Programmed Intermittent Bolus Dosing Versus Continuous Epidural Infusion for Epidural Analgesia in Abdominal Surgery.
NCT03307174 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2020-05-12
Summary
Epidurals are an effective means for providing neuraxial anesthesia and analgesia. Prior studies in labor epidurals have demonstrated that a programmed intermittent bolus application of local anesthesia can improve pain control by reducing the amount of local anesthetic required as well as improve patient satisfaction when compared to continuous epidural infusions. The effects of programmed intermittent bolus of epidural local anesthetics compared to continuous epidural infusions in a surgical setting have yet to be elucidated. Our goal is to evaluate the use of programmed intermittent bolus compared to continuous epidural infusion in a surgical patient population. We plan to enroll patients already undergoing abdominal surgeries including colorectal, gynecologic, surgical oncology, urological where epidural anesthesia can be employed. The primary endpoints of the study will be the total local anesthetic consumption and total opioid consumption as surrogate markers for the quality of epidural anesthesia. Secondary endpoints are pain scores and functional measurements, patient satisfaction, and incidence of hypotension.
Conditions
- Pain, Acute
Interventions
- DRUG
-
Bupivacaine
- DRUG
Sponsors & Collaborators
-
University of California, San Francisco
lead OTHER
Principal Investigators
-
Matthias Behrends, MD · University of California, San Francisco
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2016-04-14
- Primary Completion
- 2019-02-28
- Completion
- 2019-02-28
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Intra-operative Uterosacral Ligament Bupivacaine Injection During Minimally Invasive Hysterectomy
NCT04157075 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Local Anesthetics on Postsurgical Analgesia Following Posterior Colporrhaphy
NCT04032327 ·Status: COMPLETED ·Phase: PHASE2
-
Thoracic Epidural Analgesia vs Surgical Site Infiltration With Liposomal Bupivacaine Following Open Gynecologic Surgery
NCT04117074 ·Status: COMPLETED ·Phase: PHASE3
-
Rectus Sheath Block With Liposomal Bupivacaine Versus Thoracic Epidural Analgesia for Pain Control Following Pancreatoduodenectomy
NCT06411795 ·Status: RECRUITING ·Phase: PHASE2
-
Bupivacaine Levels in Liver Resection Patients
NCT03145805 ·Status: COMPLETED
-
Trial of Onset of Epidural Pain Relief With Low Dose Bupivacaine and Different Doses of Fentanyl in Laboring Women
NCT02004899 ·Status: COMPLETED ·Phase: PHASE3
-
Use of Epidurals Intraoperatively for Patients Undergoing Pancreas Resection
NCT03434678 ·Status: COMPLETED ·Phase: PHASE3
-
PAIN - Postoperative Analgesia INvestigation
NCT02111746 ·Status: COMPLETED ·Phase: PHASE4
-
Thoracic Epidural Analgesia Versus Rectus Sheath Block Versus Surgeon Infiltration With Liposomal Bupivacaine or Standard Bupivacaine for Post-Operative Pain Control After Cystectomy
NCT04300231 ·Status: COMPLETED ·Phase: PHASE3
-
Epidural Analgesia Use in Pancreatic Resections
NCT02681796 ·Status: COMPLETED ·Phase: PHASE1
-
0.25% Bupivacaine Versus a Mixture of 0.25% Bupivacaine and 1.3 % Liposomal Bupivacaine in Patients Undergoing Tka
NCT03303794 ·Status: TERMINATED ·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
-
Spinal Anesthesia For Enhanced Recovery After Liver Surgery
NCT03715517 ·Status: RECRUITING ·Phase: NA
-
Subcutaneous Bupivacaine Decrease Post-op Pain in Patients Undergoing C-Section
NCT03383588 ·Status: TERMINATED ·Phase: PHASE2
-
Intrathecal Analgesia for Normal Labour
NCT04221568 ·Status: UNKNOWN ·Phase: PHASE1
-
Efficacy of Local Anesthetic Through Continuous Infusion
NCT04173312 ·Status: UNKNOWN ·Phase: PHASE3
-
Postoperative Analgesia in Laparoscopic Abdominal Surgery After Exparel Via TAP or Local Infiltration
NCT03927326 ·Status: UNKNOWN ·Phase: NA
-
Transversus Abdominis Plane Catheter: a Study of Method
NCT01395043 ·Status: COMPLETED ·Phase: NA
-
Comparing Intrathecal Morphine and Intraoperative Lidocaine Infusion to Epidural Anesthesia With Postoperative PCA for Patients Undergoing Exploratory Laparotomy
NCT05017246 ·Status: TERMINATED ·Phase: PHASE2
-
Sufentanil for Anesthesia Induction in Continuous Remifentanil Anesthesia
NCT01777100 ·Status: COMPLETED ·Phase: PHASE4
-
Bupivacaine With Epidural Volume Extension
NCT03110003 ·Status: COMPLETED ·Phase: PHASE3
-
Management of Pain Post Hepatectomy : Infiltration of Local Anesthetics Versus Continuous Spinal Analgesia .
NCT03238430 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Onset of Labour Epidural Analgesia With Different Concentration Bupivacaine and Different Doses of Sufentanyl
NCT03395600 ·Status: COMPLETED ·Phase: PHASE4
-
The Analgesic Efficacy of Continuous Sub-fascial Bupivacaine Infusion and Lidocaine Patches in Post-cesarean Patients With Opiate Use Disorder: A Comparative Efficacy Analysis
NCT04033562 ·Status: TERMINATED ·Phase: PHASE4
-
Epidural Neostigmine for Labor Pain
NCT00779467 ·Status: COMPLETED ·Phase: PHASE1