Efficacy of ultrasound guided transversus abdominis plane block after laparoscopic bariatric surgery : adouble blind,randomised ,controlled study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Requirement of Tramazac hydrochloride in first 24 hours after surgery
Study Overview
Brief Summary
Aims and Objectivesxml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /
General anaesthesia in morbidly obese is associated with risk of multiple cardiopulmonary complications. These can be further aggravated with sedation, immobilization and hypoventilation from administration of narcotic analgesics in the postoperative period . We wished to study the analgesic potential of TAP block which produces dermatosensory block of the lower six thoracic and upper lumbar abdominal afferents , in this vulnerable group of patients .We believe this group of patients would benefit from opioid sparing effect of this block. In our literature search we did not come across any study which has evaluated the possible benefits of this block in this patient population.
Hypothesis
We hypothesised that use of ultrasound guided TAP (USG TAP) block as a part of multimodal analgesia will minimise postoperative opioid requirement, expedite ambulation and minimise adverse events in morbidly obese patients undergoing laparoscopic gastric bypass under general anaesthesia.
Study Design
- Study Type
- Interventional
- Allocation
- Computer generated randomization
- Masking
- Participant, Investigator and Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 60.00 Year(s) (—)
Inclusion Criteria
- •BMI> 35 Kg/m2 Either Gender Posted for Laparoscopic bariatric surgery Under general anaesthesia.
Exclusion Criteria
- •1.Any relevant drug allergy 2.Seizure disorder 3.Antidepressants.
Outcomes
Primary Outcomes
Requirement of Tramazac hydrochloride in first 24 hours after surgery
Time Frame: Requirement of Tramazac hydrochloride in first 24 hours after surgery
Secondary Outcomes
- : VAS score, RASS ((Richmond Agitation - Sedation Scale; table 1), time to ambulate, adverse events(First 24 hours from end of surgery)