Analgesia After Laparoscopic Cholecystectomy
Conditions
Brief summary
laparoscopic cholecystectomy (LC) is often accompanied by moderate-to-severe postoperative pain. opioid-free anesthesia (OFA) consists of a variety of non-opioid narcotic drugs and techniques.
Detailed description
opioid-free anesthesia (OFA) can control postoperative pain effectively and reduce opioid drug consumption. The external oblique intercostal plane (EOI) block is easy to perform and may provide effective analgesia for laparoscopic cholecystectomy.
Interventions
Patients will receive ultrasound-guided external oblique intercostal plane (EOI) block added to an opioid-free anesthesia (OFA) protocol
Patients will receive an opioid-free anesthesia (OFA) protocol
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients scheduled for elective laparoscopic cholecystectomy (LC) surgery under general anesthesia, American Society of Anesthesiologists (ASA) physical status I-II, aged from 18 to 65 years old of either sex
Exclusion criteria
* Contraindications to regional block (coagulopathy, infection at the needle insertion site, or known allergy to amide local anesthetics) * Pregnancy or breastfeeding women * Body mass index (BMI) \> 35 Kg/m2 * History of hepatic, renal, or cardiac disease * Chronic opioid use, or history of chronic pain (pain present for more than 6 months) * Thoracic deformity * Neuropsychiatric disorders * Patient refusal.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the amount of fentanyl consumption used for pain relief in the first six hours after laparoscopic cholecystectomy (LC) under general anesthesia | The first six hours after surgery | Assessed in microgram |
Contacts
Assiut University