Symptoms and General Pathology

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Liver Neoplasms

Pain

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Anesthetics

Liver Extracts

general anesthesia with post-operative IV PCA with a standard demand pump

general anesthesia with post-operative thoracic epidural analgesia with a standard demand pump

Patients undergoing IV PCA for pain control will have intravenous (IV) analgesia provided through a demand pump started in the recovery room.

IV PCA

Patients in this group will have the epidural catheter placed by the anesthesia pain service team in the pre-surgical center (PSC) as performed routinely at MSKCC. The epidural will be used intra-operatively at the end of liver resection phase of the surgical procedure, once the specimen has been extracted, and continued subsequently in the post-operative phase for pain management.

PCEA

Vittoria Arslan-Carlon, MD

The purpose of this study is to learn whether patient-controlled epidural analgesia (PCEA) is a better method for managing pain after liver resection compared to patient-controlled analgesia (IV PCA). Currently, the standard pain control method for liver resection patients is IV PCA. There is not enough data on how epidural (PCEA) relieves pain and movement on a day to day basis after liver resection.

Patient Controlled Epidural Analgesia Versus Intravenous Patient Controlled Analgesia for Post-Operative Pain Control in Patients Undergoing Elective Liver Resection

A Prospective Randomized Controlled Clinical Trial of Patient Controlled Epidural Analgesia Versus Intravenous Patient Controlled Analgesia for Post-Operative Pain Control in Patients Undergoing Elective Open Liver Resection

The primary endpoint assesses differences in pain control between PCEA and IV PCA after a "get up and go" test performed on POD2 during pain rounds, evaluated using a NRS pain score.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Patient Controlled Epidural Analgesia Versus Intravenous Patient Controlled Analgesia for Post-Operative Pain Control in Patients Undergoing Elective Liver Resection	NCT02523443	Liver Cancer Pain Management	IV PCA PCEA	18 Years -	Memorial Sloan Kettering Cancer Center
Patient Controlled Epidural Analgesia Versus Intravenous Patient Controlled Analgesia for Post-Operative Pain Control in Patients Undergoing Elective Liver Resection	NCT02523443	Liver Cancer Pain Management	IV PCA PCEA	18 Years -	Memorial Sloan Kettering Cancer Center

Spots Global Cancer Trial Database for intravenous patient controlled