Postoperative Pain
Conditions
Brief summary
The goal of this study is to evaluate the effect of ultrasound guided erector spinae plane block on postoperative pain and quality of recovery after laparoscopic colon surgery.
Detailed description
.The goal of this study is to evaluate the effect of ultrasound guided erector spinae plane block on postoperative pain and quality of recovery after laparoscopic colon surgery.
Interventions
PROCEDUREErector Spinae Plane Block
The transducer was placed vertically 3cm lateral to the midline to visualize the muscles of the back, transverse process and the pleura in between the two transverse processes. After local infiltration of the needle insertion site with 2-3 ml of 2% lidocaine needle was inserted in cranial-caudal direction towards the transvers process using in plane technique until the needle cross all the muscles then interfascial injection of 20ml local anesthetics is done after ensuring negative aspiration, the procedure was repeated following the same steps on the other side of the back.
24-hour fentanyl consumption will be recorded.
Sponsors
Gachon University Gil Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* aged between 20 and 70 years, with an American Society of Anesthesiologists physical status of 1 or 2, who were scheduled for laparoscopic colorectal operation
Exclusion criteria
* sensitivity to local anesthetic, bleeding disorders , receiving anticoagulant, body mass index (BMI) over 35/kg/m2 spine or chest wall deformity pregnancy tolerance to opioid analgesics inability to use patient-controlled analgesia (PCA)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| numerical rating scale on rest and cough | 24 hours after surgery | In the recovery room, post op 6hours, post op 24 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| opioid consumption | 24 hours after surgery | In the recovery room, post op 6hours, post op 24 hours |
| Quality of Recovery | 1day before operation, post op 24 hours | pre operative QoR 40 scores compares |
| need for analgesics | 24 hours after surgery | Number of patients who required analgesic in the first 24 hour |
Countries
South Korea
Contacts
Primary Contactjungju choi, nd,phd
Outcome results
None listed