Hernia
Conditions
Keywords
Transversus abdominis plane block
Brief summary
The purpose of this study is to determine whether Transversus abdominis plane block is superior to placebo or superior to local infiltration in analgesic efficacy after groin hernia repair.
Interventions
UL-guided TAP block with 25 ml of ropivacaine 0,75% unilateral, single dose, ilioinguinal block with 10 ml of saline and local infiltration with 40 ml of saline
UL-guided Tap block with 25 ml of saline single dose Ilioinguinal block with 10 ml of saline and local infiltration with saline 40 ml single dose
Ilioinguinal block with 10 ml of ropivacaine 0,375% single dose, local infiltration with 40 ml of ropivacaine 0,375% single dose, UL-guided Tap block with 25 ml of saline single dose
Sponsors
Study design
Eligibility
Inclusion criteria
* 18-75 years old * groin hernia repair * written consent * ASA 1-3 * BMI 18-35
Exclusion criteria
* unable to communicate in Danish * relevant drug allergy * pain medication in the last 24 hours * pregnancy * alcohol or/and drug abuse * daily opioid intake * infection at injection site
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain scores by coughing between TAP block group and placebo group | 0,2,4,6,8,19 and 24 hours postoperative | Area under the curve (AUC)-pain during cough based on measurements at 0,2,4,6,8,19,24 hours postoperative |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain scores by coughing between placebo and local infiltration and between TAP block and local infiltration. | 0,2,4,6,8,19 and 24 hours postoperative | Area under the curve (AUC)-pain during cough based on measurements 0,2,4,6,8,19,24 hours postoperative. |
| Total opioid consumption | 0-24 hours postoperative | Total morphine consumption 0-2 hours postoperative. Total ketobemidone consumption 2-24 hours postoperative. |
| Postoperative nausea and vomiting | 0,2,4,6,8,19,24 hours postoperative | Levels of nausea (0-3)at 0,2,4,6,8,19,24 hours postoperative Number of vomits 0-2, 2-4, 4-6, 6-8, 8-19 og 19-24 hours postoperative. |
| Sedation | 0,2,4,6,8,19,24 hours postoperative | Levels of sedation (0-3)at 0,2,4,6,8,19,24 hours postoperative. |
| Pain scores at rest between TAP block versus placebo and TAP block versus infiltration and infiltration versus placebo | 0,2,4,6,8,19,24 hours postoperative | Area under the curve (AUC)-pain at rest based on measurements at 0,2,4,6,8,19,24 hours postoperative |
Countries
Denmark