A Phase 4 interventional study of epidural analgesia and PCA in Extended Ileal Resection Under Laparotomy, Total Proctocolectomy Under Laparotomy and Colectomy Left/Right/Total Under Laparotomy, sponsored by University Hospital, Limoges. Terminated at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-08-15.
Sponsored by University Hospital, Limoges · Phase 4, Interventional, and Treatment
Background : Epidural anaesthesia is associated in abdominal surgery with reduced pain and postoperative respiratory complications together with quicker recovery of bowel function. Currently, no studies have been able to prove its ability to reduce length of stay in intensive care and high-dependency units.
Purpose : The aim of this study is to demonstrate that epidural anaesthesia reduces length of stay in intensive care unit after abdominal surgery under laparotomy.
There are currently two methods of analgesia in postoperative abdominal surgery : patient-controlled analgesia (PCA) with opioids and epidural analgesia.
No international recommendations regarding the use of either of these techniques have yet been written. Epidural analgesia is superior to intravenous morphine, including during mobilization and coughing. It also reduces respiratory complications and optimizes postoperative rehabilitation. Nevertheless, mortality is not improved with this technique. Few publications exist on the optimization of the duration of hospitalization in the intensive care unit.
University Hospital, Limoges is the lead sponsor of 255 studies on the registry; 36 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
patient with epidural analgesia
Procedure: epidural analgesia
Patient with morphine analgesia
Procedure: PCA
thoracic position (T8-T9 or T11-T12) depending on the site of surgery
Morphine 2 mg / 10 min (no max dose) + droperidol 2.5 mg / 50 mL.
Theoretical duration of hospitalization in intensive care unit.
The difference between the day of surgery and the day when discharge criteria for intensive care unit are met.
Time frame: 5 days
Total duration of hospitalization.
The difference between the day of surgery and the day when the discharge criteria are met
Time frame: 9 days
This study is terminated, as verified in Aug 2014. You cannot join it, but the record below documents what was studied.
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University Hospital, Limoges