Transversus Abdominis Plane Block on Stress Response

Status Completed

Clinical Trial Summary

This study evaluates the effect of transversus abdominis plane(TAP) block combined with general anesthesia on perioperative stress response in patients undergoing radical gastrectomy. One third of participants will receive TAP block combined with general anesthesia, another one third of participants will receive epidural anesthesia combined with general anesthesia, while the rest will receive only general anesthesia.

Clinical Trial Description

Clinically, combining epidural with general anaesthesia may confer many advantages to patients undergoing major thoracic, abdominal or orthopaedic surgery. Epidural anaesthesia can attenuate sympathetic hyperactivity and the stress response, maintain bowel peristalsis, spare the use of opioids, and facilitate postoperative feeding and physiotherapy. However, establishing epidural anesthesia is not without risks and contraindications, including refusal by the patient, technical failure, unintentional dural puncture, waist and back pain and local anaesthetic toxicity. When neurologic complications do occur, the resulting morbidity and mortality is considerable. Transversus abdominis plane (TAP) block, is another new regional anesthesia technique, has been introduced as an abdominal wall block capable of providing effective analgesia, reducing opioid consumption, and lessening opioid-related side effects. In addition,TAP block, somewhat as a pre-emptive analgesia approach, is a way of pain intervention before noxious stimulation which has been reported to be potent to attenuate the stress response. Although the analgesia efficiency of TAP block has been widely studied, its effectiveness to suppress stress response has little comparison with classic epidural block and general anesthesia. Unlike epidural anaesthesia, TAP block is easy to administer and lower incidence for side-effects.The investigators hypothesize that the TAP block reduces the stress response of surgery to the similar extent to epidural anaesthesia when combined with a standard general anaesthesia for abdominal surgery. ;

Study Design

Related Conditions & MeSH terms

Gastrostomy

Clinical Trial Details

NCT number	NCT03035916
Study type	Interventional
Source	Jilin University
Contact
Status	Completed
Phase	N/A
Start date	January 20, 2017
Completion date	July 15, 2017

View Details

See also
Status	Clinical Trial	Phase
Recruiting	`NCT03959878` - Feasibility of a Constant Pressure Skin Disk (CPSD) in Enteral Tubes.	N/A
Active, not recruiting	`NCT04566367` - Blue Laser Imaging (BLI) for Detection of Secondary Head and Neck Cancer	N/A
Recruiting	`NCT04110613` - RCT: Early Feeding After PEG Placement	N/A
Completed	`NCT03319576` - Early Feeding Following Percutaneous Gastrostomy Tube Placement	N/A
Completed	`NCT03575754` - A Single-center, Feasibility Study to Evaluate the Use and Safety of the Percutaneous Ultrasound Gastrostomy Technique	N/A
Enrolling by invitation	`NCT06129877` - CHAMP App Feeding Difficulties Repository
Completed	`NCT04183296` - The Effect of Total Intravenous Anesthesia and Volatile Anesthesia on Shedding of the Endothelial Glycocalyx in Patients Undergoing Laparoscopic or Robotic Assisted Gastrectomy	N/A
Recruiting	`NCT02909205` - a Care Protocol for Caregivers and Parents of Children Recently Gastrostomised	N/A
Recruiting	`NCT04636099` - Gastrointestinal Surgery Study Group 2001	N/A
Not yet recruiting	`NCT05955534` - Concomitant Bedside Percutaneous Tracheostomy and Ultrasound Gastrostomy	N/A
Completed	`NCT02869321` - Analgesic Efficacy of Transmucosal Fentanyl for Breakthrough Pain Caused by Interventional Gastrostomy	Phase 4
Recruiting	`NCT05205343` - Trans-Pacific Multicenter Collaborative Study of Minimally Invasive Proximal Versus Total Gastrectomy for Proximal Gastric and Gastroesophageal Junction Cancers
Recruiting	`NCT03874871` - Function Preserving Gastrectomy for T1/2 Gastric Cancer Patients
Completed	`NCT03252509` - Outpatient Percutaneous Radiologic Gastrostomy in Patients With Head and Neck Tumors	N/A
Completed	`NCT04804631` - Tube Feeding in Children Having a Bone Marrow Transplant
Terminated	`NCT01825564` - Comparison of RightSpot pH Indicator & RightLevel pH Detector With X-Ray Verification for FT or G-Tube Placement	N/A
Completed	`NCT04919577` - Predictive Factors for Roux Stasis Syndrome
Completed	`NCT04151030` - Endoscopic Direct-PEG Placement in Patients Unable to Undergo Pull-PEG Procedure	N/A
Not yet recruiting	`NCT06431048` - No DIET Trial: Dogmatic Interruption of Enteral nuTrition	N/A
Completed	`NCT05994079` - Effect Of High-Intensity Focused Ultrasound On Abdominal Skin Laxity Post Sleeve Gastrectomy	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.