Adult patients undergoing laparoscopic colorectal surgery Surgery
Conditions
Interventions
Epidural Arm: A thoracic epidural catheter will be sited before induction of general anaesthesia. The patient will receive up to 20 mls of 0.25% bupivacaine during the surgery. At the end of the surge
Sponsors
University Hospitals of Leicester NHS Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. All patients aged over 18 years who are scheduled for elective laparoscopic colorectal surgery 2. The surgical incision extending from thoracic T10 to lumbar L1 dermatome 3. American Society of Anesthesiologists (ASA) Class 1, 2, and 3
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 pain 4. ASA Class 4 and 5 5. The surgical incision extending above thoracic T10 dermatome
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual analogue scale (VAS) pain score on coughing at 24 hours after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pain score at rest 2. Postoperative nausea & vomiting score 3. Length of hospital stay. 4. VAS at 30 minutes, 6 hours, 12 hours, 36 hours and 48 hours after surgery 5. Patient Satisfaction at 48 hours 6. Complications with the two techniques | — |
Countries
United Kingdom
Outcome results
None listed