Bariatric or General Abdominal Surgeries, Bariatric Surgery Patients
Conditions
Keywords
bariatric analgesia
Brief summary
This study investigates whether administering TAP blocks pre-incision provides superior postoperative pain control and reduces opioid use along with other medications compared to post-incision administration in patients undergoing elective abdominal surgeries.
Interventions
OTHERTAP Block
the TAP block is a regional anesthesia technique that targets the somatic nerves supplying the anterior abdominal wall.
Sponsors
Weill Medical College of Cornell University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Adults aged between 18 and 65 years * Scheduled for elective bariatric surgery or other elective general abdominal surgeries * Proficient in English sufficient to understand study procedures and communicate effectively * Capable of providing informed consent
Exclusion criteria
* Individuals under 18 years of age (minors) * Pregnant individuals * Prisoners * Individuals with cognitive impairments or otherwise unable to provide informed consent independently * Individuals with known allergies or contraindications to local anesthetics used in TAP blocks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean change in opioid consumption (MME) from index procedure to 90 days post-op | Up to 90 days post-operatively | Opioid dosage quantities will be measured in morphine milligram equivalents (MME) |
| Change in Pain Scores from index procedure on a numerical rating scale | 1, 3, 6, 24, 48, and 72 hours postoperatively | Patient-reported pain on a scale of 1-10. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 1. Total Opioid Consumption in MME from Surgery to 90 Days Postoperatively | From end of surgery to 90 days post-op. | Sum of all opioid use from surgery to 90 days, in MME |
| Patient Satisfaction Score with Postoperative Pain Management at Discharge | At hospital discharge (within 3-5 days post-op) | Satisfaction score using a 5-point Likert scale survey before discharge. |
| Use of Non-Opioid Analgesics within 72 Hours | From end of surgery to 72 hours post-op | Count of participants receiving non-opioid pain medications (e.g. acetaminophen, NSAIDs) within 72 hours post-op, including amount and type. |
| Number of Participants with TAP Block-Related Adverse Events | From TAP block administration to 90 days post-op. | Incidence of adverse events (e.g. local anesthetic toxicity, infection, bleeding) related to TAP block. |
Countries
United States
Contacts
CONTACTCheguevara Afaneh, MD
CONTACTHasan Ali
PRINCIPAL_INVESTIGATORCheguevara Afaneh, MD
Weill Medical College of Cornell University
Outcome results
None listed