Programmed Intermittent Bolus Dosing Versus Continuous Epidural Infusion for Epidural Analgesia in Abdominal Surgery.
Status:
Completed
Trial end date:
2019-02-28
Target enrollment:
Participant gender:
Summary
Epidurals are an effective means for providing neuraxial anesthesia and analgesia. Prior
studies in labor epidurals have demonstrated that a programmed intermittent bolus application
of local anesthesia can improve pain control by reducing the amount of local anesthetic
required as well as improve patient satisfaction when compared to continuous epidural
infusions. The effects of programmed intermittent bolus of epidural local anesthetics
compared to continuous epidural infusions in a surgical setting have yet to be elucidated.
Our goal is to evaluate the use of programmed intermittent bolus compared to continuous
epidural infusion in a surgical patient population. We plan to enroll patients already
undergoing abdominal surgeries including colorectal, gynecologic, surgical oncology,
urological where epidural anesthesia can be employed. The primary endpoints of the study will
be the total local anesthetic consumption and total opioid consumption as surrogate markers
for the quality of epidural anesthesia. Secondary endpoints are pain scores and functional
measurements, patient satisfaction, and incidence of hypotension.