Anesthesia, General
Conditions
Keywords
Laparoscopic Cholecystectomy Operation, Diaphragm Thickness, Upper Transabdominal Plain Block
Brief summary
In the study, patients of both sexes between the ages of 18 and 60 who will undergo laparoscopic cholecystectomy will be examined. In this patient group, the change in the inspiratory and expiratory diaphragmatic thickness before and after laparoscopic cholecystectomy operation in the upper transabdominal block group will be examined.
Detailed description
The use of ultrasonography (USG) in operating rooms is increasing day by day. Diaphragm thickness can be evaluated by ultrasonography and is used as a bedside method studies have proven that the evaluation of diaphragmatic thickness contributes to the observation of diaphragmatic function and the evaluation of respiratory workload. Measurement of diaphragmatic thickness is a method used in operating rooms and intensive care units to make the decision to wean from mechanical ventilation and extubation. Laparoscopic gallbladder operations are a very common operation in the adult age group in the operating room. In these cases who were intubated and extubated at the end of the operation, regression in respiratory function is observed, especially due to right upper quadrant pain appropriate to the location of the liver. For this reason, the respiratory functions of patients who will have gallbladder surgery will be routinely evaluated before and after gallbladder surgery in our clinic with the help of USG and routinely apply analgesic methods, including peripheral nerve blocks, to patients with pain. In this study, it will be planned to observe the effect of upper transabdominal area block, which is routinely performed post-operatively in laparoscopic gallbladder operations, on diaphragmatic thickness and therefore on respiratory capacity, and observationally evaluating diaphragmatic thickness measurements by USG, which is routinely performed post-operatively and the measurement records are noted.
Interventions
DIAGNOSTIC_TESTUltrasound measurement
In the patient group who will undergo elective laparoscopic cholecystectomy, the diaphragmatic thickness values measured and recorded routinely at the pre-operative, post-extubation and post-operative 30th minute, at the end of inspiration and expiration, and the inspiratory amplitude in m-mode in the ultrasound measured from the right anterior axillary line subcostal area were observed as observational data. will be saved in our file.
Sponsors
Konya City Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Patients between the ages of 18-60 * Both sexes * Patiets are evaluated as ASA 1 and ASA 2 anesthesia risk, will be examined.
Exclusion criteria
* Under 18 years old, over 60 years old * BMI\>35 kg/m2 * Bleeding diathesis * Local anesthetic allergy * Infection in the area of TAP (Trans abdominal plane) block application * Illiteracy, communication problem * Previous upper abdomen operation * Transition to open surgery Cases * Severe chronic respiratory disease * Neuromuscular disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diaphragm Thickness | 5 minutes before general anesthesia | The measurement of Diaphragm Thickness by USG |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oxygen saturation | Before the anesthesia, after anesthesia and after 30 minutes in the post operative care unit. | Oxygen saturation separately for each primary outcome stage |
| Visual analogue scale | Before the anesthesia, after anesthesia and after 30 minutes in the post operative care unit. | The patient's pain will be asked in a scale from 1 to 10. |
Countries
Turkey (Türkiye)
Outcome results
None listed