Bilateral Dual Transversus Abdominis Plane Block, Pain Treatment, Robotic Assisted Laparoscopic Surgery
Conditions
Keywords
postoperative pain, opioid consumption, termanalgesia, plasmaropivacain level
Brief summary
To evaluate the effects of bilateral dual transversus abdominis plane block on postoperative pain after robotic assited laparoskopic surgery and measure the plasma-level of ropivacain after the bilateral dual transversus abdominis plane block.
Detailed description
After randomisation patients for robotic assisted laparoscopic surgery will receive bilateral dual transversus abdominis plane block containing either ropivacain or isotonic potassium chloride. The investigators will record pain-score, opioid-consumption and sensibility on the abdominal wall in the postoperative periode. Also a blood sample will be taken at 15, 30, 60, 120 and 240 minutes after the block in order to measure the plasma-level of ropivacain after bilateral dual transversus abdominis plane block. The investigators assume that there will be significant effect on postoperative pain and that the level of plasma-ropivacain will be acceptable.
Interventions
Ropicacain 3,75 mg/ml 15 ml x 4 when placing the Bilateral Dual Transverus Abdominis Plane block
Isotonic potassium chloride 15 ml x 4 when placing the bilateral dual transverus abdominis plane block.
Sponsors
Study design
Eligibility
Inclusion criteria
* patients scheduled for robotic assisted laparoscopis surgery * acceptance to participate
Exclusion criteria
* allergies to local analgetics * daily use of strong opioids
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain-score on numerical rating scale | 4 hours after surgery |
Secondary
| Measure | Time frame |
|---|---|
| Administration of opioids | The first 24 hours after surgery. |
| Pain-score on numerical rating scale | 8 hours after surgery |
Other
| Measure | Time frame |
|---|---|
| Thermoanalgesia at dermatome-level th6-th12 | 1 hour after bilateral dual transversus abdominis plane block |
| Plasma-ropivacain level | 15, 30, 60, 120 and 240 mins after the block |
Countries
Denmark