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...

Descripción completa

Detalles Bibliográficos
Autores principales: 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
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