Acute Post-operative Pain, Laparoscopic Cholecystectomy, Respiratory Diaphragm
Conditions
Brief summary
Laparoscopic cholecystectomy surgeries cause moderate/severe pain and thus can result in shallow breathing, atelectasis and increased opioid consumption in the early postoperative period which in turn cause a longer hospital stay. Erector spinae plane block has been shown to decrease lower thoracic pain after laparoscopic cholecystectomy surgeries. This study aims to investigate the effect of erector spinae plane block on opioid consumption and diaphragma movement after laparoscopic cholecystectomy surgeries.
Interventions
PROCEDUREErector spinae plane block
Bilateral erector spinae plane block will be performed preoperatively under ultrasound guidance using 15 ml bupivacaine on each side
Sponsors
Ufuk University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Ages between 18 and 65 * Patients in American Society of Anesthesiologists Classification I or II * Elective laparoscopic cholecystectomy surgery performed under general anesthesia
Exclusion criteria
* Patient refusal * Patients who can not provide informed consent or with a known psychiatric disease * Patients with a known allergy to study drugs * Patients using anticoagulants and corticosteroids * Patients with diaphragma hernia, chronic obstructive pulmonary disease, lung cancer * Patients who are not able to use a patient controlled analgesia device
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of Diaphragma excursion | Preoperative measurement-before the erector spina plane block application and postoperative measurement- 30 minutes after extubation | The change of diaphragma excursion as measured by ultrasound in M-mode from the preoperative period to the postoperative period |
| Change in Opioid consumption | Postoperative 12 hours: in the first 30 minutes after extubation, 1st hour, 6th hour and 12th hour | To assess Tramadol consumption measured in mg postoperatively in the first 12 hours after the operation |
| Change in postoperative pain | Postoperative 12 hours: in the first 30 minutes after extubation, 1st hour, 6th hour and 12th hour | Postoperative pain will be measured with visual analog scale and numeric scale in the first 12 hours after the operation |
Countries
Turkey (Türkiye)
Outcome results
None listed