INVESTIGATION OF THE INTRAOPERATIVE AND POSTOPERATIVE EFFECTS
Overview
- Phase
- Not Applicable
- Intervention
- External Oblique Intercostal Plane Block
- Conditions
- Laparoscopic Cholecystectomy
- Sponsor
- Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- Numeric Rating Scale
- Status
- Completed
- Last Updated
- 5 months ago
Overview
Brief Summary
Objective: Regional anesthesia techniques, such as peripheral nerve blocks, have a lower side effect profile and higher patient satisfaction compared to central blocks. With the introduction of Ultrasonography (USG), these techniques have become more commonly and reliably performed. The purpose of our study is to compare parameters such as intraoperative hemodynamics, postoperative analgesic requirement, and patient satisfaction between patients undergoing External Oblique Intercostal Plane Block (EOIB) with those who did not receive EOIB, which has few studies conducted on it.
Investigators
Mazlum Dursun
Anesthesiology and Reanimation spesialist
Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital
Eligibility Criteria
Inclusion Criteria
- •Patients aged between 18-65
- •and with ASA1-2 were included.
Exclusion Criteria
- •Patients younger than 18 years of age and older than 65 years of age
- •Patients allergic to local anesthetics
- •Patients with opioid and alcohol addiction
- •Patients with perioperative signs of acute cholecystitis
- •Patients with contraindications for laparoscopic surgery
- •Cases with ASA III-IV were not included in the study.
Arms & Interventions
External oblique intercostal plan block group
After endotracheal intubation, a 22-gauge 100 mm long block needle will be inserted at the T6-T7 level under USG guidance and bilateral EOIB will be applied with 20 cc of 0.25% Bupivacaine on each side under the external oblique intercostal muscle (total 40ml bilaterally).
Intervention: External Oblique Intercostal Plane Block
control group
No Intervention
Intervention: control group
Outcomes
Primary Outcomes
Numeric Rating Scale
Time Frame: Postoperative 30.second,2 hours, 6 hours,12 hours,24 hours
They will be numbered from 1 to 10. If reporting a score on a scale, please include the unabbreviated scale title, the minimum and maximum values, and whether higher scores mean a better or worse outcome
Visual Analogue Scale
Time Frame: Postoperative 30.second,2 hours, 6 hours,12 hours,24 hours
The Visual Analogue Scale (VAS) is a subjective measure of pain. It consists of a 10cm line with two endpoints representing 'no pain' and 'worst pain imaginable'. Patients are asked to rate their pain by placing a mark on the line corresponding to their current level of pain. The distance along the line from the 'no pain' marker is then measured with a ruler giving a pain score out of 10.
Secondary Outcomes
- Riker Sedation Agitation Scale(Immediately after extubation)
- Patient satisfaction score(at the 24th postoperative hour)
- Postoperative vomiting and nausea(Postoperative 30.second,2 hours, 6 hours,12 hours,24 hours)
- Opioid use(Postoperative 24 hours)
- Mean Arter Pressure(when you come to the operating room table, after block Intraoperative 10 minutes,30 minutes postoperative 2,6,12 hours)
- Heart Rate(when you come to the operating room table, after block Intraoperative 10 minutes,30 minutes postoperative 2,6,12 hours)