Liposomal Bupivacaine/Bupivacaine in Rectus Sheath Blocks Versus Ropivacaine in Rectus Sheath Blocks And Catheters
NCT05972018 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 14
Last updated 2025-09-03
Summary
The goal of this pilot study is to compare single shot rectus sheath blocks of liposomal bupivacaine/bupivacaine mixture to bilateral rectus sheath catheters infused with ropivacaine (standard of care at our facility) in patients undergoing vascular surgery with an open mid-abdominal laparotomy incision. This study will assess the safety and feasibility of this approach compared to standard of care.
Participants will receive either a single dose of liposomal bupivacaine/bupivacaine mixture intraoperatively at the end of surgery through bilateral rectus sheath blocks (LB/B group) or the standard of care ropivacaine intraoperatively at the end of surgery through bilateral rectus sheath blocks with the insertion of bilateral RS catheter for continuous ropivacaine infusion plus repeated daily boluses (Catheter group; standard care). They will be assessed for differences in the rate of postoperative complications, resources consumed with each intervention, as well as postoperative pain scores, opioid consumption, hospital and PACU length of stay, patient's satisfaction, and quality of recovery, and hospital length of stay.
Conditions
- Aortic Aneurysm, Abdominal
- Abdominal Aortic Occlusion
- Aortoiliac Occlusive Disease
- Aortic Diseases
Interventions
- DRUG
-
Liposomal bupivacaine
Rectus Sheath Block: Total 60mL: (20mL 1.3% Liposomal bupivacaine + 30mL 0.25% bupivacaine + 10mL NS).(30mL per side)
- DRUG
-
Ropivacaine
Total 60mLof 0.2% ropivacaine: (60mL of 0.2% ropivacaine (3 vials)
- DRUG
-
Bupivacain
Rectus Sheath Block: Total 60mL: (20mL 1.3% LB + 30mL 0.25% bupivacaine + 10mL NS. 30mL per side)
Sponsors & Collaborators
-
Hartford Hospital
lead OTHER
Principal Investigators
-
Kevin Finkel, MD · Hartford Hospital
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-10-18
- Primary Completion
- 2026-10-30
- Completion
- 2026-12-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
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