Laparoscopy, Abdominal Wall, Regional Anesthesia
Conditions
Brief summary
During laparoscopic surgery, the abdomen is inflated with carbon dioxide for abdominal imaging and increased intraabdominal pressure affects intraabdominal structures and abdominal wall.
Detailed description
The investigators aimed to investigate the effects of regional anesthesia methods administered during laparoscopic cholecystectomy on abdominal wall oxygenation and postoperative pain scores.
Interventions
DEVICEregional oxymetry probe
The regional oxymetry probe will be placed in the abdominal region of the umbilicus in the middle clavicular line before the disease operation begins.
PROCEDUREQuadratus Lumborum block
Ultrasound guided unilateral anterior Quadratus Lumborum block with 20 ml %0.25 bupivacaine+The regional oxymetry probe will be placed in the abdominal region of the umbilicus in the middle clavicular line before the disease operation begins.
PROCEDUREThoracic Epidural block
Thoracic Epidural block with 20 ml %0.25 bupivacaine+The regional oxymetry probe will be placed in the abdominal region of the umbilicus in the middle clavicular line before the disease operation begins.
Sponsors
Bursa Yuksek Ihtisas Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
SINGLE (Subject)
Masking description
Participant, Outcomes Assessor
Intervention model description
prospective,randomized
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Patients who were in the American Society of Anesthesiologists (ASA) I-III class * Underwent laparoscopic cholecystectomy
Exclusion criteria
* Previous surgeon surgeon * Local anesthetic allergy, * Bleeding is a diathesis disorder * Mental impairment, * Allergic to the drugs used, * Patients who are not reluctant to participate in the study, * Presence of infection in the block area, * Patients whose body mass index is over 30
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| rso2 | peroperative 2 hours | The regional oxymetry probe will be placed in the abdominal region of the umbilicus in the middle clavicular line |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale | Postoperative 24 hours | Visual Analog Scale was used for pain.Pain intensity was measured using 0-10 cm visual analogue scale (VAS). (0=no pain, 10=intolerable pain) |
| tramadol consumption | Postoperative 24 hours | tramadol consumption with PCA (patient-controlled analgesia ) device |
| additional analgesic use | Postoperative 24 hours | additional analgesic use (paracetamol and NSAİD) |
Contacts
Primary Contactkorgün Ökmen, M.D
Backup ContactBurcu Metin Ökmen, M.D
Outcome results
None listed