Does the Use of Ropivacaine Facilitates Cholecystectomy by Laparoscopy in Ambulatory Surgery? (VesiRop)
Since the recommendations of the French Society of Digestive Surgery 2010, cholecystectomy can be performed as outpatient surgery. This approach is difficult in many centers because of post operative pain and nausea/vomiting.
The use of postoperative morphine may be responsible for the state of nausea. The use of ropivacaine allows a reduction of the morphine consumption and thus may allow the patient to have their surgery as an outpatient.
Currently, ropivacaine is used randomly during the investigators surgeries. Initially, it was used for the infiltration holes trocar. In recent years, ropivacaine is used for the reduction of intra-abdominal postoperative pain. Its use is made of parietal surgery ( hernia ) in cholecystectomy and colonic surgery. This mode of administration is allowed to view the many publications made on this subject. Its use in the investigators daily surgery, however, has not been evaluated in ambulatory surgery.
研究概览
研究类型
注册 (实际的)
阶段
- 第四阶段
联系人和位置
学习地点
-
-
-
La Roche sur Yon、法国、85925
- Centre Hospitalier Départemental VENDEE
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Programmed Cholecystectomy
- Laparoscopy
- Man and woman
- ≥ 18
- ASA 1 or 2
- Not living alone
- Patient receiving social security coverage
- Signature of Informed Consent Form
Exclusion Criteria:
- Cholecystectomy emergency
- Patient minor
- Pregnant woman (pregnancy test) or during breastfeeding
- Conversion to laparotomy
- Patient anticoagulant curative dose
- Living alone
- Patient addict
- Peptic Ulcer
- Refusal to enter the protocol
- Chronic requiring analgesics long-term
- Immunosuppression
- Long-term Treatment with corticosteroids
- Discovery intraoperative calculation in the bile duct
- Contraindication to ropivacaine (see cons-indications to ropivacaine)
- Hypersensitivity to study treatment or concomitant medications anesthesia
- Cardiac or unbalanced epileptic patients (due to the risk of cardiovascular and neurological local anesthetics)
- Patients ASA ≥ 3
- Patient <50 kg
学习计划
研究是如何设计的？
设计细节
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
无干预：standard anesthesia
|
|
|
实验性的：standard anesthesia with ropivacaine
ropivacaine
|
研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
Time to discharge patient after surgery
大体时间：6 hours postoperative
|
6 hours postoperative
|
合作者和调查者
调查人员
- 研究主任：Emeric ABET, Dr、Chd Vendee La Roche Sur Yon
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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