Saves the questions and what to expect into your notes, next to the visit they belong to.
Keep this study
Lead
Mayo Clinic
Age
18–80
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
All adult patients undergoing elective open or laparoscopic total pancreatectomies and pancreatoduodenectomies (i.e., Whipple procedure), and participating in the Enhanced Recovery Protocol (ERP) at Mayo Clinic in Florida.
Age 18 - 80 years old
American Society of Anesthesiologist (ASA) class I - III
BMI \< 40
Ability to understand and read English
You may not be if
Not able or willing to sign consent
Intolerance or allergy to opioids, NSAIDS, acetaminophen, or amide-type local anesthetics (i.e., lidocaine).
History of epilepsy or currently receiving treatment for seizures
Severe hepatic insufficiency (Child-Pugh Score C)
Renal insufficiency (creatinine clearance less than 30 mL/minute)
Advance heart failure (NY Heart failure stage 3 or greater; Ejection function \<30%)
Cardiac arrhythmias: 2nd and 3rd degree heart block, sick sinus syndrome, symptomatic bradyarrhythmias, Wolff-Parkinson-White (WPW) syndrome, or Stokes-Adams syndrome; Left bundle branch block or bifascicular block; Not to exclude patients the following conditions unless clinical circumstance dictate: Atrial fibrillation or atrial fluTter; Presence of Implantable Cardioverter Defibrillator (ICD), or pacemakers
Patients on anti-arrhythmic therapy (i.e., digoxin, amiodarone, flecainide, lidocaine, sotalol, etc.). Not to exclude patients on beta blockers (i.e., metoprolol, atenolol, etc.) unless clinical circumstance dictate
Patients with active psychiatric disorders or cognitive dysfunction
Pregnancy or lactating
Enucleation, central, and distal pancreatectomy
Opioid tolerance (defined as consumption of greater than 30 mg of oxycodone per day)
