Cargando…
Protocol for a multicentre, prospective, observational cohort study of variation in practice in perioperative analgesic strategies in elective laparoscopic colorectal surgery: the LapCoGesic Study
INTRODUCTION: Laparoscopic surgery combined with enhanced recovery programmes has become the gold standard in the elective management of colorectal disease. However, there is no consensus with regard to the optimal perioperative analgesic regime in this cohort of patients, with a number of options a...
Autores principales: | , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5020879/ https://www.ncbi.nlm.nih.gov/pubmed/27601484 http://dx.doi.org/10.1136/bmjopen-2015-008810 |
_version_ | 1782453284656644096 |
---|---|
author | Burnell, Phillippa Coates, Rachael Dixon, Steven Grant, Lucy Grey, Matthew Griffiths, Ben Jones, Mike Madhavan, Anantha McCallum, Iain McClean, Ross Naru, Karen Newton, Lydia O'Loughlin, Paul Shaban, Fadlo Sukha, Anisha Somnath, Sameer Shumon, Syed Harji, Deena |
author_facet | Burnell, Phillippa Coates, Rachael Dixon, Steven Grant, Lucy Grey, Matthew Griffiths, Ben Jones, Mike Madhavan, Anantha McCallum, Iain McClean, Ross Naru, Karen Newton, Lydia O'Loughlin, Paul Shaban, Fadlo Sukha, Anisha Somnath, Sameer Shumon, Syed Harji, Deena |
collection | PubMed |
description | INTRODUCTION: Laparoscopic surgery combined with enhanced recovery programmes has become the gold standard in the elective management of colorectal disease. However, there is no consensus with regard to the optimal perioperative analgesic regime in this cohort of patients, with a number of options available, including thoracic epidural spinal analgesia, patient-controlled analgesia, subcutaneous and/or intraperitoneal local anaesthetics, local anaesthetic wound infiltration catheters and transversus abdominis plane blocks. This study aims to explore any differences in analgesic strategies employed across the North East of England and to assess whether any variation in practice has an impact on clinical outcomes. METHODS AND ANALYSIS: All North East Colorectal units will be recruited for participation by the Northern Surgical Trainees Research Association (NoSTRA). Data will be collected over a consecutive 2-month period. Outcome measures will include postoperative pain score, postoperative opioid analgesic use and side effects, length of stay, 30-day complication rates, 30-day reoperative rates and 30-day readmission rates. ETHICS AND DISSEMINATION: Ethical approval for this study has been granted by the National Research Ethics Service. The protocol will be disseminated through NoSTRA. Individual unit data will be presented at local meetings. Overall collective data will be published in peer-reviewed journals and presented at relevant surgical meetings. |
format | Online Article Text |
id | pubmed-5020879 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-50208792016-09-20 Protocol for a multicentre, prospective, observational cohort study of variation in practice in perioperative analgesic strategies in elective laparoscopic colorectal surgery: the LapCoGesic Study Burnell, Phillippa Coates, Rachael Dixon, Steven Grant, Lucy Grey, Matthew Griffiths, Ben Jones, Mike Madhavan, Anantha McCallum, Iain McClean, Ross Naru, Karen Newton, Lydia O'Loughlin, Paul Shaban, Fadlo Sukha, Anisha Somnath, Sameer Shumon, Syed Harji, Deena BMJ Open Surgery INTRODUCTION: Laparoscopic surgery combined with enhanced recovery programmes has become the gold standard in the elective management of colorectal disease. However, there is no consensus with regard to the optimal perioperative analgesic regime in this cohort of patients, with a number of options available, including thoracic epidural spinal analgesia, patient-controlled analgesia, subcutaneous and/or intraperitoneal local anaesthetics, local anaesthetic wound infiltration catheters and transversus abdominis plane blocks. This study aims to explore any differences in analgesic strategies employed across the North East of England and to assess whether any variation in practice has an impact on clinical outcomes. METHODS AND ANALYSIS: All North East Colorectal units will be recruited for participation by the Northern Surgical Trainees Research Association (NoSTRA). Data will be collected over a consecutive 2-month period. Outcome measures will include postoperative pain score, postoperative opioid analgesic use and side effects, length of stay, 30-day complication rates, 30-day reoperative rates and 30-day readmission rates. ETHICS AND DISSEMINATION: Ethical approval for this study has been granted by the National Research Ethics Service. The protocol will be disseminated through NoSTRA. Individual unit data will be presented at local meetings. Overall collective data will be published in peer-reviewed journals and presented at relevant surgical meetings. BMJ Publishing Group 2016-09-05 /pmc/articles/PMC5020879/ /pubmed/27601484 http://dx.doi.org/10.1136/bmjopen-2015-008810 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Surgery Burnell, Phillippa Coates, Rachael Dixon, Steven Grant, Lucy Grey, Matthew Griffiths, Ben Jones, Mike Madhavan, Anantha McCallum, Iain McClean, Ross Naru, Karen Newton, Lydia O'Loughlin, Paul Shaban, Fadlo Sukha, Anisha Somnath, Sameer Shumon, Syed Harji, Deena Protocol for a multicentre, prospective, observational cohort study of variation in practice in perioperative analgesic strategies in elective laparoscopic colorectal surgery: the LapCoGesic Study |
title | Protocol for a multicentre, prospective, observational cohort study of variation in practice in perioperative analgesic strategies in elective laparoscopic colorectal surgery: the LapCoGesic Study |
title_full | Protocol for a multicentre, prospective, observational cohort study of variation in practice in perioperative analgesic strategies in elective laparoscopic colorectal surgery: the LapCoGesic Study |
title_fullStr | Protocol for a multicentre, prospective, observational cohort study of variation in practice in perioperative analgesic strategies in elective laparoscopic colorectal surgery: the LapCoGesic Study |
title_full_unstemmed | Protocol for a multicentre, prospective, observational cohort study of variation in practice in perioperative analgesic strategies in elective laparoscopic colorectal surgery: the LapCoGesic Study |
title_short | Protocol for a multicentre, prospective, observational cohort study of variation in practice in perioperative analgesic strategies in elective laparoscopic colorectal surgery: the LapCoGesic Study |
title_sort | protocol for a multicentre, prospective, observational cohort study of variation in practice in perioperative analgesic strategies in elective laparoscopic colorectal surgery: the lapcogesic study |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5020879/ https://www.ncbi.nlm.nih.gov/pubmed/27601484 http://dx.doi.org/10.1136/bmjopen-2015-008810 |
work_keys_str_mv | AT protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT burnellphillippa protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT coatesrachael protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT dixonsteven protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT grantlucy protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT greymatthew protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT griffithsben protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT jonesmike protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT madhavananantha protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT mccallumiain protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT mccleanross protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT narukaren protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT newtonlydia protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT oloughlinpaul protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT shabanfadlo protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT sukhaanisha protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT somnathsameer protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT shumonsyed protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy AT harjideena protocolforamulticentreprospectiveobservationalcohortstudyofvariationinpracticeinperioperativeanalgesicstrategiesinelectivelaparoscopiccolorectalsurgerythelapcogesicstudy |