NCT00913068

Postoperative Pain Control for Prostatectomy

Post Operative Analgesia Using the Transverse Abdominal Plan (TAP) Block in Patients Undergoing a Radical Retropubic Prostatectomy (RRP)

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 110 (actual)
• Sponsor: Nova Scotia Health Authority · Academic / Other
• Sex: Male
• Age: 80 Years
• Healthy volunteers: Not accepted

Summary

The researchers propose to investigate a relatively new anesthetic procedure, in order to maximize patient comfort and minimize the use of narcotics after a radical prostatectomy.

Detailed description

Our current post operative analgesic strategy involves a multi-modal approach, using local injectable anesthetic around the incision and systemic medications (i.e. non-steroidal anti-inflammatories, acetaminophen and break-through doses of opiates). As the amount of opiates used can be significant, we have to be aware of their inherent risks. Opiates have an excellent pain control profile, working peripherally by decreasing the amount of neurotransmitters released from neurons involving noxious stimuli, and also in their central processing. Some of the more common adverse reactions are reparatory depression, sedation, confusion, delirium, nausea, pruritis, constipation, hypotension and bradycardia. Often it is these resulting side effects that extend the length of in hospital rehabilitation, and decrease a patient's overall satisfaction. Thus we propose the use of a relatively new regional anesthetic technique be employed to further decrease the need for opiates in our prostatectomy patients' post-op course, while adequately controlling their pain.

Conditions

• Prostate Cancer

Interventions

Type	Name	Description
PROCEDURE	Transverse Abdominal Plan (TAP)	An injectable anesthetic is introduced to a specific anatomic area where the sensory neurons supplying the operative field.
PROCEDURE	standard post op pain control	opiates

Timeline

• Start date: 2009-07-01
• Primary completion: 2011-09-01
• Completion: 2011-09-01
• First posted: 2009-06-03
• Last updated: 2021-10-04
• Results posted: 2021-10-04

Locations

1 site across 1 country: Canada