Comparison of Postoperative Analgesia and Patient Satisfaction of Unilateral Transversus Abdominis Plane (TAP) Block and Trocar Site Infiltration Anesthesia in Laparoscopic Cholecystectomy
Overview
- Phase
- Not Applicable
- Intervention
- Transversus abdominis plane block
- Conditions
- Biliary Disease
- Sponsor
- Diskapi Yildirim Beyazit Education and Research Hospital
- Enrollment
- 72
- Locations
- 1
- Primary Endpoint
- Postoperative analgesia
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Laparoscopic cholecystectomy is a commonly performed operation in general surgery practice. Peripheral nerve block methods commonly used for analgesia after this operation are: transversus abdominis plane block (TAP) and trocar insertion sites local anesthetic infiltration anesthesia In this study, we aimed to compare these methods in terms of postoperative analgesia, nausea-vomiting and patient satisfaction
Detailed Description
Patients will be randomly allocated by a computer generated random numbers list into three groups. After general anesthesia induction and intubation patients will receive analgesia according to group allocation. In group TAP (Group T) the transversus abdominis plane block will be commenced with ultrasound guidance while the patients is in the supine position with a subcostal approach using 20 mL 0.25% bupivacaine and 21 G block needle. In group infiltration anesthesia (Group I) the trocar insertion sites will be infiltrated with 20 mL 0.25% bupivacaine: 7 mL for the 10 mm trocar insertion sites and 3 mL for the 5 mm trocar insertion sites. The control group (Group C) will not receive any local anesthetic. All patients will receive rescue analgesia with intravenous patient controlled analgesia with tramadol (20 mg bolus dose and 20 minutes lockout time) Postoperative pain will be assessed during resting and coughing with a Numeric Pain Scale (NRS) and nausea and vomiting with a Postoperative Nausea Vomiting Score at the postoperative 1, 3, 6, 12. and 24 hours. The amount of tramadol consumed in the postoperative period will be recorded. Patient satisfaction will be assessed with the Likert scale at postoperative 24 hours.
Investigators
Emine Arik
Specialist in Anesthesia
Diskapi Yildirim Beyazit Education and Research Hospital
Eligibility Criteria
Inclusion Criteria
- •Clinical diagnosis of biliary disease
Exclusion Criteria
- •Uncooperative patients
- •Blood coagulation disorders
- •Laparatomy
- •Obesity: body mass index \>35
- •Renal failure
- •Hepatic failure
- •Emergency surgery
- •Pregnancy
Arms & Interventions
Transversus abdominis plane block
will receive 20ml bupivacaine for Transversus abdominis plane block and intravenous patient controlled analgesia
Intervention: Transversus abdominis plane block
Transversus abdominis plane block
will receive 20ml bupivacaine for Transversus abdominis plane block and intravenous patient controlled analgesia
Intervention: Intravenous patient controlled analgesia
Local infiltration anesthesia
will receive 20ml bupivacaine for Local infiltration anesthesia and intravenous patient controlled analgesia
Intervention: local infiltration anesthesia
Local infiltration anesthesia
will receive 20ml bupivacaine for Local infiltration anesthesia and intravenous patient controlled analgesia
Intervention: Intravenous patient controlled analgesia
Intravenous patient control analgesia
will not receive any regional anethetic intervention will receive intravenous patient controlled analgesia
Intervention: Intravenous patient controlled analgesia
Outcomes
Primary Outcomes
Postoperative analgesia
Time Frame: Postoperative day 1
Pain will be assessed with a 11 point numeric rating scale (0-10 whereas 0:no pain; 1-3: mild pain; 4-6: moderate pain and 7-10: severe pain)
Secondary Outcomes
- Patient satisfaction(Postoperative 24 th hour)
- Postoperative nausea and vomiting (PONV)(Postoperative 1st hour, 3rd hour, 6th hour, 12th hour and 24th hour)