Improving pain control after abdominal aortic aneurysm surgery

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates postoperative pain management in adult patients undergoing elective open abdominal aortic aneurysm repair. It compares two methods of analgesia: epidural analgesia and repeated rectus fascia blocks. The goal is to determine which method provides better pain control and reduces complications associated with postoperative pain. The study is conducted in a single center and involves randomizing patients to receive one of the two analgesic techniques.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* adult patients (age \> 18 years)
* patients who have given their consent to participate in the study
* patients undergoing elective "open" surgical treatment of an abdominal aortic aneurysm with a midline xipho-pubic incision.

Exclusion Criteria:

* Pregnant women
* Patients being treated for chronic pain
* Known allergy to drugs included in analgesia protocols
* Contraindications to the use of one of the two methods provided:

  * refusal by the patient
  * infection at the puncture site
  * coagulopathy:

    1. PTT \> 40 s and/or INR \> 1.4
    2. platelet count \< 50,000/µL
    3. taking antiplatelet or anticoagulant drugs that have not been discontinued in good time, according to international guidelines
* Emergent intervention
* Lack of consent to participate in the study

Where it's running

• I.R.C.C.S. Policlinico San Donato
  San Donato Milanese, Milan, Italy Recruiting

Study contacts

• Study coordinator: Mattia Ricotti
• Email: mattia.ricotti@grupposandonato.it
• Phone: +390252774236

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.