NCT05822882 - Efficacy of Postoperative Epidural Anesthesia Following Abdominoplasty | Crick

Overview

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.

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 Type

OBSERVATIONAL

Enrollment

112

Conditions

Anesthesia Abdominoplasty

Interventions

Epidural anesthesiaPROCEDURE

Postoperative pain management by epidural anesthesia via epidural catheter and pain pump

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: • Patients who underwent abdominoplasty Exclusion Criteria: • Patients who underwent abdominoplasty combined with additional intraoperative procedures (e.g., liposuction, hernia repair) were excluded

Locations (1)

ISAR Klinikum

München, Bavaria, Germany

Outcomes

Primary Outcomes

frequency of retrieval of the on-demand non-epidural opiate

frequency of retrieval of the on-demand non-epidural opiate as a measure of perceived pain discomfort

Time frame: 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

Secondary Outcomes

postoperative mobilization ability

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)

Time frame: 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

timing of urinary catheter removal after surgery

Time frame: 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

length of hospital stay

number of days from the day of surgery until dischargement

Time frame: 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