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The purpose of this research is to determine if spraying a local anesthetic to the cecum after a laparoscopic appendectomy decreases the amount of narcotics (pain medicine) needed after surgery and reduces the time to discharge from the hospital.
The purpose of this study is to determine the effectiveness of using intraperitoneal anesthetic during appendectomy. Subjects will be randomized to receive either 20 mL 0.5% bupivicaine or 20 mL of normal saline (placebo) instilled in the right lower quadrant at the cecum after appendix has been removed. Narcotic consumption will be tracked postoperatively. Hypothesis is that instilling local anesthetic at the cecum during a laparoscopic appendectomy will decrease the amount of narcotic a patient uses postoperatively. Secondarily, this study will attempt to determine if there is a decrease in length of stay for the subjects randomized to the anesthetic infiltration.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Local anesthetic (Bupivicaine) | Experimental | The experimental arm intervention is 75 subjects will receive the study agent (20 mL of 0.5% bupivacaine) to be sprayed at the cecum after the appendix has been removed and all planned irrigation and aspiration has occurred |
|
| Placebo 20 ml | Placebo Comparator | 75 subjects will be treated with normal saline/placebo to be sprayed at the cecum after the appendix has been removed and all planned irrigation and aspiration has occurred |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bupivacaine | Drug | 20 ml of 0.5% Bupivacaine |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Total narcotic use following surgery until the time of discharge from the hospital. | 1, 2, 4 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Discharge | 12 hours | |
| Pain Level Scores at 1, 2, 4, and 12 hours postoperatively | 12 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Karlin Sevensma, DO | Metro Health Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Metro Health Hospital | Wyoming | Michigan | 49519 | United States |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Oct 17, 2023 | |
| Reset | Nov 8, 2023 | |
| Release | Mar 26, 2024 | |
| Reset | Apr 22, 2024 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Oct 17, 2023 | Nov 8, 2023 | |||
| Mar 26, 2024 |
| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| Placebos |
| Drug |
|
| Apr 22, 2024 |
| D000588 |
| Amines |