patient-controlled thoracic epidural analgesia after upper abdominal surgery patient-controlled epidural analgesia, thoracic epidural analgesia, programmed intermittent bolus, abdominal surgery
Conditions
Interventions
PCEA setting is programmed intermittent epidural bolus (PIEB) with 0.1% bupivacaine with fentanyl 2 microgram/ml, 4 ml every 40 minutes. Participants are allowed for PCEA dose of 3 ml with lockout int
Experimental Other,Active Comparator Other
programmed intermittent epidural bolus (PIEB) ,Continuous epidural infusion (CEI)
Sponsors
Faculty of Medicine, Chulalongkorn University
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Scheduled for elective open upper abdominal surgery 2. General anesthesia combined with thoracic epidural anesthesia. 3. Age 18-65 years old 4. American Society of Anesthesiology (ASA) Physical Status class 1-3
Exclusion criteria
Exclusion criteria: 1. Patients who refused to participate in the study. 2. Patients with contraindications and a history of allergy with drugs used in the study. 3. Patients who are contraindicated for epidural analgesia are: 4. Patients with neurologic disorder. 5. Patients with chronic pain 6. Inadequate epidural analgesia after surgery 7. Patients who are unable to use the patient-controlled epidural analgesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Local anesthetic consumption 24 h postoperatively mL | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain intensity every 6h during 60 hours postoperatively Numeric rating scale,Local anesthetic consumption 48 and 60 h postoperatively mL,Hypotension Every 4h during the follow up period Incidence of hypotension,Lower limb weakness Every 12 hour during follow up period Bromage score | — |
Countries
Thailand
Contacts
Public ContactPongkwan Jinaworn
Faculty of medicine, Chulalongkorn Univerity
Outcome results
None listed