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CompletedNCT02869841Rektus-puuUpdated Oct 27, 2023

Efficacy of Rectal Sheath Analgesia After Midline Laparotomy

A Phase 4 interventional study of Levobupivacaine continuous infusion and levobupivacaine bolus dosing in Surgery and Pain Postoperative, sponsored by Kuopio University Hospital. Completed at 1 site in Finland. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-10-27.

Sponsored by Kuopio University Hospital · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
57
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Midline laparotomy is commonly used in emergency and elective cancer surgery and patients need effective and safe pain treatment after this type of surgery. Nowadays modern anticoagulant therapy may prevent use of central regional blocks in pain management. Therefore in the present study the efficacy and safety of rectus sheath analgesia is studied using different administration techniques. The primary aim is the efficacy of the rectus sheath analgesia measured with pain ratings and the amount rescue opioid used.

Secondary aims were concentrations of local anesthetic, rescue opioid and satisfaction to analgesia method used.

02

Conditions studied

  • Surgery
  • Pain Postoperative

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Keywords

  • laparotomy
  • pain
  • rectus sheath block
03

In context

Pain, Postoperative

5,093 studies on the registry are indexed under Pain, Postoperative; 1,140 are open to participants now.

This study's enrollment of 57 is below the median of 75 across 4,344 interventional studies indexed under Pain, Postoperative.

Browse Pain, Postoperative studies →

Lead sponsor

Kuopio University Hospital is the lead sponsor of 132 studies on the registry; 23 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria: • Body mass index over BMI \<35 kg / m2

  • not pregnancy/adequate contraception
  • no contraindications to the local anaesthetic No contraindications to opioid patient controlled analgesia
  • Informed consent obtained

Exclusion Criteria:

    • BMI >35 kg / m2

      • Pregnant or breast feeding
      • Contraindication to local anaesthetics
      • Contraindication to opioids
      • Not able to use patient controlled analgesia pump
      • Relaparotomy
      • No informed consent
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
57 participants (actual)

Study arms

  • Active comparator
    Continuous rectus sheath analgesia

    Local anesthetic continuous infusion with infusion pumps

    Drug: Levobupivacaine continuous infusion

  • Active comparator
    Bolus rectus sheath analgesia

    Bolus administration of local anesthetic

    Drug: levobupivacaine bolus dosing

  • Active comparator
    Single dose rectus sheath analgesia

    single dose administration of local anesthetic

    Drug: single bolus of levobupivacaine

  • Placebo comparator
    Placebo

    no rectus sheath analgesia

    Other: Placebo

Interventions

  • DrugLevobupivacaine continuous infusion

    Levobupivacaine continuous infusion to rectus sheath catheters

    Also known as: continuous infusion group

  • Druglevobupivacaine bolus dosing

    Levobupivacaine bolus dosing to rectus sheath catheters

    Also known as: bolus group

  • Drugsingle bolus of levobupivacaine

    Levobupivacaine single dose to rectus sheath catheters

    Also known as: single dose group

  • OtherPlacebo

    No rectus sheath analgesia

    Also known as: no rectus sheath catheters

06

What researchers measure

Primary outcomes

  1. Amount of rescue analgesic used for pain relief

    From onset of rectus sheath analgesia

    Time frame: Time 0 h up to 48 h postoperatively

Secondary outcomes

  1. Maximum levobupivacaine plasma concentration

    Maximum levobupivacaine plasma concentration

    Time frame: Time 0 h to 48 h postoperatively

  2. maximum rescue analgesic concentration

    maximum rescue analgesic concentration

    Time frame: time 0 h to 48 h postoperatively

07

Study locations

1 site
  • Kuopio University Hospital
    Kuopio, Northern Savo 70029, Finland
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 27, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02869841
Lead sponsor
Kuopio University Hospital
Collaborators
Admescope Ltd
Responsible party
Sponsor
First posted
Aug 17, 2016
Start date
Jan 2012
Primary completion
Jul 2018
Completion
Dec 31, 2022
Last update
Oct 27, 2023

Study contacts

Matti Eskelinen, Professor
study chair · Kuopio University Hospital

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 2020. You cannot join it, but the record below documents what was studied.

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