Transversus Abdominis Plane
Conditions
Brief summary
The transversus abdominis plane (TAP) block, whereby local anesthetic is injected between the internal oblique and transversus abdominis fascia to facilitate blockade of somatic afferents nerves, is an effective, non-narcotic adjunct incorporated into many ERAS protocols. We hypothesized that surgeon delivered LAP-TAPs would be non-inferior to anesthesia-delivered US-TAPs in terms of post-operative pain control
Interventions
PROCEDUREUS-TAP
regional block team under ultrasound guidance
PROCEDURELAPTAP
performed TAP block under direct visualization with the laparoscope
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Elective laparoscopic sleeve gastrectomy aging \> 18years BMI \> 40 kg/m2, ASA score I-III
Exclusion criteria
history of chronic opioid consumption suffering from contraindications to regional blocks suffering from allergy to study drugs, history of prior complex abdominal wall reconstruction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| morphine needed | UP TO 24 HOURE | mg |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| first analgesic request time | up to 24 hours | he time elapsed between the end of the operation till the first analgesic dose |
| patients' satisfaction | UP TO 24 HOURE | scale of 1-4 (1, poor; 2, acceptable; 3, satisfactory; and 4, excellent) |
| opioid-associated side effects | UP TO 24 HOURE | bradycardia and hypotesion |
Countries
Egypt
Outcome results
None listed