Colon Cancer
Conditions
Keywords
minimal laparotomy, TAP block, morphine consumption, post-operative analgesia
Brief summary
Transversus abdominis plane block (TAP block) is a new regional block for abdominal wall.It had been reported the effect of post-operative pain control in minor abdominal surgery, such as inguinal hernia repair and appendectomy. On the other hand, because of the accurate of the pre-operative images, the minimal laparotomy for colon cancer was accomplished. Thus, the purpose of this study is to investigate the effect, such as analgesic effect, hemodynamic stability, and post-operative morphine consumption, of TAP block in minimal laparotomy.
Detailed description
outcome measures: * Hemodynamic parameters (mean artery pressure, heart rate): recorded at time points of before induction of general anesthesia (baseline), after tracheal intubation immediately, after surgery started 1, 2, 3, 4, 5, 10, 15, 20, 25, and 30 min; then recorded them every 10 mins. * Post-operative morphine consumption: recorded morphine consumption at the time intervals of post-operative 0\ 6 h, 6\ 12 h, 12\ 24 h, 24\ 36 h, and 36\ 48 h ,respectively. The total amount of morphine consumption was also counted.
Interventions
TAP BLOCK: dosage form: 0.5% bupivacaine 75mg with 2% xylocaine 300 mg mixed dosage: total 30 ml frequency: single shot duration: 12\ 18 hours upon to the regional anesthetics choose
Sponsors
Study design
Eligibility
Inclusion criteria
* Anesthesiologists physical status I-III, ≧ 18 years of age, and needed double-lumen endotracheal tube (DLT) for thoracic surger
Exclusion criteria
* increased risk for regurgitation and pulmonary aspiration, history of gastroesophageal reflux, and pregnancy * a tracheostomy or prolonged ventilation on ICU was planned, patients were also excluded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| amount of post-operative morphine consumption | post-operative 48 hours |
Secondary
| Measure | Time frame |
|---|---|
| evaluation of post-operative pain status using visual analog scale (VAS) and superimposed face pain severity scale | post-operative 48 hours |
Countries
Taiwan