Laparoscopic Cholecystectomy
Conditions
Brief summary
Objective: Regional anesthesia techniques, such as peripheral nerve blocks, have a lower side effect profile and higher patient satisfaction compared to central blocks. With the introduction of Ultrasonography (USG), these techniques have become more commonly and reliably performed. The purpose of our study is to compare parameters such as intraoperative hemodynamics, postoperative analgesic requirement, and patient satisfaction between patients undergoing External Oblique Intercostal Plane Block (EOIB) with those who did not receive EOIB, which has few studies conducted on it.
Interventions
PROCEDUREExternal Oblique Intercostal Plane Block
After endotracheal intubation, a 22-gauge 100 mm long block needle will be inserted at the T6-T7 level under USG guidance and bilateral EOIB will be applied with 20 cc of 0.25% Bupivacaine on each side under the external oblique intercostal muscle (total 40ml bilaterally).
DRUGcontrol group
No intervention
Sponsors
Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients aged between 18-65 * and with ASA1-2 were included.
Exclusion criteria
• Patients younger than 18 years of age and older than 65 years of age * Patients allergic to local anesthetics * Patients with opioid and alcohol addiction * Patients with perioperative signs of acute cholecystitis * Patients with contraindications for laparoscopic surgery * Cases with ASA III-IV were not included in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Rating Scale | Postoperative 30.second,2 hours, 6 hours,12 hours,24 hours | They will be numbered from 1 to 10. If reporting a score on a scale, please include the unabbreviated scale title, the minimum and maximum values, and whether higher scores mean a better or worse outcome |
| Visual Analogue Scale | Postoperative 30.second,2 hours, 6 hours,12 hours,24 hours | The Visual Analogue Scale (VAS) is a subjective measure of pain. It consists of a 10cm line with two endpoints representing 'no pain' and 'worst pain imaginable'. Patients are asked to rate their pain by placing a mark on the line corresponding to their current level of pain. The distance along the line from the 'no pain' marker is then measured with a ruler giving a pain score out of 10. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative vomiting and nausea | Postoperative 30.second,2 hours, 6 hours,12 hours,24 hours | Postoperative vomiting and nausea: yes or no |
| Opioid use | Postoperative 24 hours | Tramadol use |
| Riker Sedation Agitation Scale | Immediately after extubation | 7 Dangerous Agitation ... If reporting a score on a scale, please include the unabbreviated scale title, the minimum and maximum values, and whether higher scores mean a better or worse outcome. |
| Heart Rate | when you come to the operating room table, after block Intraoperative 10 minutes,30 minutes postoperative 2,6,12 hours | beats/minute |
| Mean Arter Pressure | when you come to the operating room table, after block Intraoperative 10 minutes,30 minutes postoperative 2,6,12 hours | mm/hg |
| Patient satisfaction score | at the 24th postoperative hour | Patients' satisfaction with the quality of pain management will be evaluated on the second postoperative day using the following scale: 1 = very unsatisfied; 2 = highly dissatisfied; 3 = medium; 4 = very satisfactory; 5 = very satisfactory |
Countries
Turkey (Türkiye)
Outcome results
None listed