Pain medicine

Patients' expectations, experience and acceptability of postoperative analgesia: a nested qualitative study within a randomised controlled trial comparing rectus sheath catheter and thoracic epidural analgesia

AnaesthesiaPublished Qualitative study nested within a randomised controlled trial

Authors' conclusion

Patients' experiences start far earlier than the experience of the intervention itself through anticipatory anxieties and fears about receiving a technique and its potential implications.

Study context

Population
Patients receiving postoperative analgesia within a two-year RCTinterviewed
Participants
20 patients
Comparison
Rectus sheath catheter vs thoracic epidural analgesia
Primary endpoint
Acceptability, expectations and experiences of receiving the interventions
Follow-up
4 weeks post-intervention
Methodological detailsgrounded theory approach, constant comparative analysis, patient and public involvement
  • Grounded theory approach
  • Constant comparative analysis
  • Patient and public involvement

Primary result

As reported in the abstract

  • No notable differences in postoperative acceptability or experience of pain management
  • Pre-operatively, thoracic epidural analgesia a source of anticipatory fear and anxiety; rectus sheath catheter not associated with such anxieties
  • Negative experiences of thoracic epidural insertion; some rectus sheath catheter recipients lacked confidence in staff ability to manage the local anaesthetic infusion pump

Safety

Experienced adverse events

Some adverse events with both interventions, proportionately more with thoracic epidural analgesia

Original publication

Patients' expectations, experience and acceptability of postoperative analgesia: a nested qualitative study within a randomised controlled trial comparing rectus sheath catheter and thoracic epidural analgesia. Anaesthesia. Published 9 July 2023. doi:10.1111/anae.16087

Composed by AI from the published abstract and checked against it. How Briefs are made →

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