Analgesia, Pain, Acute Post-Operative, Pain Management
Conditions
Keywords
Cholesistectomy, Rectointercostal Plane Block, Postoperative Pain
Brief summary
The aim of the study is to reduce postoperative pain by performing rectointercostal block in L/S cholecystectomy surgeries. Main goal is to provide well managed post-operative analgesia.
Detailed description
The patients will be divided into two groups and general anesthesia will be applied to all of them. There will be no regional anesthetic technique to be performed, on the other hand, rectointercostal nerve block will be applied to patients in the other group before the patients are extubated. Study randomization is done with computer-generated randomization codes (computer-generated) by a physician who will not participate in patient follow-up. Interfascial plane block (rectointercostal block) will be given to the anesthesiologist in a sealed envelope by an independent assistant staff outside the study, the patient will not know which block is applied. The anesthetist who made the block will not participate in the pain follow-up of the patients. Postoperative pain assessment and data collection will be performed by another anesthetist blinded to the study. For the standardization, the block procedure will be performed by an experienced anesthesiologist who has performed at least 20 previous successful and uncomplicated procedures.
Interventions
Under ultrasound guidance, a total of 30 mL of solution will be administered bilaterally between the rectus abdominis muscle and the intercostal muscles, at the level of the 6th and 7th costal cartilages bilaterally.
Sponsors
Istinye University
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* BMI \< 35 kg/m² * Patients with ASA scores I and II
Exclusion criteria
* Patients who do not want to be included in the study * Psychiatric and neurological disease with blurred consciousness * Patients with ASA \> 3 * BMI \> 35 kg/m² * Abnormality in coagulation parameters * History of allergy to local anesthetic drugs * Infection at the injection site
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative opioid consumption | 24 hours | Contramal consumption in the first 24 hours after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| NRS Scores | At 1,3, 6, 12, 18, 24 hours | NRS scores in the first 24 hours after surgery |
| Quality of recovery | 24 hours | QR15 scores |
| Nausea and vomiting | At 1,3, 6, 12, 18, 24 hours | Nausea and vomiting scores in the first 24 hours |
Countries
Turkey (Türkiye)
Contacts
CONTACTBora Bilal, Proffesor
Outcome results
None listed