- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03378804
PIEB-PCEA vs CEI-PCEA for Abdominal Oncological Surgery. A Randomized Prospective Clinical Trial (PIEB)
Randomized Comparison of Two Application Procedures: Programmed Intermittent Epidural Bolus in Patient-controlled Epidural Analgesia (PCEA) Versus Continous PCEA in Abdominal Oncological Surgery
Study Overview
Status
Conditions
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Marburg, Germany, 35037
- Philipps Universität Marburg
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Abdominal tumors in gynecology and general surgery
- Enlightenment and written consent to the investigation
Exclusion Criteria:
- refusal to participate
- pregnancy and breast feeding period
- general contraindications for thoracic epidural anesthesia (e.g. coagulation disorders, --anticoagulation according to the guidelines of DGAI)
- Impossibility to place the epidural catheter correctly
- Known allergy to the drugs used in the study
- Lack of understanding how to use the patient-controlled system
- postoperative follow-up respiratory assistance
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: PIEB-PCEA
Programmed intermittent epidural bolus (PIEB) application of ropivacaine 0.2% with patient-controlled epidural analgesia: The background rate is set at 6ml per hour. The patient-controlled bolus function is programmed with 4ml at a lock-out interval of 30min. |
Instead of a continuous background infusion of 6ml/h, one bolus injection is performed at the same amount per hour.
|
Active Comparator: CEI-PCEA
Continous epidural analgesia with patient-controlled analgesia using ropivacaine 0.2%: The background rate is set at 6 ml / h continuously. The patient-controlled bolus function is programmed in with 4ml at a lock-out interval of 30min. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of additional patient-controlled bolus of ropivacaine 0.2% (consumption in ml)
Time Frame: Beginning of operation -6 pm on the second postoperative day
|
The patient-controlled bolus function is programmed with 4ml at a lock-out interval of 30min.
The number of additional patient-controlled boli will be read off the epidural pump at 6 pm on the day of surgery, 6 pm on the 1st day and 6 pm on the 2nd day
|
Beginning of operation -6 pm on the second postoperative day
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
quality of analgesia
Time Frame: At 6 pm on the day of surgery, 6 pm on the 1st day and 6 pm on the 2nd day
|
Measured on a visual analog scale of 0-10 (0="no pain" ; 10= "worst imaginable pain"
|
At 6 pm on the day of surgery, 6 pm on the 1st day and 6 pm on the 2nd day
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Necessity of additional rescue medication
Time Frame: Beginning of operation until 6 pm on the second postoperative day
|
Piritramid 7,5mg
|
Beginning of operation until 6 pm on the second postoperative day
|
Sensory blockade
Time Frame: Beginning of operation -6 pm on the second postoperative day
|
Sensory blockade is measured with a tiptherm, motor blockade on the Bromage scale 0-3 (0= no blockade; 1=Inability to lift legs stretched; 2=Inability to bend knees, 3=Inability to move feet )
|
Beginning of operation -6 pm on the second postoperative day
|
Patient satisfaction with pain management
Time Frame: At 6 pm on the day of surgery, 6 pm on the 1st day and 6 pm on the 2nd day
|
Measured on a visual analog scale of 0-10
|
At 6 pm on the day of surgery, 6 pm on the 1st day and 6 pm on the 2nd day
|
first defecation/flatus
Time Frame: after the operation till the end of hospital stay (max 20days)
|
dichotomous yes/no
|
after the operation till the end of hospital stay (max 20days)
|
motor blockade
Time Frame: Beginning of operation -6 pm on the second postoperative day
|
motor blockade is measured on the Bromage scale 0-3.
|
Beginning of operation -6 pm on the second postoperative day
|
Collaborators and Investigators
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- nklnk
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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