Comparison of the Effects of External Oblique Intercostal Plane Block and Subcostal Transversus Plane Block Methods With Ultrasound Guidance on Postoperative Analgesia in Laparoscopic Sleeve Gastrectomy Operations
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Postoperative Acute Pain Scores
研究概览
简要总结
The primary aim of this study was to investigate the effects of the external oblique intercostal plane block and the subcostal transversus abdominis plane block on postoperative pain scores and opioid consumption in patients undergoing laparoscopic sleeve gastrectomy.
详细描述
Obesity is a global health problem currently treated with diet, pharmacotherapy, and bariatric surgery. Laparoscopic sleeve gastrectomy (LSG) is a common bariatric procedure that often results in moderate to severe postoperative pain. Adequate pain control after LSG is crucial for early mobilization and prevention of complications . As a relatively novel technique, the external oblique intercostal block (EOIB) provides analgesia for anterolateral upper abdominal surgery by blocking both the lateral and anterior cutaneous branches of the intercostal nerves between T6-7 and T10-11 . The subcostal transversus abdominis plane (s-TAP) block provides sensory blockade over nearly the entire anterior abdominal wall between T6 and T9. Therefore, it can be considered as part of multimodal analgesia for both laparotomy and laparoscopic abdominal surgical procedures.
The primary aim of this study was to investigate the effects of the external oblique intercostal block (EOIB) and the subcostal transversus abdominis plane (s-TAP) block on postoperative pain scores and opioid consumption in patients undergoing laparoscopic sleeve gastrectomy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adult patients aged between 18 and 65 years
- •Patients classified as American Society of Anesthesiologists (ASA) physical status I-III
排除标准
- •Patients younger than 18 years or older than 65 years
- •Inability to cooperate or comply with study procedures
- •Liver and kidney failure
- •American Society of Anesthesiologists (ASA) IV-V patient
- •External oblique intercostal block(EOİB) and the Subcostal Transversus Abdominis Plane block(s-TAB) are contraindicated
研究组 & 干预措施
External Oblique Intercostal Block
patient receive block that External Oblique Intercostal Blcok
干预措施: Ultrasound-guided external oblique intercostal plane block (Procedure)
Subcostal Transversus Abdominis Plane Block (s-TAP)
Patient receive that OSTAP
干预措施: Subcostal Transversus Abdominis Plane Block (s-TAP) (Procedure)
Local anesthetic infiltration
Surgeon implement local anesthetic to port site
干预措施: Local anesthetic infiltration (Procedure)
结局指标
主要结局
Postoperative Acute Pain Scores
时间窗: postoperative T1: 0. hours, T2:4.hours,T3:12.hours,T4: 24.hours
Postoperative acute pain scores assingment with Visual Analog Scores
次要结局
- Total Opioid Consumption(POSTOPERATİVE T1:0 HOURS T2:4. HOURS T3:12.HOURS T4:24.HOURS)
- PATIENT SATISFACTION (Likert Scale) Not satisfied at all 1 Slightly satisfied 2 Moderately satisfied3 Satisfied4 Excellent5 SURGEON SATISFACTION (Likert Scale) Not satisfied at all 1 Slightly satisfied 2 Moderately satisfied3 Satisfied4 Excellent5(Postoperative 24.hours)
- Postoperative Nause and Vomiting(Postoperative first 24.hours)
研究者
MELİKE BOSTANCI ERKMEN
Medical Specialist
Sanliurfa Education and Research Hospital