Status:

UNKNOWN

Continuous Preperitoneal Infusion of Local Anesthetic (CPA) Versus Epidural Infusion of Local Anesthetic (EA) in Fast-Track Open Colorectal Surgery

Lead Sponsor:

University Hospital, Clermont-Ferrand

Conditions:

Open Colorectal Surgery

Early Rehabilitation After Surgery

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The purpose of this study is to compare the continuous preperitoneal infusion of local anesthetic and continuous epidural analgesia for postoperative pain management in fast-track open colorectal surg...

Detailed Description

Optimized pain relief allowing early mobilization is a prerequisite for enhanced recovery after surgery. Open colorectal surgery is associated with severe and prolonged postoperative pain, especially ...

Eligibility Criteria

Inclusion

  • Age \> 18 years
  • Open colorectal surgery through a midline incision with a primary anastomosis
  • American Society of Anesthesiologists (ASA) physical status I to III

Exclusion

  • Obesity (body mass index \> 35 kg/m2)
  • Pregnancy
  • Inflammatory bowel diseases
  • Contraindication for epidural analgesia (patient refusal, active sepsis, coagulopathy)
  • Chronic renal failure (with creatinin clearance \< 30 ml/min)
  • Significant hepatic failure (prothrombin ratio \< 50%, factor V \< 50%)
  • Chronic pain
  • Preoperative opioid consumption
  • Preoperative cognitive dysfunction
  • Preoperative psychiatric disorders

Key Trial Info

Start Date :

October 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2018

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT00915265

Start Date

October 1 2009

End Date

October 1 2018

Last Update

January 31 2018

Active Locations (1)

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CHU Clermont-Ferrand

Clermont-Ferrand, France, 63003