Comparison of Postoperative Analgesic Efficacy of Preemptive Ultrasound-guided Transversus Abdominis Plane Block, Ultrasound-guided Local Infiltration and Intravenous Dexketoprofen in Inguinal Hernia Repair
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 120
- 试验地点
- 2
- 主要终点
- Postoperative rescue tramadol consumption
研究概览
简要总结
This study evaluates the compare the effects of ultrasound guided TAP block, local anesthetic infiltration to the incision line and intravenous dexketoprofen on postoperative analgesic efficacy and rescue tramadol consumption in inguinal hernia repairs.
详细描述
Currently, multimodal techniques are used in inguinal hernia repairs in addition to pharmacological and regional techniques for postoperative analgesia.TAP block is performed on the principle of hydrodissection of the fascia between the internal oblique and transversus abdominis muscles of the abdominal wall muscles with local anesthetic drugs. Local anesthetic drugs provide analgesic effect up to 24 hours in the postoperative period by blocking the T6-L1 nerves in the facial plane. Local anesthetic infiltration which is one of the regional anesthetic techniques, is another method of postoperative analgesia. intravenous analgesic drug is also used as pharmacological postoperative analgesia method in most clinics.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subject who aged 18-75 years
- •American Society of Anesthesiologist (ASA) I-III
- •Subject undergoing unilateral or bilateral inguinal hernia repair
排除标准
- •Subject under 18 and over 75 years of age
- •History of allergy to agents
- •Analgesic drug use in the last 48 hours
- •Morbid obese (BMI> 35)
- •Confusion
- •Coagulopathy
- •Local infection at the injection site
- •Subject with heart, lung, hematologic, metabolic and endocrine disease
- •Subject who did not want to be included in the study
- •Subject who refused the spinal anesthesia
- •Subject who failed the spinal anesthesia
结局指标
主要结局
Postoperative rescue tramadol consumption
时间窗: 24 hours
The mean tramadol consumption in the first 24 post-operative hours
次要结局
- Postoperative nausea-vomiting(24 hours)
- Analgesic efficacy(24 hours)
研究者
Fikret Salık
Assistant Professor
Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital