Thoracotomy Clinical Trial
Official title:
Does Thoracic Epidural Analgesia Influence Urinary Micturition by Patients Undergoing Thoracic Surgery? An Observational, Prospective Study
Verified date | June 2010 |
Source | University Hospital Inselspital, Berne |
Contact | n/a |
Is FDA regulated | No |
Health authority | Switzerland: Ethikkommission |
Study type | Observational |
Under the influence of epidural analgesia, patients may not feel the urge to urinate, which
can result in urinary retention and bladder overdistension.
The use of a transurethral catheter is associated with significant morbidity such as patient
discomfort, urinary tract infections, urethral trauma and stricture.
Urodynamic changes under thoracic epidural anaesthesia are still unknown. The aim of this
study is to compare lower urinary tract function before and during thoracic epidural
analgesia within segments T2 to T10 for postoperative pain treatment in patients undergoing
thoracotomy or sternotomy.
Status | Completed |
Enrollment | 26 |
Est. completion date | April 2010 |
Est. primary completion date | April 2010 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Written informed consent - Thoracic surgery including thoracotomy and sternotomy - Thoracic epidural analgesia Exclusion Criteria - Contraindications to epidural anesthesia or refusal - Preoperative residual urine volume > 100ml - International Prostate Symptom Score (IPSS) > 7 - Pregnancy |
Observational Model: Cohort, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
Switzerland | Dep of anesthesiology and pain treatment, Bern University Hospital | Bern |
Lead Sponsor | Collaborator |
---|---|
University Hospital Inselspital, Berne |
Switzerland,
Appell RA, England HR, Hussell AR, McGuire EJ. The effects of epidural anesthesia on the urethral closure pressure profile in patients with prostatic enlargement. J Urol. 1980 Sep;124(3):410-1. — View Citation
Axelsson K, Möllefors K, Olsson JO, Lingårdh G, Widman B. Bladder function in spinal anaesthesia. Acta Anaesthesiol Scand. 1985 Apr;29(3):315-21. — View Citation
Basse L, Werner M, Kehlet H. Is urinary drainage necessary during continuous epidural analgesia after colonic resection? Reg Anesth Pain Med. 2000 Sep-Oct;25(5):498-501. — View Citation
Kau YC, Lee YH, Li JY, Chen C, Wong SY, Wong TK. Epidural anesthesia does not increase the incidences of urinary retention and hesitancy in micturition after ambulatory hemorrhoidectomy. Acta Anaesthesiol Sin. 2003 Jun;41(2):61-4. — View Citation
Weiniger CF, Wand S, Nadjari M, Elchalal U, Mankuta D, Ginosar Y, Matot I. Post-void residual volume in labor: a prospective study comparing parturients with and without epidural analgesia. Acta Anaesthesiol Scand. 2006 Nov;50(10):1297-303. Epub 2006 Sep 15. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Differences in postvoid residual urine volume before and during thoracic epidural analgesia | 3 days | Yes | |
Secondary | Voided volume | 3 days | Yes | |
Secondary | Maximum bladder capacity | 3 days | Yes | |
Secondary | Bladder sensitivity (yes/no) at strong desire to void | 3 days | Yes |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04579276 -
Different Approaches to Thoracic Paravertebral Block
|
N/A | |
Recruiting |
NCT05145153 -
Incidence of Chronic Pain After Thoracic Surgery
|
||
Recruiting |
NCT05044858 -
Ultrasound-Guided Mid-Point Transverse Process to Pleura Block for Thoracotomy Incisions
|
N/A | |
Terminated |
NCT00373633 -
Extrapleural Intercostal Catheter vs. Thoracic Epidural for Thoracotomy Pain
|
Phase 1 | |
Completed |
NCT00498251 -
Prevention of Lung Edema After Thoracic Surgery
|
N/A | |
Terminated |
NCT05307471 -
Physiopathologic Study of Induced by Thoracotomy / Thoracoscopy Neuropathy Mechanism
|
||
Completed |
NCT01698203 -
Continuous Wound Catheter Analgesia Associated With Intravenous Morphine PCA After Thoracotomy
|
Phase 4 | |
Completed |
NCT04242160 -
Comparison of Two Resuscitative Thoracotomy Techniques
|
N/A | |
Recruiting |
NCT06330168 -
Paravertebral Calcitonin in Thoracotomy
|
N/A | |
Terminated |
NCT00726258 -
Association of Intravenous Ketamine With Thoracic Epidural Analgesia: Effects on Pain and Respiratory Function Following Thoracotomy.
|
N/A | |
Withdrawn |
NCT00344097 -
The Effects of Soy Protein on Post-thoracotomy Pain
|
Phase 2 | |
Completed |
NCT05083832 -
Effect of Two Different Plane Blocks on Post-thoracotomy Pain
|
N/A | |
Completed |
NCT02073760 -
Optimizing Prevention of Healthcare-Acquired Infections After Cardiac Surgery (HAI)_2
|
||
Completed |
NCT00910949 -
Sensory Perception After Thoracotomy
|
N/A | |
Completed |
NCT05496478 -
Assesment of Complications and Surgery Timing in Postcovid Thoracotomy Patients: Single Center Experience
|
||
Completed |
NCT00746213 -
Chronic Pain After Thoracotomy, an Incidence Study
|
N/A | |
Recruiting |
NCT04252378 -
Ultrasound-guided Deep and Superficial Serratus Anterior Plane Block
|
N/A | |
Completed |
NCT03281213 -
Acute Postthoracotomy Pain - Impact of Gender
|
N/A | |
Recruiting |
NCT04220697 -
Central Sensitisation and Postoperative Pain
|
N/A | |
Completed |
NCT00224588 -
KETOR: Effects of Peri Operative Administration of Ketamine on Long Term Post Thoracotomy Pain
|
Phase 3 |