Anaesthesia
Conditions
Interventions
Standarized postoperative analgesia regimen.
patients received TAP block after intubation and before surgical incision
patients received RM after intubation and after pneumoperitoneal exsufflation.
patients received RM and TAPblock
Sponsors
Faculty of medicine Ain Shams Universty
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: • Patients with American Society of Anesthesiologists (ASA) physical status of I or II. • Age between 18-55 years. • Elective laparoscopic bariatric surgery under general anesthesia
Exclusion criteria
Exclusion criteria: • Refusal of the patient. • ASA status more than II. • Patients age 55 years. • Patients with major obstructive and restrictive pulmonary diseases (<50% of predicted values for PFT varibles). • Patients with advanced renal or hepatic disease. • Patients who will need postoperative ventilatory support. • Patients with alcohol or drug dependence/abuse. • Contraindication to peripheral nerve block (coagulopathy, infection at the site, allergy to local anesthetics).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| •Spirometric values (FVC, FEV1, FEV1/FVC) preoperative and 24h postoperative | — |
Secondary
| Measure | Time frame |
|---|---|
| • Oxygenation: PaO2/FiO2 ratio preoperative, intraoperative, postoperative.;• Hemodynamics: mean arterial pressure (MAP) and heart rate (HR) preoperative, intraoperative, postoperative.;• Cumulative opioid consumption (IV morphine) in 1st 24h postoperative;• Pain severity score using numeric rating scale (NRS). NRS is a 10-point scale with 0 = no pain and 10 = worst imaginable pain. | — |
Countries
Egypt
Contacts
Public ContactAhmed Abd Elmohsen
Lecturer of anathesia faculty of medicine Helwan University
Outcome results
None listed