Ignite Creation Date:
2024-05-06 @ 7:59 PM
Last Modification Date:
2024-10-26 @ 3:17 PM
Study NCT ID:
NCT06201546
Status:
COMPLETED
Last Update Posted:
2024-04-04
First Post:
2023-02-25
Brief Title:
Comparison of Abdominal Plane Blocks in Postoperative Pain Control in Patients Undergoing LSG
Sponsor:
Fatih Sultan Mehmet Training and Research Hospital
Organization:
Fatih Sultan Mehmet Training and Research Hospital
Study Overview
Official Title:
Comparison of Abdominal Plane Blocks in Terms of Efficiency and Complications in Postoperative Pain Control in Patients Undergoing Laparoscopic Sleeve Gastrectomy
Status:
COMPLETED
Status Verified Date:
2023-12
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:
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
Detailed Description:
After laparoscopic sleeve gastrectomy patients have pain due to surgery Different analgesic methods are preferred for pain relief One of the methods used for this purpose is regional anesthesia Modified thoracoabdominal plane block-perichondrial approach M-TAPA and transversus abdominis plane TAP block are also plan blocks used for this purpose TAP block is formed by injecting local anesthetic into the neurofacial space between the transversus abdominis muscle and the internal oblique muscle through the Petit triangle in the lumbar region TAP block creates dermatomal sensory block in the lower lower thoracic and upper lumbar abdominal afferents It is thought that the modified thoracoabdominal plane block-perichondrial approach M-TAPA which is a block frequently used in upper abdomen surgeries in recent years can provide effective analgesia in LSG surgeries M-TAPA block is created by administering local anesthetic between the transverse abdominis muscle and the internal oblique muscle with a single injection under the costal cartilage under ultrasound guidance With M-TAPA analgesia can be provided in thoracic 4 and thoracic 11-12 dermatomes
Blocking of T4-12 nerve endings may be required in LSG surgeries since gastric innervation and thoracic inlets are located in the upper abdomen dermatomes In studies the use of M-TAPA block in upper abdominal surgeries may be effective in the management of analgesia in participants In this study the investigators aimed that compression in terms of efficiency and complications TAP and M-TAPA blocks who is undergoing laparoscopic sleeve gastrectomy The investigators aims to examine whether M-TAPA block provides more effective analjesia than TAP block in upper abdomen surgeries and whether there is any difference in terms of nausea- vomiting and need for additional analgesics After obtaining ethical committee approval 120120231 between January 26 2023 and May 15 2024 60 patients undergoing laparoscopic sleeve gastrectomy with American Society of Anesthesiologists ASA II-III status provide informed consent Participants who are planing to receive M-TAPA block defines as Group M-TAPA and those who receive TAP block defines as Group TAP with 30 patients in each groupThe 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
Blocking of T4-12 nerve endings may be required in LSG surgeries since gastric innervation and thoracic inlets are located in the upper abdomen dermatomes In studies the use of M-TAPA block in upper abdominal surgeries may be effective in the management of analgesia in participants In this study the investigators aimed that compression in terms of efficiency and complications TAP and M-TAPA blocks who is undergoing laparoscopic sleeve gastrectomy The investigators aims to examine whether M-TAPA block provides more effective analjesia than TAP block in upper abdomen surgeries and whether there is any difference in terms of nausea- vomiting and need for additional analgesics After obtaining ethical committee approval 120120231 between January 26 2023 and May 15 2024 60 patients undergoing laparoscopic sleeve gastrectomy with American Society of Anesthesiologists ASA II-III status provide informed consent Participants who are planing to receive M-TAPA block defines as Group M-TAPA and those who receive TAP block defines as Group TAP with 30 patients in each groupThe 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
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