Patient Control Epidural Versus Conventional Epidural.

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

ENROLLING_BY_INVITATION

Total Enrollment

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-11-10

Study Completion Date

2025-01-25

Brief Summary

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As one of the complications of THR is post operative pain, which usually requires epidural catheter insertion.

We are comparing the effect of patient control epidural versus conventional epidural for patient's satisfaction.

Detailed Description

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More than 20 years of successful usage of epidural analgesia for post operative pain treatment include intermittent provider-administer bolus, patient control analgesia and continuous epidural infusion with or without patient control epidural analgesia. The main drawback of conventional epidural infusion is that it does not allow for individual variation in management of pain. As a result, patient control epidural analgesia has replaced it in recent years.3. It has been demonstrated that continuous epidural infusion with patient control epidural analgesia is highly effective at providing consistent analgesia, improving patient satisfaction, and reducing the workload of anesthesia provider but it is linked to higher local anesthetic consumption4 In patient undergoing THR, patient control epidural analgesia may be considered as an appropriate alternative for managing post operative pain.

Conditions

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Post Operative Pain, Acute Sedation Score Degree of Motor Block Length of Hospital Stay Amount of Analgesic Used

Keywords

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Patient control epidural analgesia Conventional epidural

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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PCEA group

Epidural catheter is inserted and patient is given a remote to control the amount of drug given through patient control epidural pump.

No interventions assigned to this group

Non-PCEA group

Epidural catheter is inserted and the amount of drug set will be delivered via infusion pump.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Age \>18 years. ASA 1-2 on pre anesthesia evaluation. Spontaneous breathing. Spo2 \>95% Informed consent for participation.

Exclusion Criteria

A history of long-term opioid therapy (use of opioid analgesic at doses higher than codeine 120mg/day, hydrocodone 40mg/day, tramadol 200mg/day or oxycodone 40mg/day 0-4 days before surgery).

Indication of revision surgery during immediate post operative care. Acute skin disease. Patients' refusal. ASA 3 and 4. Hypersensitivity to study drugs.

Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Responsible Party

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Uruba Shamshad

Dr Uruba

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Liaquat national hospital and medical college

Karachi, Sindh, Pakistan

Site Status

Countries

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Pakistan

Other Identifiers

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App # 0881- 2023- LNH - ERC

Identifier Type: -

Identifier Source: org_study_id