Comparison of the Incidence of Inadequate Epidural Analgesia Between Protocol Based and Current Practice

Mahidol University

Status: Terminated

Conditions: Postoperative Pain; Epidural Analgesia

Treatments: Drug: Protocol based; Drug: Current practice

Study type: Interventional

Funder types: Other

Identifiers

NCT04111406

Si 342/2018

Details and patient eligibility

About

Epidural analgesia is the recommended analgesic technique in patients having surgery with severe postoperative pain such as thoracic and upper abdominal surgery. However, from the previous study, the incidence of inadequate pain control in patients receiving epidural analgesia is very high 48.6% in our hospital.

Full description

A high incidence of inadequate epidural analgesia may result from variety of epidural techniques and epidural drug administrations. The protocol based practice has been developed from acute pain service which founded for more than 10 years. By using protocol based practice, the investigators believed that the incidence of inadequate epidural analgesia will be less compared with the current practice.

Enrollment: 29 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• All patients age ≥ 18 years old undergo surgery with epidural catheter insertion at Siriraj hospital.

Exclusion criteria

• Coagulopathy
• Allergy to study drugs: local anesthetics and opioids
• History of chronic pain

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: Double Blind

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29 participants in 2 patient groups

Current practice

Other group

Description:

Epidural insertion and epidural drug administration depend on anesthetist in charge

Treatment:

Drug: Current practice

Protocol based

Experimental group

Description:

Epidural insertion and epidural drug administration depend on anesthetist in research team using protocol based

Treatment:

Drug: Protocol based