Health Condition 1: K851- Biliary acute pancreatitis Health Condition 2: K806- Calculus of gallbladder and bile duct with cholecystitis Health Condition 3: K807- Calculus of gallbladder and bile duct without cholecystitis Health Condition 4: K800- Calculus of gallbladder with acutecholecystitis Health Condition 5: K801- Calculus of gallbladder with othercholecystitis Health Condition 6: K802- Calculus of gallbladder without cholecystitis Health Condition 7: K830- Cholangitis Health Condition 8:
Conditions
Interventions
Intervention1: Modified Thoracoabdominal Nerve Block Through Perichondrial Approach: Deposition of local anaesthetics into lower aspect of perichondrium of 10th rib at costochondral angle.The procedur
Sponsors
Dr Keerthikaa M
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients aged 18-70 years undergoing elective laparoscopic cholecystectomy . 2. American Society of Anaesthesiologists (ASA) physical status classification I-II. 3.Patients willing to participate in the study and provide informed consent with ability to understand and comply with study procedures and assessments.
Exclusion criteria
Exclusion criteria: 1.Patients with a history of allergy to the local anaesthetics used in the blocks. 2. Pregnant patients and patients with BMI more than 35kg/m2 3. Patients with infection at the needle puncture site.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Level of pain (NRS) at 0, 1, 6, 12, 24 hours after block.Time of 1st analgesic requirement. Total analgesic consumption in 1st 24 hrs post surgery.Timepoint: To compare the Numerical Rating Scale (NRS) score at rest in patients during the first postoperative 24 hours between the study groups. To compare the time to first rescue analgesic requirement between the study groups. To compare the postoperative 24 hours analgesics consumption between the study groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| PONV at 0, 1, 6, 12, 24 hours. Adverse effects of block.Timepoint: Patients will be assessed at specified intervals by the postgraduate during the postoperative period: immediately upon arrival at the PACU, & at 6, 12, & 24 hours for pain, PONV & any adverse effects of block, if any. | — |
Countries
India
Contacts
Public ContactDr Rama Rani K
Kasturba Hospital, Kasturba Medical College, Manipal
Outcome results
None listed