Myotoxicity
Conditions
Keywords
creatine phosphokinase, cholecystectomy, interfascial plane blocks
Brief summary
Regional anesthesia and analgesia technics are widely and securely used during general surgery procedures. Interfascial plane blocks are the latest used ones for analgesia. There are studies in literature indicating that bupivacaine cause myotoxicity. The investigators aimed to examine plasma creatine phosphokinase (CPK) levels to see whether myotoxicity occurs or not after fascial plane blocks are applied to patients undergoing laparoscopic cholecystectomy.
Detailed description
During 3 months period all elligible patients undergoing laparoscopic cholecystectomy surgery will be included in the study. Different postoperative analgesic modalities will be used according to the anesthesists experience. During routine blood sample tests plasma creatin phosphokinase (CPK) levels will be tested 3 times of all patients(preoperative, postoperative 6th hour, postoperative 24th hour). Data will be analysed and patients will be grouped according to the analgesic modalities used.
Interventions
Interfascial plane blocks will be added to the routine analgesia plan as part of multimodal analgesia.
This is the routine analgesia plan applied in our clinic.
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA 1-3 * Laparoscopic cholecystectomy * under General Anesthesia
Exclusion criteria
* Morbidly obesity or cachexia * local anesthetic allergies * myopathies * coagulopathies * Obstructive sleep apne syndrome * hearth diseases * liver diseases * kidney diseases * thyroid-parathyriod dieseas * hiperlipidemias using Statins(HMG-CoA reductase inhibitors) * pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| CPK levels | at postoperative 24th hour | Serum creatine phosphokinase levels at 24th hour |
Countries
Turkey (Türkiye)