Status:

NOT_YET_RECRUITING

Intrathecal Morphine Versus Epidural Analgesia for Laparoscopic Colon Surgery

Lead Sponsor:

Meri Mirceta

Conditions:

Postoperative Pain

Analgesia

Eligibility:

All Genders

18-80 years

Phase:

PHASE4

Brief Summary

Effective pain management after abdominal surgery is essential for recovery. This study compares two pain relief methods-intrathecal morphine (a single spinal injection) and continuous epidural analge...

Detailed Description

Participants of this study will be randomly selected adult patients with colorectal carcinoma undergoing laparoscopic colorectal resection who fulfill the inclusion criteria and sign the informed cons...

Eligibility Criteria

Inclusion

  • Male or female patients with colorectal carcinoma undergoing laparoscopic abdominal surgery aged 18-80 years, ASA classification I-III, Body Mass Index (BMI) 15-35 kg/m2.

Exclusion

  • abnormal coagulation function, defined as prothrombin time or activated partial prothrombin time above standard laboratory values or an international normalised ratio (INR) ≥1.4; or receiving ongoing therapeutic anticoagulation,
  • thrombocytopenia, defined as a platelet count \<80×10 9 L-1,
  • pre-existing skin infection at the neuraxial anesthesia puncture site,
  • pre-existing neurologic deficit, including peripheral neuropathy,
  • patients with dementia or other medical condition that includes communication difficulties,
  • patients with bradycardia (pulse \<50/min) or with conduction block (2nd or 3rd degree)
  • history of opioid abuse,
  • allergies to any of the drugs used in the study.
  • Additionally, patients converted from laparoscopy to laparotomy due to technical surgical issues, patients with postoperative surgical complications (need for revision) or if epidural catheter placement/spinal anesthesia is unsuccessful even after an attempt by a senior anesthesiologist will also be excluded.

Key Trial Info

Start Date :

March 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 1 2026

Estimated Enrollment :

98 Patients enrolled

Trial Details

Trial ID

NCT06881563

Start Date

March 1 2025

End Date

August 1 2026

Last Update

March 18 2025

Active Locations (1)

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1

University Hospital Split

Split, Croatia, 21000