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Influence of Analgesic Technique on Post Operative Rehabilitation After Median Laparotomy
Sponsor: Centre Hospitalier Régional Metz-Thionville
Summary
Randomized controlled trial (1:1) in two parallel groups, multicentric, open-label, comparing two locoregional anesthesia (LRA) techniques as integral parts of multimodal analgesia: the control group will benefit from epidural anesthesia, while the experimental group will benefit from bilateral placement of catheters in the sheath of the rectus abdominis muscles.
Official title: Influence of Analgesic Technique on Post Operative Rehabilitation After Median Laparotomy: Comparison Between Thoracic Epidural Anesthesia Versus Bilateral Rectus Sheath Block
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
110
Start Date
2021-10-11
Completion Date
2029-04-10
Last Updated
2025-12-16
Healthy Volunteers
No
Conditions
Interventions
Epidural analgesia
All patients received local anesthesia (3-5 ml of 2% Lidocaine). During the preoperative induction of anaesthesia a catheter was inserted 4cm into the epidural space. The catheter will be load during the intervention (0.1 ml/kg/h). In postoperative situation, a patient controlled epidural analgesia was introduced with a debit adapted to the arterial pressure.
Bilateral rectus sheath block
Bilateral rectus sheath block was performed Under general anesthesia and with ultrasound guidance. Rectus sheath block was inserted on each side of the abdomen. All patients received ropivacaine through elastomeric pump
Laparotomy
A midline sub or supra umbilical laparotomy or xypho-pubian laparotomy
Locations (2)
CHR Metz Thionville Hopital de Mercy
Metz, Moselle, France
CHR Metz-Thionville Hopital Bel Air
Thionville, France