Overview

Ropivacaine For Post-POEM Pain Control

Status:
Completed
Trial end date:
2021-01-18
Target enrollment:
0
Participant gender:
All
Summary
POEM (Peroral Endoscopic Myotomy) is an endoscopic procedure most commonly used to treat achalasia. Achalasia is a disorder resulting from the inability of esophageal muscles to relax.The POEM procedure, performed under general anesthesia, involves inserting an endoscope into the esophagus where a specialized knife is able to cut a new pathway through the esophageal tissue. The knife is then used to incise, and therefore loosen, tight muscles within the esophagus, lower esophageal sphincter, and the upper region of the stomach that are responsible for the symptoms.This study seeks to improve patient's post-operative pain levels by placing ropivacaine (a local anesthetic) into the newly cut pathway that is created in the POEM procedure. It is hypothesized that the topical irrigation of the POEM tunnel with ropivacaine will result in decreased pain scores and a decreased need for additional pain medications.
Phase:
N/A
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Lawrence Charles Hookey
Treatments:
Ropivacaine
Criteria
Inclusion Criteria:

- 18 years of age and older undergoing POEM procedure

- Able to provide written informed consent

- Fluent and literate in English

Exclusion Criteria:

- Patients with known adverse reactions to local anesthetics and NSAIDs (GFR<50)

- Patients with chronic pain taking regular analgesics or narcotics (requiring daily
opioid therapy > 30 mg morphine or equivalents)

- Patients unable to give informed consent