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CompletedNCT02363777Updated Aug 31, 2017

Paravertebral Catheters for Pancreatic Surgery

An interventional study of Epidural and Paravertebral catheters in Acute Pain, sponsored by University of Minnesota. Completed at 1 site in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2017-08-31.

Sponsored by University of Minnesota · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

Design: Level I randomized prospective outcomes study comparing two groups of patients. One group will receive bupivacaine and dilaudid thoracic epidural analgesia (PCA) post-operatively. The other will receive bilateral ultrasound guided paravertebral blocks with indwelling paravertebral catheters with an infusion of 0.2% ropivicaine post-operatively and a PCA.

Sample Size: 50 patients Study Duration: Approximately 12 months Population:. Patients presenting to the University of Minnesota Medical Center for elective open pancreatic surgery.

Primary Objective: To determine if bilateral paravertebral catheters in patients with open pancreatic procedures result in decreased pain compared to patients treated with thoracic epidural for post-operative pain.

Secondary Objectives:

  1. To determine whether the use of bilateral paravertebral catheters impacts the length of ICU and hospital stay for patients, compared to a thoracic epidurals in patients undergoing elective open pancreatic surgery.
  2. To determine whether the use of ultrasound guided bilateral paravertebral catheters leads to lower risk of complications, compared to use of a thoracic epidural in patients undergoing open pancreatic surgery.
Read the detailed description

Design: Level I randomized prospective outcomes study comparing two groups of patients. One group will receive buipvacanine and dilaudid thoracic epidural analgesia (PCA) post-operatively. The other will receive bilateral ultrasound guided paravertebral blocks with indwelling paravertebral catheters with an infusion of 0.2% ropivicaine post-operatively and a PCA.

Sample Size: 50 patients Study Duration: Approximately 12 months Population:. Patients presenting to the University of Minnesota Medical Center for elective open pancreatic surgery.

Primary Objective: To determine if bilateral paravertebral catheters in patients with open pancreatic procedures result in decreased total maximal pain scores compared to patients treated with thoracic epidural for post-operative pain.

Secondary Objectives:

  1. To determine whether the use of bilateral paravertebral catheters impacts the length of ICU and hospital stay for patients, compared to a thoracic epidurals in patients undergoing elective open pancreatic surgery.
  2. To determine whether the use of ultrasound guided bilateral paravertebral catheters leads to lower risk of complications, compared to use of a thoracic epidural in patients undergoing open pancreatic surgery.

2. Synopsis and Medical Application:

Specific Aims:

Primary Hypothesis: Paravertebral catheters will result in improved pain control relative to thoracic epidural for post-operative pain from open pancreatic surgery.

Secondary Hypothesis: Paravertebral catheters will result in fewer hospital days and improved subjective respiratory function compared to patients in the thoracic epidural group.

02

Conditions studied

  • Acute Pain

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03

In context

Acute Pain

908 studies on the registry are indexed under Acute Pain; 154 are open to participants now.

This study's enrollment of 50 is below the median of 87 across 759 interventional studies indexed under Acute Pain.

Browse Acute Pain studies →

Lead sponsor

University of Minnesota is the lead sponsor of 1,210 studies on the registry; 195 are open to participants now.

Of its 133 completed or terminated interventional studies of FDA-regulated products, 92 (69%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

    • All patients undergoing open pancreatic surgery.

Exclusion criteria

Exclusion Criteria:

    • Previous difficult airway or multiple previous intubations

      • History of myasthenic syndrome
      • Systemic infection
      • Pre-existing sensory deficit
      • PT >14 or PTT >40 sec
      • Platelet count less than 50,000
      • Creatinine > 1.5
      • Allergy to local anesthetics
      • Patients who remain intubated for one week after surgery or who are unable to provide information as to their feelings of pain post-operatively for the first week post-operatively
      • Use of a spinal or epidural anesthetic for surgery
      • Daily use of opioid for more than a week or chronic pain syndrome
      • Lack of patient cooperation
      • Contraindication to regional anesthesia

        • Infection at injection site
        • Inability to guarantee sterile equipment or sterile conditions for the block
        • Patient refusal
        • Risk of local anesthetic toxicity
        • Coagulopathy or bleeding disorder
        • Severe respiratory disease (where the patient depends on intercostal muscle function for ventilation);
        • Ipsilateral diaphragmatic paresis;
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
50 participants (actual)

Study arms

  • Active comparator
    Standard of Care

    Epidural placed for postoperative pain control

    Procedure: Epidural

  • Experimental
    Experimental Intervention

    Bilateral paravertebral catheters placed for postoperative pain control

    Procedure: Paravertebral catheters

Interventions

  • ProcedureEpidural

    A mid thoracic epidural is placed preoperatively and a local anesthetic and opioid infusion is run postoperatively

  • ProcedureParavertebral catheters

    Bilateral paravertebral catheters are placed and a local anesthetic infusion via an elastomeric pump is run postoperatively

06

What researchers measure

Primary outcomes

  1. total Maximal Pain scored via NRS 0-10 scale

    maximal pain scored via NRS 0-10 scale assessed by independent assessor

    Time frame: on postoperative day 1 through postoperative day 5

Secondary outcomes

  1. Maximal Pain scored via NRS 0-10 scale

    maximal pain scored via NRS 0-10 scale assessed by independent assessor

    Time frame: on postoperative day 1

  2. Maximal Pain scored via NRS 0-10 scale

    maximal pain scored via NRS 0-10 scale assessed by independent assessor

    Time frame: on postoperative day 2

  3. Maximal Pain scored via NRS 0-10 scale

    maximal pain scored via NRS 0-10 scale assessed by independent assessor

    Time frame: on postoperative day 3

  4. Maximal Pain scored via NRS 0-10 scale

    maximal pain scored via NRS 0-10 scale assessed by independent assessor

    Time frame: on postoperative day 4

  5. Maximal Pain scored via NRS 0-10 scale

    maximal pain scored via NRS 0-10 scale assessed by independent assessor

    Time frame: on postoperative day 5

  6. Nausea/vomiting

    the presence of nausea and or vomiting endorsed by the patient as assessed by an independent assessor

    Time frame: the first five days postoperatively

  7. Length of stay

    up through the time the patient is discharged , expected length of stay 10 days.

    Time frame: when the patient meets discharge criteria or is discharged home, expected length of stay 10 days

07

Study locations

1 site
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 31, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02363777
Responsible party
Sponsor
First posted
Feb 16, 2015
Start date
Aug 2012
Primary completion
Dec 2015
Completion
Jun 2016
Last update
Aug 31, 2017

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2017. You cannot join it, but the record below documents what was studied.

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