Anesthesia, Regional Clinical Trial
Official title:
Comparison of Abdominal Plane Blocks in Terms of Efficiency and Complications in Postoperative Pain Control in Patients Undergoing Laparoscopic Sleeve Gastrectomy
Verified date | December 2023 |
Source | Fatih Sultan Mehmet Training and Research Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The goal of this prospective observational study is compare in terms of efficiency and complications transversus abdominis plane (TAP) and Modified thoracoabdominal plane block-perichondrial approach (M-TAPA) blocks in patients undergoing laparoscopic sleeve gastrectomy. The investigators aims to examine whether M-TAPA block provides more effective analgesia than TAP block in upper abdomen surgeries, and whether there is any difference in terms of nausea- vomiting and need for additional analgesics. The participitans will be observed for postoperative 24 hours with numeric rating score (NRS), postoperative nausea-vomiting score (PNVS) and in terms of need for additional analgesic dose.
Status | Completed |
Enrollment | 30 |
Est. completion date | May 30, 2023 |
Est. primary completion date | May 30, 2023 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - Patients between the ages of 18-65, including the ASA I-III group, who underwent laparoscopic sleeve gastrectomy by the General Surgery clinic between January 26, 2023 and May 15, 2023 Exclusion Criteria: - Patients with coronary artery disease - Patients with cerebrovascular disease - Patients with peripheral artery disease - History of chronic analgesic use - Patients with coagulopathy - Patients not between the ages of 18-65 - Patients with hepatic and/or renal insufficiency - Patients with missing information in the information form |
Country | Name | City | State |
---|---|---|---|
Turkey | Gamze Nur Teke | Istanbul |
Lead Sponsor | Collaborator |
---|---|
Fatih Sultan Mehmet Training and Research Hospital |
Turkey,
McDonnell JG, O'Donnell B, Curley G, Heffernan A, Power C, Laffey JG. The analgesic efficacy of transversus abdominis plane block after abdominal surgery: a prospective randomized controlled trial. Anesth Analg. 2007 Jan;104(1):193-7. doi: 10.1213/01.ane.0000250223.49963.0f. Erratum In: Anesth Analg. 2007 May;104(5):1108. — View Citation
McDonnell JG, O'Donnell BD, Farrell T, Gough N, Tuite D, Power C, Laffey JG. Transversus abdominis plane block: a cadaveric and radiological evaluation. Reg Anesth Pain Med. 2007 Sep-Oct;32(5):399-404. doi: 10.1016/j.rapm.2007.03.011. — View Citation
O'Donnell BD, McDonnell JG, McShane AJ. The transversus abdominis plane (TAP) block in open retropubic prostatectomy. Reg Anesth Pain Med. 2006 Jan-Feb;31(1):91. doi: 10.1016/j.rapm.2005.10.006. No abstract available. Erratum In: Reg Anesth Pain Med. 2006 May-Jun;31(3):286. McDonnell, John G [added]; McShane, Alan J [added]. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Numeric Rate Score (NRS) | NRS is a 0 to 10 scale that describes pain from good to worst. | It will be evaluated with (which ), at PACU 5,15, 30th minutes and postoperative 1, 3, 6, 12, 24th hours | |
Primary | Visual Analog Scale (VAS) | VAS is a 10-centimeter scale and is used to evaluate pain. | PACU 5,15, 30th minutes and postoperative 1, 3, 6, 12, 24th hours | |
Primary | Pain Controlled Analgesia (PCA) | PCA is includes 300mg Tramadol/100 ml SF- no infusion, 5cc bolus, 15 minutes lock | PACU 5,15, 30th minutes and postoperative 1, 3, 6, 12, 24th hours | |
Secondary | postoperative nausea and vomiting scale (PNV) | PNV is a 0 to 4 scale that describes nausea and vomiting from good to worst. | It will be evaluated with nause and vomiting score at PACU 5,15, 30th minutes and postoperative 1, 3, 6, 12, 24th hours |
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