The purpose of our study is to assess the effectiveness of Dermabond as a thoracic epidural fixation technique compared to both Mastisol and the Grip-Lok fixation bandage, two common, widely used techniques for epidural fixation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
300
All thoracic epidurals will be placed by a regional anesthesia resident or fellow under the direct supervision of an attending anesthesiologist using a standard epidural kit and in the paramedian approach. Epidural placement will occur preoperatively in the same manner as our current practice criterion. There will be no difference in placement of the epidural catheter between the control groups and the treatment group. After placement, catheters will be secured with either Dermabond, Mastisol, or a Grip-Lok fixation bandage, all with overlying Tegaderms.
University of Utah Health Sciences Center
Salt Lake City, Utah, United States
RECRUITINGEpidural catheter displacement immediately after surgery
Failure of epidural fixation as measured by catheter depth at the skin (to the nearest 0.5 cm
Time frame: immediately after surgery in PACU
Epidural catheter displacement day 1
Failure of epidural fixation as measured by catheter depth at the skin (to the nearest 0.5 cm
Time frame: 24 hours post-operative
Epidural catheter displacement day 2
Failure of epidural fixation as measured by catheter depth at the skin (to the nearest 0.5 cm
Time frame: 48 hours post-operative
Epidural catheter displacement day 3
Failure of epidural fixation as measured by catheter depth at the skin (to the nearest 0.5 cm
Time frame: 72 hours post-operative
Epidural catheter displacement day 4
Failure of epidural fixation as measured by catheter depth at the skin (to the nearest 0.5 cm
Time frame: 96 hours post-operative
Epidural catheter displacement day 5
Failure of epidural fixation as measured by catheter depth at the skin (to the nearest 0.5 cm
Time frame: 120 hours post-operative
Epidural catheter displacement day 6
Failure of epidural fixation as measured by catheter depth at the skin (to the nearest 0.5 cm
Time frame: 144 hours post-operative
Epidural catheter displacement day 7
Failure of epidural fixation as measured by catheter depth at the skin (to the nearest 0.5 cm
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: 168 hours post-operative
Leakage
presence of any leakage from catheter fixation
Time frame: immediately after surgery in PACU and daily until the patient is discharged up to post-operative day 7
Percent of patients with skin changes as measured by clinician subjective assessment
The clinician will subjectively assess any skin changes including induration or erythema
Time frame: immediately after surgery in PACU and daily until the patient is discharged up to post-operative day 7
Opioid consumption
Daily oral morphine equivalent totals
Time frame: daily up to 7 days post-operative