Patients with loop stoma undergoing for closue stoma surgery in Chulalongkorn hospital
Conditions
Interventions
Patients in Modified Continuous Transversus Abdominis group (Modified TAP) will receive 0.2% bupivacaine bolus 5 ml via catheter that lies above posterior sheat in the area of wound intraoperatively.
2ml/hr of 0.2% bupivacaine will continuous dripping over 48 hours. ,Patients in Control group will be placed the catheter as in Modified TAP group but Saline will be used instead.
Experimental Procedure/Surgery,Placebo Comparator Procedure/Surgery
Modified Continuous Transversus Abdominis Plane block ,control
Sponsors
Department of Anesthesiology Chulalongkorn hospital
Department of Colorectal surgery Chulalongkorn hospital
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1.Patients with loop stroma undergoing for closue stoma surgery in Chulalongkorn hospital 2.Age 18-80 years 3.ASA classification I-III 4.Elective surgery
Exclusion criteria
Exclusion criteria: 1.Patients with history of Chronic pain or history of long term analgesia drug used 2.Pregnancy 3.Intellectual impairment or Psychiatric condition precluding adequate communication 4.Patients with bleeding disorder 5.Patients with infection at inserting catheter area 6.Any problems make Patients cannot use Patient-controlled Analgesic device
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total Morphine use 2 days collect from Patients controlled analgesia device | — |
Secondary
| Measure | Time frame |
|---|---|
| Numeric Rating Pain score 2 days visual analog pain scale,Time to first ambulation of the patient 2 days self assessment,Time to first water intake 2 days observation,Time to resumption of clear liquid diet 2 days observation,Time to first flatus 2 days self assessment,Length of hospital stay 2 days Medical record ,complication of catheter insertion or complication from local anesthetic drug 2 days self assessment,Satisfaction of patients 2 days self assessment | — |
Countries
Thailand
Contacts
Public ContactPhantila Cholvisudhi
Anesthesiology Department ,Chulalongkorn hospital
Outcome results
None listed