Pain, Postoperative Clinical Trial
— SPARCOfficial title:
Surgical Placement Versus Anaesthetic Placement of Rectus Sheath Catheter for Pain Relief Following Major Abdominal Surgery (SPARC). A Single Centre Randomised Controlled Trial
This is a single centred randomized controlled trial comparing surgeon versus anaesthetist inserted rectus sheath catheters for management of analgesia post major abdominal surgery.
Status | Not yet recruiting |
Enrollment | 50 |
Est. completion date | June 2018 |
Est. primary completion date | December 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Patients aged over 18 years - Able to provide informed consent - Undergoing elective, open colorectal surgery or emergency laparotomy via a midline incision extending above the umbilicus - Weight of 50kg or over to standardise the analgesia given. Exclusion Criteria: - Weight of less than 50kg - Patients unable to consent - Age under 18 years - Inability to insert RSC - local infection or severe coagulopathy - Allergy to local anaesthetic - Chronic pre-operative use of strong opioids or gabapentins and or chronic pain syndromes |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Countess of Chester NHS Foundation Trust |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Time taken to insert rectus sheath catheters | This will be recorded in theatre on a stopwatch and recorded. | under 15 minutes | |
Secondary | Pain scores | Patients will be asked to score their pain in recovery and on days 0,1,2,3 post operatively. This will be graded using a Numeric Pain Rating Scale. | 4 days | |
Secondary | Peri-operative analgesic use | Analgesic use intra-operatively and post-operatively for 3 days. This will include strong opioids, paracetamol, NSAIDs, codeine, ketamine, IV lignocaine, tramadol, clonidine and PCA usage post-operatively. | 4 days | |
Secondary | Catheter issues | This includes haemorrhage, dislodgement, blockage | 4 days | |
Secondary | Duration of catheter use | 4 days | ||
Secondary | TIme to diet and mobilisation | likely 1-3 days | ||
Secondary | Time to discharge | approximately 7 days |
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