About this trial
Postoperative visceral pain and autonomic symptoms after laparoscopic sleeve gastrectomy may reappear earlier in selected high-risk patients despite standard intraoperative autonomic neural blockade (ANB). Temporary in situ catheter placement permits postoperative ANB redosing when breakthrough visceral symptoms occur.
This prospective single-arm observational study will evaluate the feasibility, safety, and clinical effectiveness of temporary ANB catheter placement and selective postoperative redosing in high-risk patients undergoing laparoscopic sleeve gastrectomy.
Eligibility criteria
Qualifiers
Female sex age <30 years
Prior history of severe postoperative pain after abdominal surgery
Prior history of significant postoperative nausea/vomiting
History of opioid intolerance or significant opioid-related adverse effects
Disqualifiers
Contraindication to local anesthetics or dexamethasone
Chronic opioid dependence
Severe psychiatric or cognitive impairment limiting symptom assessment
Pregnancy
Trial design
Treatments tested in this trial
- Bupivacaine 0.5% and Dexamethasone via Temporary Catheter