Upper Gastrointestinal Surgery, Post-operative Analgesia, Wound Infusion Catheter, Upper Midline Incision
Conditions
Brief summary
Comparison of efficacy in management of pain in abdominal surgery between epidural versus wound infusion catheter {catheter placed within the incision site}
Interventions
OTHERWound catheter infusion
Wound catheter has multiple holes spread around 360 degrees throughout its active length. It is placed in the musculofascial plane during closure of the wound. Local anaesthetic infusion will be delivered through the catheter.
OTHEREpidural infusion
Epidural catheter will be placed in the level T7-T9 , and local anaesthetic infusion will be given
Sponsors
Post Graduate Institute of Medical Education and Research, Chandigarh
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* ASA PS I-III , undergoing upper gastrointestinal surgery involving upper midline incision
Exclusion criteria
* Refusal to give consent. * Contraindication to epidural analgesia (e.g.localized sepsis , Raised ICP , Myelopathy , Peripheral neuropathy ,Inherited coagulopathy) * Addiction to opioids, or alcohol, or history of any other substance abuse. * Allergy to local anaesthetic drugs. * Pregnancy. * Inability to communicate (e.g. known psychiatric disorders)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| NRS (Numerical Rating Score) in the two groups postoperatively | 24 hrs post surgery |
Countries
India
Outcome results
None listed