Anesthetics, Anesthetics, Local, Bupivacaine, Peripheral Nervous System Agents
Conditions
Keywords
TAP block, laparoscopy, laparoscopic cholecystectomy
Brief summary
Abdominal wall blocks are frequently used as part of multimodal analgesia for pain control after abdominal surgery. There are studies using the Transversus Abdominis Plane Block for postoperative pain control in laparoscopic cholecystectomies. In this study, the investigators aimed to compare the advantages of these two methods by applying the Transversus Abdominis Plan Block for postoperative pain control after laparoscopic cholecystectomy with the help of postoperative USG and laparoscopy during surgery.In this study, the investigators aimed to compare the advantages of these two methods by applying the Transversus Abdominis Plan Block for postoperative pain control after laparoscopic cholecystectomy with the help of postoperative USG and LAPAROSCOPY during surgery.
Detailed description
A total of 60 patients aged 18-65, ASA 1-2-3, who will undergo elective laparoscopic cholecystectomy in our hospital, will be included in the study. Patients will be randomly divided into 3 groups with ultrasound (USG) guided (GROUP 1: USG) , Laparoscopic application (GROUP 2: LAP) and GROUP 3 :No-TAP blok Each group consists of 20 evil people. Written consent will be obtained by explaining the procedure to be performed before the operation to the patients. The Transversus Abdominis Plan Block will be applied to the patients by a blind anesthesiologist according to their group. The block to be made by the anesthesiologist who will apply the block procedure will be given in a closed envelope.
Interventions
DRUGbupivacaine
In one arm the TAP infiltration will contain 10 mL of 0.25 % bupivacaine injected . This will then be repeated on the contralateral side.
Sponsors
Ankara City Hospital Bilkent
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* ASA I,II,III * Patients 18-65 * laparoscopic cholecystectomy
Exclusion criteria
* ASA III higher * history of pain relief medication dependence * history of substance abuse * end stage chronic kidney disease * advanced liver disease * history of chronic pain -history of taking opioids or neuropathic agents regularly prior to surgery- * BMI of 50 or over * skin infections at the site of TAP block injection or port sites.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean postoperative static and dynamic numeric rating scale (NRS) at 24 hours | 24 hours | o compare the mean NRS at 0hr, 1hr, 2 hrs. 6 hrs. 12 hrs. and 24hrs. post-operatively between three groups Numeric rating scale for pain,(0=no pain, 1-3= mild pain, 4-6 moderate pain, 7-10 severe pain.) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post operative nausea or vomiting | 24 hours | instances of nausea or vomiting in the post operative period will be recorded |
Other
| Measure | Time frame | Description |
|---|---|---|
| Total opioid usage | 24 hours | amount of opioids used in perioperative period will be recorded |
Countries
Turkey (Türkiye)
Outcome results
None listed