Epidural Versus Wound Infusion Plus Morphine Bolus in Open Abdominal Aortic Aneurysm Repair

NCT ID: NCT02677532

Last Updated: 2016-02-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-12-31

Study Completion Date

2014-01-31

Brief Summary

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The aim of the study is to determine wether continuous wound infusion with local anaesthetic plus a single dose intravenous morphine is non-inferior to postoperative analgesia provided with continuous thoracic epidural infusion of local anaesthetic plus opiate, in patients undergoing open abdominal aortic aneurism repair.

Detailed Description

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Conditions

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Postoperative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Epidural infusion

Thoracic epidural bolus of 10 ml levobupivacaine 0.25% plus sufentanil 0.15 mcg/kg before end of surgery, followed by continuous epidural infusion of 0.12% levobupivacaine plus 0.4 mcg/ml at 5 ml/h infusion rate for 48 hours.

Group Type ACTIVE_COMPARATOR

Paracetamol

Intervention Type DRUG

1 g every 8 hours

Levobupivacaine epidural bolus

Intervention Type DRUG

Epidural bolus of 10 ml 0.25% levobupivacaine

Sufentanil epidural bolus

Intervention Type DRUG

Epidural bolus of 0.15 mcg/kg sufentanil

Epidural catheter placement

Intervention Type DEVICE

Thoracic epidural catheter placement in the T7-T8 or T8-T9 intervertebral space

Levobupivacaine plus sufentanil epidural infusion

Intervention Type DRUG

Epidural infusion of levobupivacaine 0.12% plus sufentanil 0.4 mcg/ml at 4 ml/h for 48 h

Wound infusion plus morphine bolus

Intravenous slow bolus of 10 mg morphine, wound infiltration with 10 ml levobupivacaine 0.5%, followed by pre-peritoneal continuous wound infusion of levobupivacaine 0.25% at 4 ml/h infusion rate for 48 hours.

Group Type EXPERIMENTAL

Paracetamol

Intervention Type DRUG

1 g every 8 hours

Levobupivacaine wound infiltration

Intervention Type DRUG

Wound infiltration with 10 ml levobupivacaine 0.5%

Morphine

Intervention Type DRUG

Intravenous slow bolus of 10 mg morphine

Wound infusion catheters placement

Intervention Type DEVICE

Pre-peritoneal placement of two catheters for wound infusion

Levobupivacaine wound infusion

Intervention Type DRUG

Wound infusion with levobupivacaine 0.25% at 4 ml/h for 48 h

Interventions

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Paracetamol

1 g every 8 hours

Intervention Type DRUG

Levobupivacaine wound infiltration

Wound infiltration with 10 ml levobupivacaine 0.5%

Intervention Type DRUG

Levobupivacaine epidural bolus

Epidural bolus of 10 ml 0.25% levobupivacaine

Intervention Type DRUG

Sufentanil epidural bolus

Epidural bolus of 0.15 mcg/kg sufentanil

Intervention Type DRUG

Morphine

Intravenous slow bolus of 10 mg morphine

Intervention Type DRUG

Epidural catheter placement

Thoracic epidural catheter placement in the T7-T8 or T8-T9 intervertebral space

Intervention Type DEVICE

Wound infusion catheters placement

Pre-peritoneal placement of two catheters for wound infusion

Intervention Type DEVICE

Levobupivacaine plus sufentanil epidural infusion

Epidural infusion of levobupivacaine 0.12% plus sufentanil 0.4 mcg/ml at 4 ml/h for 48 h

Intervention Type DRUG

Levobupivacaine wound infusion

Wound infusion with levobupivacaine 0.25% at 4 ml/h for 48 h

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Scheduled for elective open aortic aneurism repair

Exclusion Criteria

* Patient refusal
* Platelet count \< 80\*10\^3/mcL
* International Normalised Ratio \> 1.5
* Other contraindications to the placement of epidural catheter, including ongoing anti platelet or anticoagulant treatment not suspended according to national guidelines
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Genova

OTHER

Sponsor Role lead

Responsible Party

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Paolo Pelosi

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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UO Anestesia e Terapia Intensiva, IRCCS AOU San-Martino IST

Genova, Genova, Italy

Site Status

Countries

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Italy

Other Identifiers

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APERIVIP

Identifier Type: -

Identifier Source: org_study_id

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