Perioperative analgesia with opioid sparing technique for laparoscopic cholecystectomy Laparoscopic cholecystectomy, Rectus Sheath Block, Transversus Abdominis Plane Block
Conditions
Interventions
One-puncture Ultrasound-Guided Rectus Sheath Block with Transversus Abdominis Plane Block with 0.25% Bupivacaine 10 ml for RSB and 15 ml for TAP block total 25 ml/side ,Standard Multimodal analgesia i
Experimental Procedure/Surgery,No Intervention No treatment
Rectus Sheath Block with Transversus Abdominis Plane Block group,Control group
Sponsors
Research Division Faculty of Medicine Srinakarinwirot University
Faculty of Medicine, Srinakarinwirot University
Eligibility
Sex/Gender
All
Age
20 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. Patients aged between 20 and 70 years with ASA physical status I, II, or III 2. Undergoing elective laparoscopic cholecystectomy under general anesthesia with endotracheal tube intubation and controlled ventilation admitted as in-patients (In patient Department) only. 3. Able to voluntarily provide informed consent to participate in the study.
Exclusion criteria
Exclusion criteria: 1. Patients with abnormal coagulation. 2. Patients with a history of allergy to local anesthetics or any medications used in this study. 3. Patients with infection at the intended site of local anesthetic injection. 4. Patients with a history of chronic opioid use for more than 3 months. 5. Patients unable to communicate effectively (e.g., severe dementia, language barriers) or unable to use a Patient Controlled Analgesia (PCA) pump. 6. Patients with severe renal impairment (chronic kidney disease stage >3B) or requiring renal replacement therapy. 7. Patients with severe hepatic failure (Child-Pugh class C). 8. Pregnant or breastfeeding patients. 9. Patients weighing less than 45 kg. 10. Patients with a body mass index (BMI) greater than 40 kg/m2. 11. Cases in which the preparation process or procedural performance results in a surgical delay of more than 30 minutes.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total opioid consumption 24 hours postoperatively Data regarding opioid consumption were retrieved from the IV-PCA infusion pumps. | — |
Secondary
| Measure | Time frame |
|---|---|
| Numeric rating scale 6,12,24 hours Pain intensity was assessed via the 11-point Numerical Rating Scale (NRS).,Postoperative nausea and vomiting 24 hours Observe the patient for symptoms of PONV.,Complication 24 hours Observation of Regional Anesthesia-Related Complications,Satisfaction 24 hours Patient satisfaction was measured using a five-point Likert scale. | — |
Countries
Thailand
Contacts
Public ContactNudtapod Rutanaburee
Faculty of Medicine, Srinakarinwirot university
Outcome results
None listed