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Effects of Intravenous Local Anesthetic on Bowel Function After Colectomy

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ClinicalTrials.gov Identifier: NCT00600158
Recruitment Status : Completed
First Posted : January 24, 2008
Last Update Posted : January 24, 2008
Sponsor:
Information provided by:
University of Virginia

Brief Summary:
Epidural local anesthetics are the gold standard for shortening duration of bowel dysfunction after bowel surgery. Previous studies suggest that their effect may be in part a result of actions of the local anesthetic outside the epidural space. If local anesthetics could be administered intravenously instead, this might be a safer, easier and less expensive approach. Therefore, this trial will compare the effect on bowel function recovery of intravenous local anesthetics with those administered epidurally.

Condition or disease Intervention/treatment Phase
Postoperative Ileus Drug: bupivacaine with hydromorphone Drug: lidocaine Phase 3

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 45 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Effects of Intravenous Local Anesthetic on Bowel Function After Colectomy
Study Start Date : April 2005
Actual Primary Completion Date : July 2006
Actual Study Completion Date : July 2006

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Experimental: 2
lidocaine intravenously
Drug: lidocaine
lidocaine 2 mg/min intravenously (or 3 mg/kg in patients > 70 kg)
Active Comparator: 1
epidural local anesthetic
Drug: bupivacaine with hydromorphone
bupivacaine 0.125% with hydromorphone 6 mcg/ml epidurally at 10 ml/h



Primary Outcome Measures :
  1. time from end of surgery to first sign of bowel function (stool or flatus) [ Time Frame: follow-up after surgery ]

Secondary Outcome Measures :
  1. Postoperative pain and opiate consumption [ Time Frame: post-surgery follow-up ]
  2. postoperative nausea and antiemetic use [ Time Frame: post-surgery follow-up ]
  3. duration of hospital stay [ Time Frame: post-surgery follow-up ]


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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Informed consent
  • Scheduled for colon tumor resection.
  • American Society of Anesthesiologists (ASA) physical classification classes I, II, and III.

Exclusion Criteria:

  • Age <18 or >75 years
  • Allergy to local anesthetics
  • Severe cardiovascular disease (myocardial infarction within 6 months, profoundly decreased left ventricular function (ejection fraction <40%), or high-grade arrhythmias) or liver disease (known AST or ALT or bilirubin >2.5 times the upper limit of normal)
  • Systemic corticosteroid use
  • Chronic use of opiates
  • Unwillingness or contraindication to epidural analgesia.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00600158


Locations
United States, Virginia
University of Virginia
Charlottesville, Virginia, United States, 22908
Sponsors and Collaborators
University of Virginia
Investigators
Principal Investigator: Marcel E Durieux, MD PhD University of Virginia

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Marcel E. Durieux, MD PhD, Professor of Anesthesiology, University of Virginia
ClinicalTrials.gov Identifier: NCT00600158     History of Changes
Other Study ID Numbers: MED001
First Posted: January 24, 2008    Key Record Dates
Last Update Posted: January 24, 2008
Last Verified: January 2008

Keywords provided by University of Virginia:
colectomy

Additional relevant MeSH terms:
Bupivacaine
Lidocaine
Anesthetics, Local
Anesthetics
Hydromorphone
Central Nervous System Depressants
Physiological Effects of Drugs
Sensory System Agents
Peripheral Nervous System Agents
Anti-Arrhythmia Agents
Voltage-Gated Sodium Channel Blockers
Sodium Channel Blockers
Membrane Transport Modulators
Molecular Mechanisms of Pharmacological Action
Analgesics, Opioid
Narcotics
Analgesics