the inclusion criteria
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. The subjective scores of the post-operative pain, monitored via a Visual Analogue Scale (1 - 10) twice daily (BID) 2. Total time requiring the epidural or wound catheter 3. Total length of hospitalisation 4. Level of ambulation and activity, recorded by nursing staff on analgesic sheets 5. Time for return of full diet, recorded by nursing staff on analgesic sheets 6. Time for return of full gastrointestinal function, recorded by nursing staff on analgesic sheets | — |
Primary
| Measure | Time frame |
|---|---|
| The total amount of analgesic used as determined by the patient controlled anaesthesia pump. This will be assessed via each patient's post-operative anaglesia sheet, which is a common method in our hospital, commonly used by our nursing staff. | — |
Countries
Canada
Outcome results
None listed