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Rectus Sheath Catheters Following Midline Laparotomy
Sponsor: Asklepios Kliniken Hamburg GmbH
Summary
Rectus sheath catheters (RSC) are used for postoperative analgesia following midline laparotomies. Local anesthetics are applied to the posterior rectus sheath via the RSC. The target structures are the anterior cutaneous branches of the spinal nerves Th7-Th12. RSC can be used in particular if thoracic epidurals are contraindicated (compromised coagulation), technically unfeasible or refused by the patient. The study investigates placebo-controlled weather RSC have a significant additional analgesic effect in a multimodal analgesic concept. Primary outcome parameters are the maximum pain score, the Quality-of-Recovery-15-Score (QoR-15GE) and the opioid consumption (morphine equivalents) in the first 72h postoperatively.
Official title: Bilateral Rectus Sheath Catheters Following Midline Laparotomy. A Randomized, Placebo-controlled Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
40
Start Date
2025-07
Completion Date
2027-09
Last Updated
2025-08-01
Healthy Volunteers
No
Conditions
Interventions
Ropivacaine 0.2%
2x30ml (bilateral) ropivacaine 0.2% every 8 hours via rectus sheath catheter
Saline 0.9%
2x30ml saline 0.9% every 8 hours via rectus sheath catheter
Locations (1)
Asklepios Medical Center Uckermark
Schwedt, Brandenburg, Germany