PERiX: Comparison of Efficacy Between Placement of Epidural Catheters X-ray Guided and LOS Technique

Last updated: September 25, 2018
Sponsor: Azienda Ospedaliera Universitaria Integrata Verona
Overall Status: Active - Recruiting

Phase

N/A

Condition

Pancreatic Cancer

Pain

Pancreatitis

Treatment

N/A

Clinical Study ID

NCT03685370
PERiX
  • Ages 18-80
  • All Genders

Study Summary

The use of epidural catheters for postoperative analgesia in pancreatic surgery is recommended by the guidelines of the ERAS society. Some studies claim it may expose to hemodynamic alterations that may compromise outcome and increase postoperative complications, attributable to a malfunction of the catheter itself, often linked to a bad positioning, since this is usually positioned with LOS technique. Our hypothesis is that a positioning made using the radiographic guide the day before the intervention can significantly reduce the number of catheter's dysfunctions.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • scheduled for open pancreatic surgery

  • ASA < = 3

Exclusion

Exclusion Criteria:

  • scoliosis

  • coagulation abnormalities

  • antiplatelet drugs (except ASA)

  • history of back surgery

  • anticipated need of ICU stay

Study Design

Total Participants: 154
Study Start date:
March 01, 2017
Estimated Completion Date:
September 30, 2019

Study Description

About 30% of epidural catheters are reported to have hypo or hyper functioning behaviour. This has and impact on postoperative pain control and can affect also surgical and global outcome since it is known that a malfunctional catheter carries an increased complication's rate.

Our hypothesis is that rx-guided positioning can reduce the incidence of catheter malfunction afrom 30 to 15 %.

Connect with a study center

  • Azienda ospedaliero-universitaria integrata Verona

    Verona, Veneto 37126
    Italy

    Active - Recruiting

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