Nerve Block
Conditions
Keywords
Erector Spinae Plane Block, Paravertebral Block, Laparoscopic Cholecystectomy
Brief summary
Erector spinae plane (ESP) block is a more recent method than paravertebral block (PVB) and has a lower risk of complications. The aim of this study was to compare postoperative analgesia requirements and side-effects in terms of safely reaching the maximum analgesic effect in patients.
Detailed description
The primary aim of this study was to compare ESP block and PVB as important postoperative pain management in terms of being able to reliably reach the highest analgesic efficacy in patients who underwent laparoscopic surgery which is a frequently applied surgery. The secondary aim was to determine the incidence of postoperative nausea, vomiting and side-effects, and patient satisfaction.
Interventions
Sponsors
Giresun University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* aged \>18 years * patients with the American Society of Anesthesiologists (ASA) physical status I/II -who were planned to undergo laparoscopic cholecystectomy surgery
Exclusion criteria
* Did not provide informed consent, * Had any psychiatric or mental problem that prevented understanding of the informed consent form * They were planned to undergo emergency cholecystectomy, * Had any allergy or hypersensitivity to local anaesthetic, * Had an infection in the needle entry area * History of coagulopathy or the use of anticoagulants
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total tramadol consumption | 24 hours postoperatively | Consumption at the end of 24 hours will be monitored by planning a 10mg bolus, a 10-minute lock-in time, through a patient-controlled analgesia device. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Analgesic drug consumption other than tramadol | 24 hours postoperatively | in mg |
| Heart Rate | preoperative, after insufflation, after exsufflation, after extubation( 5,10,20,30 minutes) | beats /min |
| Visual analog scale (VAS) at rest and when coughing | at 0, 5, 10,20 minutes and 1, 2,4 , 6, 12 and 24 hours postoperatively | 11-point scale where 0=no pain and 10=worst pain |
| Incidence of postoperative nausea & vomiting (PONV) | 24 hours postoperatively | Number of patients developing PONV |
| Shoulder pain | 24 hours postoperatively | Number of patients developing shoulder pain |
| Mean arterial pressure (MAP) | preoperative, after insufflation, after exsufflation, after extubation( 5,10,20,30 minutes) | mm-hg |
Countries
Turkey (Türkiye)
Outcome results
None listed