Chicago, Illinois 60657

  • Patients Undergoing Upper Abdominal Surgery

Purpose:

In patients scheduled for thoracic surgery or upper abdominal surgery, investigators will determine the accuracy of the epidural catheter placement by using fluoroscopic imaging. Previous studies have drawn contradictory conclusions based the potential flaw assumption of 100% success rate for correct epidural catheter placement in the thoracic region.


Study summary:

Thoracic epidural analgesia (TEA) is a key tool in management of pain after thoracic or upper abdominal surgery. TEA optimizes pain relief while minimizing the use of systemic opioids, thus reducing the duration of postoperative ileus. TEA also attenuates surgical stress response and allows for early mobilization. Despite all the touted benefits of TEA, much controversy limits its use for post surgical pain due to fear of exceedingly rare, if not entirely theoretical complication of epidural hematoma. Beneficial effects of TEA require that catheter placement and infusate be targeted at the thoracic segments innervating injured skin, muscle, and bone from which pain input originates. The purpose of this study is to determine the accuracy of thoracic epidural continuous catheter insertion by using fluoroscopic imaging.


Criteria:

Inclusion Criteria: - 18- 80 years old patients - Patients undergoing thoracic surgery - Patients undergoing upper abdominal surgery Exclusion Criteria: - Severe Aortic Valve stenosis - Active Neurologic Disease - Allergy to lidocaine or bupivacaine - Allergy to iodine-based contrast - Cutaneous Disorders at epidural insertion site - Preoperative impaired coagulation status - Pregnancy


NCT ID:

NCT01764932


Primary Contact:

Principal Investigator
Kenneth D Candido, M.D.
Chicago Anesthesia Pain Specialists


Backup Contact:

N/A


Location Contact:

Chicago, Illinois 60657
United States



There is no listed contact information for this specific location.

Site Status: N/A


Data Source: ClinicalTrials.gov

Date Processed: June 23, 2021

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