General Anesthesia. Intravenous Anesthetics, Other and Unspecified General Anesthetic, Local Anesthetics
Conditions
Interventions
Intervention 1: At the beginning of surgery before anesthesia induction, TAP BLOCK performed by the Professor of Anesthesiology and with the method of Ultrasound guided Transversus Abdominus plane blo
Prevention
At the beginning of surgery before anesthesia induction, TAP BLOCK performed by the Professor of Anesthesiology and with the method of Ultrasound guided Transversus Abdominus plane block with 20 cc Bu
Initially with 2cc lidocaine 2%, local anesthesia were created then through the number 18 epidural needle inserted into the epidural space then made sure of the correct position of epidural space, 25
Sponsors
Vice Chancellor For Research of Tehran Medical School, Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
17 Years to 49 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: Age 18-50 years; BMI<30; Stage 1 and 2 ASA; Surgery time less than 2 hours; Absence of systemic disease such as (heart or lung disease and serious liver-Kidney disease); Absence of contraindications to epidural anesthesia (coagulopathies, infection at needle insertion site, The patient's lack of cooperation, Absence of consent); Absence of any contraindications to perform Block; Absence of a history of immunosuppressive and corticosteroid drugs; Absence of a history of drug addiction and smoking. Exclusion criteria: Failing to block; Incidence of complications during surgery and laparotomy for any reason; Prolongation of operation (more than 2 hours)
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Objective success rate of blockage for anesthesia by injection and deposition of sediment material (Marcaine) between the layers of muscle (IOM and TAM). Timepoint: During of surgery. Method of measurement: Ultrasound sonography.;The Subjective Success Rate of Block. Timepoint: 30 minute. Method of measurement: Check the skin sensation of the same area of block in the epigastric and umbilical and groin.;Pain. Timepoint: Immediately, 6, 12, 24 hours after discharge from recovery. Method of measurement: Visualized Analogue Scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Blood Sugar ,WBC , CRP , Cortisol, TNF-a and IL-1 level of serum. Timepoint: Before induction of anesthesia and 6 and 24 hours after extubation of patient. Method of measurement: Blood Exam. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactPiroozeh Taheri
Anesthesiology Department, Dr Shariati Hospital, Tehran University of Medical Sciences, Tehran
Outcome results
None listed