postoperative pain after colorectal surgery epidural analgesia peripheral nerve block abdominal wall block pijn na darmoperatie epiduraal zenuwblokkade buikwand blokkade
Conditions
Interventions
cohort 1: standard thoracic epidural
cohort 2: continuos abdominal wall block with catheter
preperitoneal and 2nd catheter intra-abdominal
Sponsors
Wilhelmina Ziekenhuis Assen, The Netherlands
Eligibility
Inclusion criteria
Inclusion criteria: ASA 1-3 benign or malign indication for laparoscopic right/ left sided hemicolectomy, sigmoidectomy or low anterior rectum resection > 18 years informed consent (cohort 1 only for using outcome data, cohort 2 also for the actual intervention)
Exclusion criteria
Exclusion criteria: ASA 4 or higher chronic pain chronic use of opioids primary open surgery (laparotomy) chances > 70% of conversion from laparoscopy to laparotomy (estimated by the surgeon prior to surgery) emergency surgery refusal of the patient or care takers contra-indication for intravenous lidocaine contra-indication for thoracic epidural (cohort 1)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome objective of this trial will be length of stay in the hospital after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| intra- and postoperative opioid consumption NRS pain scores time in the post anesthetic care unit time to mobilize to a sitting position in a chair catheter dislocation development of prolonged postoperative ileus duration of bladder catheterization overall patient satisfaction | — |
Contacts
Public ContactC.A. Abusaris
Outcome results
None listed