Health Condition 1: K802- Calculus of gallbladder without cholecystitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients aged 18-65yrs, posted for elective laparoscopic cholecystectomy, with American society of Anaesthesiologist (ASA) physical status I-II shall be included in the study.
Exclusion criteria
Exclusion criteria: 1. Patient refusal. 2. Patients with known allergy to local anaesthetics. 3. Patients with presence of bleeding disorders. 4. Patients with infection at injection sites. 5. Patients with prior addiction or analgesics abuse (opioid and nonsteroidal anti-inflammatory drug medications). 6. Patients with BMI 34.9kg/m2. 7. Patients with weight under 50kgs. 8. Patients with liver or renal insufficiency. 9. Patients with history of psychiatric or neurological disease, deafness. 10. Patients in whom the total surgical duration exceeds 2 hours (after incision) or surgery is converted to open cholecystectomy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the reduction in Numerical Rating Scale (NRS) score at 30 minutes after extubation between the control group, group receiving ESPB with bupivacaine 0.25% and the group receiving ESPB with bupivacaine 0.375% respectively.Timepoint: 30 minutes after extubation | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To compare total intraoperative fentanyl requirement in the 3 groups. 2. To compare total analgesic consumption postoperatively in 24 hours between the 3 groups. 3. To compare change in pre and post-operative surgical stress markers (NLR- neutrophil-lymphocyte ratio, PLR- platelet-lymphocyte ratio, Serum albumin, Blood glucose) between the 3 groups. 4. To compare patient satisfaction scores between the three groups. Timepoint: 24 hours after extubation. For stress markers- 6 hours and 24 hours after extubation | — |
Countries
India
Contacts
HAMDARD INSTITUTE OF MEDICAL SCIENCES AND RESEARCH