Morbid Obesity Clinical Trial
Official title:
Impact of Ultrasound-Guided Transversus Abdominis Plane Block on Postoperative Pain After Laparoscopic Bariatric Surgery: a Randomized Double Blind Controlled Trail
Patients undergoing bariatric surgery will be divided randomly into two groups: the first will have TAP block upon completion of surgery and the second groups will not have TAP block.
Upon completion of the laparoscopic bariatric procedure to be performed for every patient and
just before recovery from general anesthesia, an ultrasound-guided TAP block will be
conducted in the operative theater by the anesthetist for group I patients whereas group II
will be recovered from anesthesia without having a TAP block.
The ultrasound probe will be placed on the lateral abdominal wall in the mid-axillary line
between the lower costal margin and iliac crest. Using ultrasound will allow accurate
deposition of the local anesthetic in the correct neurovascular plane. A spinal needle will
be advanced using in-plane technique between the aponeurosis of the internal oblique and
transversus abdominis muscles. With intermittent aspiration, 20 mL of local anesthetic (0.25%
bupivacaine) will be deposited in the TAP on each side and seen as a hypoechoic shadow
pushing the two layers apart.
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