Effect of External Oblique Intercostal plane block and Rectus Abdominis plane block for postoperative pain in patient of laparoscopic cholecystectomy
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Teerthanker Mahaveer Medical College and Research Centre
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- To evaluate tramadol consumption for postoperative 24 hours in both the group
Overview
Brief Summary
After Permission from College Research Committee (CRC) and Institutional Ethical Committee (IEC), TMMC&RC, Moradabad
Randomization will be done by computer generated techniques and patients will be assigned in to two group
Group A : External oblique intercostal block (20 ml of 0.25% bupivacaine) and rectus abdominis (20 ml of 0.25% bupivacaine)
Group B : IV analgesic will be administered as standard institutional protocol
After shifting the patient to operating room ASA monitor will be attached baseline values of heart rate (HR) Systolic blood pressure (SBP) Diastolic blood pressure (DBP) and oxygen saturation will be recorded
General anesthesia with endotracheal intubation will be administered according to standard protocol
EOIPB & RA will be administered by anesthesiologist after extubation.
Postoperative analgesia all patients were given INJ PCM 15mg/kg 8 hourly will be given , will be given first application of analgesic drug was administered after anesthesia induction.
NRS, Modified Aldrete’s Score will be assessed simultaneously
In postoperative period patients will be assessed for pain by numeric rating scale (NRS)
• NRS will be recorded at 15, 30, 60 minutes in PACU and 2,6,12,24 hours
• In the NRS evaluation 0 = no pain , 10 = worst pain
• Intravenous tramadol 50 mg ( rescue analgesia) will be given and recorded
when the pain >= 4on NRS
The recovery time will be considered from the last dose of drug administered till archiving Modified Aldrete’s Score of 9-10
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant and Investigator Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 70.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •1.Patient posted for elective laparoscopic cholecystectomy giving informed and written consent
- •Patients of age 18-70 years.
- •BMI from 18.5 kg/m2 to 25 kg/m2 4.American Society of Anesthesiologists (ASA) physical status I-II patients.
Exclusion Criteria
- •1.Coagulation disorders, liver/kidney disease.
- •Local infection at site of block.
- •Ho/ alergy ot study medications 4.Pregnancy.
- •5.Chronic alcohol and drug abuse.
Outcomes
Primary Outcomes
To evaluate tramadol consumption for postoperative 24 hours in both the group
Time Frame: To evaluate tramadol consumption for postoperative 24 hours in both the group
Secondary Outcomes
- 1.To evaluate the Numeric Rating Scale (NRS) scores for postoperative 24 hours in both the group.(2.To evaluate the post operative recovery time in both the groups.)
Investigators
Gami meetkumar vrajlal
Teerthanker Mahaveer Medical College and Research Centre