Status:
UNKNOWN
Laparoscopic-guided TAP Block vs Epidural Analgesia
Lead Sponsor:
Oulu University Hospital
Conditions:
Post Operative Pain
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
The LAPTAP trial will provide evidence on preferred post-operative analgesia method in elective laparoscopic colon surgery.
Detailed Description
In most previous studies TAP-block has been inserted by anesthesiologist under ultrasound guidance. TAP blockade can alternatively be performed by a surgeon with laparoscopic visual guidance during tr...
Eligibility Criteria
Inclusion
- IInclusion criteria
- Patients who undergo elective laparoscopic colorectal surgery for colorectal neoplasia, diverticulitis, and other diseases of the colon and rectosigmal area
- Patients able to provide informed written consent
- Patients capable of completing questionnaires at the time of consent
- Exclusion criteria
- Documented allergic reaction to morphine, hydromorphone, lidocaine, bupivacaine, fentanyl and/or oxycodone
- Contra-indication to placement of epidural catheter (spinal stenosis, spinal fusion, elevated international normal ratio (INR), anticoagulation, patient refusal, etc.) or TAP block (patient refusal)
- Urgent or emergent surgery precluding epidural catheter placement or TAP block
- Systemic Infection contraindicating epidural catheter placement or TAP block
- Rectal surgery
- Pregnant or suspected pregnancy
- Age \< 18 years
- Planned open surgery
- Planned bowel stoma (protective diversion and/or permanent stoma)
- Unwillingness to participate in follow-up assessments
- Patients with severe chronic pain
- Known sensibility for opioid side effects
- i.v.-PCA is contraindicated (for example drug abuse)
- No informed consent
Exclusion
Key Trial Info
Start Date :
February 1 2022
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 31 2025
Estimated Enrollment :
210 Patients enrolled
Trial Details
Trial ID
NCT05214261
Start Date
February 1 2022
End Date
December 31 2025
Last Update
January 28 2022
Active Locations (1)
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1
Surgery and Intensive Care Research Unit
Oulu, Finland, 90220