Gastric Cancer
Conditions
Keywords
patients with, undergoing, gastrectomy
Brief summary
The present study was designed to assess analgesic capacity of intrathecal administration of morphine combined with intravenous fentanyl patient-controlled analgesia (ITM-PCA) compared to patient controlled epidural analgesia using fentanyl and repivacaine (PCEA) in patients undergoing gastrectomy. The investigators hypothesized that ITM-PCA would show comparable analgesic effect to PCEA in gastrectomy.
Interventions
ITM-IVPCA: intrathecal administration of 0.3 mg morphine before induction of general anesthesia and application of IVPCA (basal infusion: fentanyl 0.4mcg/kg/hr, bolus: 0.16mcg/kg of fentanyl with a lock out time of 15 min)
PCEA: epidural administration of 5ml 0.2% ropivacaine before induction of general anesthesia and application of PCEA (basal infusion: 5ml 0.2% ropivacaine with fentanyl 0.4 mcg/kg/hr, bolus: 2ml 0.2% ropivacaine with fentanyl 0.16mcg/kg with a lockout time 15min)
Sponsors
Study design
Eligibility
Inclusion criteria
* I or II of preoperative physical status classification by the American Society of Anesthesiologists. * more than 20 years old. * undergoing gastrectomy due to gastric cancer.
Exclusion criteria
* contraindication to regional anesthesia technique (bleeding diasthesis, sepsis etc) or spine anomaly. * prior history of abdominal surgery or spine surgery.
Countries
South Korea