Intrathecal Morphine Analgesia vs. Continuous Epidural Analgesia vs. Systemic Analgesia in Colorectal Surgery.

Launched by CHARLES UNIVERSITY, CZECH REPUBLIC · Dec 30, 2016

Keywords

ClinConnect Summary

Introduction

Colorectal surgery is a frequent operation with expected strong post-operative pain. Thoracic epidural analgesia is a preferred method by many authors, but it is not without risks. As patients in our hospital usually stay at a surgical ICU for 24 hours only and epidural infusion of opioids is prohibited at standard wards according to our hospital standards, it seems to be too demanding method. Systemic analgesia with strong opioids is usually an alternative, but high doses of opioids are known to cause side effects. The last possibility is a single-shot intrathecal injection o...

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Eligibility criteria

• Inclusion Criteria:
• • Patients with elective colorectal surgery (left or right hemicolectomy, subtotal colectomy, resection of sigmoid, rectal or cecum)
• Exclusion Criteria:
• • Known allergy to any of drugs used, coagulopathy, sepsis, cognitive dysfunction and/or inability to understand instruction.
• • Pregnancy (is assessed as a part of pre-operative examination).
• • Abuse of drugs or morphine therapy before surgery.
• • Idiopathic bowel disease.