Laparoscopic Cholecystectomy Surgery, Pain Management
Conditions
Keywords
external oblique intercostal plane block
Brief summary
The aim of the study was to evaluate the response of regional anesthesia to remifentanyl consumption in patients undergoing laparoscopic cholecystectomy surgery.
Detailed description
Routine anesthesia and analgesia protocol will be applied to all participants. The study aims to evaluate the remifentanyl consumption of the participants by dividing them into two groups as those with and without block and then performing their monitoring (pulse, mean arterial pressure with noninvasive measurement, oxygen saturation, Analgesia Nociception Index, Bispectral index). Remifentanil level will be adjusted according to the ANI value. The target is to keep the ANI between 50-70.
Interventions
OTHERGroup EOİPB
Bilateral external oblique intercostal plane block under USG guidance will be applied 45 minutes before cholecystectomy surgery.
Sponsors
Samsun University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Participants who will undergo elective laparoscopic cholecystectomy surgery, * Age 18-70, * ASA I-II physical status, * Body mass index (BMI) \< 35 kg/m², * Participants who have written consent to participate in the study
Exclusion criteria
* Participants with routine analgesic consumption, * Those with coagulopathy, * Those with a history of local anesthetic allergy, * Those with cardiac arrhythmia and pacemaker, * ASA III and above, Those with dementia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative opioid consumption | During surgery | Total amount of remifentanil consumed during cholecystectomy surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numeric rating scale for postoperative pain intensity | up to 24 hours (Will be evaluated at 1, 3, 6, 9, 12, 18, 24 hours) | Evaluated with a Numerical rating scale (NRS) from 0 to 10. (0=no pain; 10=worst imaginable pain) |
| Quality of Recovery - 15 score | Postoperative 24th hour | The impact of surgical and anesthetic interventions on perioperative quality of life and ability to resume routine life activities will be assessed using the Quality of Recovery (QoR) tool. Each question is scored between 0 and 10. The survey result varies between 0-150 points based on the answers given by the patients. Higher scores indicate better recovery. |
| Fentanyl consumption at 30 minutes after arrival in the PACU(post anesthesia care unit) | 30 minutes | Evaluated with a NRS from 0 to 10 and fentanyl will be administered when NRS is 4 and above. Fentanyl consumed will be recorded. |
Countries
Turkey (Türkiye)
Outcome results
None listed