Spots Global Cancer Trial Database for Comparing Rectus Sheath Catheter to Epidural Post Cystectomy

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Trial Identification

Brief Title: Comparing Rectus Sheath Catheter to Epidural Post Cystectomy

Official Title: A Randomised Controlled Trial of Thoracic Epidural Analgesia Versus Surgically Placed Rectus Sheath Catheters for Open Radical Cystectomy: Is There a Difference in Patient Outcomes?

Study ID: NCT02572804

Conditions

Bladder Cancer

Postoperative Pain

Interventions

Epidural

Rectus Sheath Catheters

Study Description

Brief Summary: This is a prospective randomised controlled trial that will compare the outcomes of rectus sheath catheters to epidurals in patients who have undergone a cystectomy, via a lower midline abdominal incision for bladder cancer.

Detailed Description: This study will compare the outcomes of two different pain control techniques, used as standard of care, following major abdominal surgery for bladder removal. Rectus sheath catheters are small tubes that are positioned into a specific area of the cut abdominal wall at the end of surgery; whereas an epidural is a tube that is positioned into the back. Both allow administration of local anaesthetic for pain control. The current gold standard is an epidural. This study will aim to evaluate this and show the comparative efficacy of the rectus sheath catheter, which anecdotally the investigators have found superior in practice.