Retrospective Evaluation of Plane Blocks in Laparoscopic Cholecystectomy

Postoperative Pain Clinical Trial

Official title:

Ultrasound-guided Oblique Subcostal Transversus Abdominis Plane Block Versus Serratus Intercostal Plane Block Plus Rectus Sheath Block; in Laparoscopic Cholecystectomy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03751540
• Other study ID #: Blocks in LC
• Status: Completed
• Start date: May 1, 2018
• Est. completion date: November 26, 2018

Study information

• Verified date: November 2018
• Source: Maltepe University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

the investigators use usually a plane block for postoperative analgesia; if it suitable. İn laparoscopic patients; investigators used oblique subcostal transversus abdominis plane block; formerly. But in the last few months, the investigators have performed serratus intercostal (BRILMA) block with bilateral rectus sheath block. in this retrospective evaluation, the aim of the retrospective evaluation is to determine the effects of two block on postoperative opioid consumption.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 67
• Est. completion date: November 26, 2018
• Est. primary completion date: November 1, 2018
• Gender: All
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• patients undergoed laparoscopic cholecystectomy ASA I-II-III

Exclusion Criteria:

• patients used another block or block combination

• no block performed patients

• procedure converted to open procedure

Related Conditions & MeSH terms

• Pain, Postoperative
• Postoperative Pain

Intervention

Procedure:
• ostap
this block is performed under general anesthesia in this patients for postoperative analgesia.
• SIPB plus rectus sheath block
this block is performed under general anesthesia in this patients for postoperative analgesia.

Locations

Country	Name	City	State
Turkey	Maltepe University faculty of medicine	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Maltepe University

Country where clinical trial is conducted

Turkey, 

References & Publications (2)

Chen Y, Shi K, Xia Y, Zhang X, Papadimos TJ, Xu X, Wang Q. Sensory Assessment and Regression Rate of Bilateral Oblique Subcostal Transversus Abdominis Plane Block in Volunteers. Reg Anesth Pain Med. 2018 Feb;43(2):174-179. doi: 10.1097/AAP.0000000000000715. — View Citation

Fernández Martín MT, López Álvarez S, Pérez Herrero MA. Serratus-intercostal interfascial block as an opioid-saving strategy in supra-umbilical open surgery. Rev Esp Anestesiol Reanim. 2018 Oct;65(8):456-460. doi: 10.1016/j.redar.2018.03.007. Epub 2018 May 20. English, Spanish. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	opioid consumption	Tramadol consumption in Patient Controlled Analgesia device and additional and rescue analgesic using	24 hours
Secondary	Pain assessed by NRS	Changes in Numeric Rating Scale (NRS) at rest and on movement will be recorded at intervals. NRS is a unidimensional measure of pain intensity in adults. The NRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable").	24 hours