On-Q Pump vs Epidural for Postoperative Pain Control in Children

Status Not yet recruiting

Clinical Trial Summary

Open abdominal and pelvic surgery or thoracotomy (open chest surgery) is frequently performed for tumor excision in children. Post-operative pain management regimens are often at the discretions of the attending surgeon and may include opiods, patient administered analgesia (PCA), epidural catheters, subcutaneous analgesia catheters or NSAIDS to control incisional pain. Currently, both epidural or subcutaneous analgesia catheters (On-Q pumps) are commonly used for children undergoing these operations, at the discretion of the surgeon. There are no studies comparing these regimens in children. The purpose of this study is to compare postoperative pain control of the two strategies.

Clinical Trial Description

The study design is a randomized, controlled trial to compare the effectiveness of on-q pump subcutaneous incisional analgesia to epidural analgesia for postoperative pain relief in children undergoing open abdominal, thoracic, or pelvic operations for oncologic purposes. The patient and treating team will be blinded to the pain control device. The primary outcome is additional narcotic usage for 3 post-operative days, and secondary outcomes are pain scores for 3 post-operative days, post-surgical day of ambulation, time to regular diet, infectious complications (UTI, wound infection or pneumonia), and hospital length of stay. Outcomes from both groups will be directly compared in order to determine whether one strategy provides more effective pain control with less complications than the other, or whether they are equivalent. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT03496259
Study type	Interventional
Source	Baylor College of Medicine
Contact	Bindi Naik-Mathuria, MD
Phone	(832) 822-3135
Email	bnaik@texaschildrens.org
Status	Not yet recruiting
Phase	N/A
Start date	September 1, 2018
Completion date	March 30, 2019

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