Ignite Creation Date:
2024-05-06 @ 7:53 PM
Last Modification Date:
2024-10-26 @ 3:16 PM
Study NCT ID:
NCT06178757
Status:
COMPLETED
Last Update Posted:
2024-03-29
First Post:
2023-12-12
Brief Title:
TAP Block vs External Oblique Plane Block for Laparoscopic Cholecystectomy Surgery
Sponsor:
Medipol University
Organization:
Medipol University
Study Overview
Official Title:
Comparison of Ultrasound-Guided Transversus Abdominis Plane Block TAP and External Oblique Plan Block EOIB for Postoperative Recovery and Pain Scores After Laparoscopic Cholecystectomy Surgery
Status:
COMPLETED
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Ultrasound US guidedTransversus Abdominis Plane Block TAPB is performed by injecting a local anesthetic into the plane between the internal oblique and transverse abdominis muscles and provides analgesia in the anterolateral walls of the abdomen after abdominal surgery Ultrasound-guided TAPB has been commonly used for many years
US-guided External oblique intercostal block EOIB is a novel block performed by injection of local anesthetic between the external and internal oblique muscles at the level of 6th-8th ribs This block provides abdominal analgesia between T6 and T10 levels There are studies in the literature showing that it provides effective analgesia However there is no study comparing TAPB and EOIB yet
In this study we aim to compare the effectiveness of US-guided TAPB and EOIB for postoperative analgesia management after laparoscopic cholecystectomy surgery Our primary aim is to compare patient recovery scores QoR15 Turkish version our secondary aim is to compare postoperative pain scores 24-hour NRS postoperative rescue analgesic use opioidmeperidine and opioid-related side effects allergic reaction nausea vomiting
US-guided External oblique intercostal block EOIB is a novel block performed by injection of local anesthetic between the external and internal oblique muscles at the level of 6th-8th ribs This block provides abdominal analgesia between T6 and T10 levels There are studies in the literature showing that it provides effective analgesia However there is no study comparing TAPB and EOIB yet
In this study we aim to compare the effectiveness of US-guided TAPB and EOIB for postoperative analgesia management after laparoscopic cholecystectomy surgery Our primary aim is to compare patient recovery scores QoR15 Turkish version our secondary aim is to compare postoperative pain scores 24-hour NRS postoperative rescue analgesic use opioidmeperidine and opioid-related side effects allergic reaction nausea vomiting
Detailed Description:
Cholecystectomy is the most common abdominal surgery performed in developed countries and is usually performed laparoscopically The etiology of pain after laparoscopic cholecystectomy is multifactorial and is generally considered visceral pain Diaphragmatic nerve irritation due to CO2 insufflation into the peritoneal cavity abdominal distension tissue damage damage due to dissection of the gallbladder sociocultural situation and individual factors play a role in the occurrence of this pain
Postoperative pain is an acute pain that is accompanied by inflammation caused by surgical stress and decreases over time with tissue healing Pain in the postoperative period in patients undergoing laparoscopic cholecystectomy surgery is a serious problem that reduces patient comfort and delays the patients return to work after surgery 4 Successful postoperative analgesia management prevents many of the complications such as respiratory problems and delayed mobilization 5
Transverse Abdominis Plane Block TAPB performed under ultrasound US guidance is a block that is performed by injecting a local anesthetic into the plane between the internal oblique and transverse abdominis muscles and provides analgesia in the anterolateral walls of the abdomen after surgery Ultrasound-guided TAPB is commonly used
TAPB provides analgesia in the abdominal region in T6-L1 dermatomes Sonoanatomy is easy to visualize on US and the spread of local anesthetic can be seen Analgesia occurs in several dermatomes with the cephalo-caudal spread of the local anesthetic solution Studies are proving that TAP block is effective in some abdominal surgeries such as hysterectomy cesarean section cholecystectomy inguinal hernia and prostatectomy Sensory block areas formed by TAPB are highly variable and may result in insufficient blocks
External oblique block EOIB performed under US guidance is a block performed by injection of local anesthetic between the external and internal oblique muscles This block provides abdominal analgesia covering the T6-T10 dermatomes There are studies in the literature proving that it provides effective analgesia 12-14 However no study comparing TAPB and EOIP has been published yet
In this study we aim to compare the effectiveness of US-guided TAPB and EOIB for postoperative analgesia management after laparoscopic cholecystectomy surgery Our primary aim is to compare patient recovery scores QoR15 Turkish version our secondary aim is to compare postoperative pain scores 24-hour NRS postoperative rescue analgesic use opioidmeperidine and opioid-related side effects allergic reaction nausea vomiting
Postoperative pain is an acute pain that is accompanied by inflammation caused by surgical stress and decreases over time with tissue healing Pain in the postoperative period in patients undergoing laparoscopic cholecystectomy surgery is a serious problem that reduces patient comfort and delays the patients return to work after surgery 4 Successful postoperative analgesia management prevents many of the complications such as respiratory problems and delayed mobilization 5
Transverse Abdominis Plane Block TAPB performed under ultrasound US guidance is a block that is performed by injecting a local anesthetic into the plane between the internal oblique and transverse abdominis muscles and provides analgesia in the anterolateral walls of the abdomen after surgery Ultrasound-guided TAPB is commonly used
TAPB provides analgesia in the abdominal region in T6-L1 dermatomes Sonoanatomy is easy to visualize on US and the spread of local anesthetic can be seen Analgesia occurs in several dermatomes with the cephalo-caudal spread of the local anesthetic solution Studies are proving that TAP block is effective in some abdominal surgeries such as hysterectomy cesarean section cholecystectomy inguinal hernia and prostatectomy Sensory block areas formed by TAPB are highly variable and may result in insufficient blocks
External oblique block EOIB performed under US guidance is a block performed by injection of local anesthetic between the external and internal oblique muscles This block provides abdominal analgesia covering the T6-T10 dermatomes There are studies in the literature proving that it provides effective analgesia 12-14 However no study comparing TAPB and EOIP has been published yet
In this study we aim to compare the effectiveness of US-guided TAPB and EOIB for postoperative analgesia management after laparoscopic cholecystectomy surgery Our primary aim is to compare patient recovery scores QoR15 Turkish version our secondary aim is to compare postoperative pain scores 24-hour NRS postoperative rescue analgesic use opioidmeperidine and opioid-related side effects allergic reaction nausea vomiting
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None