EDA: Efficacy of Postoperative Epidural Anesthesia Following Abdominoplasty
Study Details
Study Description
Brief Summary
Effective postoperative pain management is essential for patient satisfaction and therefore intraoperative regional nerve blocks have become more and more popular in abdominoplasties. However, the key disadvantage of these blocks are their limited duration of action. This observational study evaluates the effects of a longer- lasting, individualized epidural analgesia using a pain pump to better classify the clinical value of this procedure.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
This work reviews the digital medical charts of patients who underwent selective abdominoplasty without additive surgical procedures within a period of 4 years. Evaluated data comprise the postoperative analgesia regimen, including on-demand medication, mobilization time, inpatient length of stay, and clinical outcome. The patients were grouped by the presence of an epidural catheter.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Patients with epidural anesthesia Patients following Abdominoplasty with postoperative epidural anesthesia via pain catheter |
Procedure: Epidural anesthesia
Postoperative pain management by epidural anesthesia via epidural catheter and pain pump
|
| Patients without epidural anesthesia Patients following Abdominoplasty without postoperative epidural anesthesia |
Outcome Measures
Primary Outcome Measures
- frequency of retrieval of the on-demand non-epidural opiate [from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days]
frequency of retrieval of the on-demand non-epidural opiate as a measure of perceived pain discomfort
Secondary Outcome Measures
- postoperative mobilization ability [from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days]
the time at which the patient was able to move at room level with the assistance of a nurse (assisted full mobilization), the time at which the patient was able to get out of bed independently and move without assistance (independent full mobilization)
- timing of urinary catheter removal [from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days]
timing of urinary catheter removal after surgery
- length of hospital stay [from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days]
number of days from the day of surgery until dischargement
Eligibility Criteria
Criteria
Inclusion Criteria:
• Patients who underwent abdominoplasty
Exclusion Criteria:
• Patients who underwent abdominoplasty combined with additional intraoperative procedures (e.g., liposuction, hernia repair) were excluded
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | ISAR Klinikum | München | Bayern | Germany | 80331 |
Sponsors and Collaborators
- Klinik Bogenhausen
- ISAR Klinikum
Investigators
- Principal Investigator: Ulf Dornseifer, MD, ISAR Klinikum
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- EDA following Abdominoplasty