Epidural Anesthesia in Acute Pancreatitis
NCT02617199 · Status: UNKNOWN · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2016-01-11
Summary
Acute pancreatitis is a common urgency with a mortality rate of up to 30% , decreased blood flow in the pancreatic microcirculation. It seems to be the main cause of the pathophysiology of acute pancreatitis. Today, there have been many attempts in the management of pancreatitis but no established management seems to be ideal. The epidural block is an anesthetic technique used to provide highly peri and post-operative analgesia, also plays an important role in improving the gastrointestinal vascular perfusion (due to sympathetic blockade that this technique produces) so this anesthetic technique is proposed as an alternative to both clinical treatment as an analgesic for acute pancreatitis.
Conditions
Interventions
- DRUG
-
Epidural anesthesia
Epidural anesthesia placed at L1-L2 Epidural infusion of ropivacaine 0.2% + 3-4 mcg/ml fentanyl + saline 0.9% (100 ML) 3-5ml/ hr during 120 hours
- DRUG
-
intravenous analgesia
ketorolac 1mg/kg every 8 hours or metamizol 15 mg/kg every 8 hrs and intravenous opioids (buprenorphine 3 mcg / kg or tramadol 1mg/ kg in continuos infusion
Sponsors & Collaborators
-
Hospital General Naval de Alta Especialidad - Escuela Medico Naval
lead OTHER_GOV
Principal Investigators
-
Aurora Guadalupe Ruiz Sandoval, anesthesia · Hospital General Naval de Alta Especialidad - Escuela Medico Naval
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-11-30
- Primary Completion
- 2016-12-31
- Completion
- 2017-02-28
Countries
- Mexico
Study Locations
More Related Trials
-
Programmed Intermittent Bolus Dosing Versus Continuous Epidural Infusion for Epidural Analgesia in Abdominal Surgery.
NCT03307174 ·Status: COMPLETED ·Phase: PHASE4
-
Low-Dose Lidocaine Infusion for Acute Pain Management Pilot Study
NCT06725485 ·Status: COMPLETED ·Phase: PHASE4
-
Epidural Steroids With Intrathecal Nalbuphine for Lower Abdominal Oncologic Surgery
NCT03276325 ·Status: COMPLETED ·Phase: NA
-
Patient-Titrated Automated Intermittent Boluses of Local Anesthetic vs. a Continuous Infusion Via a Perineural Catheter for Postoperative Analgesia
NCT05091905 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE4
-
Analgesia iv vs Epidural Analgesia vs Port-sites Infiltration After Laparoscopic Sleeve Gastrectomy
NCT02662660 ·Status: COMPLETED ·Phase: PHASE3
-
Therapeutic Efficacy of Intravenous Lidocaine Infusion Compared With Epidural Analgesia for Postoperative Pain Control in Adult Patients Undergoing Major Abdominal Surgery: Non-Inferiority Clinical Trial
NCT04017013 ·Status: COMPLETED ·Phase: PHASE4
-
Dosing Strategies for Automated Mandatory Intermittent Boluses Technique for Epidural Labour Analgesia
NCT01205360 ·Status: WITHDRAWN ·Phase: NA
-
Perioperative Intravenous Lidocaine Infusion for Patients Undergoing Laparoscopic and Open Pancreatectomies
NCT02623803 ·Status: COMPLETED ·Phase: PHASE4
-
Comparing Efficacy of Different Drugs Combinations for Serratus Anterior Block for Thoracotomy
NCT05565235 ·Status: UNKNOWN ·Phase: PHASE4
-
Cardio-pulmonary and Analgesic Effects of Pre-peritoneal VS Epidural Infusion of L-bupivacaine on Abd. Cancer Patients
NCT04152564 ·Status: COMPLETED ·Phase: NA
-
Continuous Local Anesthetic and Steroid Infusion in Abdominal Surgery
NCT02002663 ·Status: COMPLETED ·Phase: PHASE3
-
Pediatric Caudal Anesthesia Block. And Pain Control
NCT05581940 ·Status: COMPLETED
-
Comparing Bupivacaine, Lidocaine, and a Combination of Bupivacaine and Lidocaine for Labor Epidural Activation
NCT03103100 ·Status: COMPLETED ·Phase: PHASE3
-
Liposomal Bupivacaine Versus Continuous Peripheral Nerve Blocks for Analgesia Following Ankle Surgery
NCT06995352 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE4
-
Is Tunneling Effective in Preventing Failure of Epidural Analgesia? A Randomized Trial
NCT03706352 ·Status: COMPLETED ·Phase: NA
-
Mepivacaine-Tramadol on the Success of Inferior Alveolar Nerve Block in Symptomatic Irreversible Pulpitis
NCT02110966 ·Status: COMPLETED ·Phase: PHASE4
-
Evaluation of Abdominal Wall Block With Liposomal Bupivacaine for Post-Operative Analgesia in Donor Nephrectomy
NCT03294109 ·Status: COMPLETED ·Phase: PHASE4
-
Intraoperative Liposomal Bupivacaine Injection in Primary Total Knee Arthroplasty
NCT02341079 ·Status: WITHDRAWN ·Phase: PHASE2/PHASE3
-
A Pilot Study of Bupivacaine Infusion in Abdominal Surgery
NCT00280553 ·Status: UNKNOWN ·Phase: PHASE2
-
Evaluation of Adding Magnesium Sulfate to (Fentanyl/Bupivacaine)Bi-mixture in Caudal Block
NCT06162806 ·Status: COMPLETED ·Phase: NA
-
EUS Guided Neurolysis Celiac Block w/wo Bupivacaine in Patient Being Treated Palliatively for Pancreatic Cancer
NCT02682082 ·Status: TERMINATED ·Phase: NA
-
Adductor Canal Blocks With Bupivacaine and Magnesium After Same-day Discharge Total Knee Arthroplasty Improve Post-operative Pain Relief and Decrease Opioid Consumption: a Prospective Randomized Controlled Trial
NCT05004636 ·Status: COMPLETED ·Phase: NA
-
Patient Controlled Epidural Analgesia Versus Intravenous Patient Controlled Analgesia for Post-Operative Pain Control in Patients Undergoing Elective Liver Resection
NCT02523443 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
A Pharmacokinetic (PK) Study of Extended-Release Epidural Morphine in Upper Abdominal Surgery
NCT00728832 ·Status: COMPLETED ·Phase: PHASE1
-
Are Adductor Canal Blocks With Bupivacaine and Added Magnesium Better at Managing Post-operative Pain Than Bupivacaine and Added Buprenorphine in Patients Undergoing Same-day Discharge Total Knee Arthroplasty?
NCT05091138 ·Status: UNKNOWN ·Phase: NA