Comparison of Surgeon Delivered Laparoscopic Transversus Abdominis Plane Blocks and Anaesthetist Delivered Ultrasound Guided Transversus Abdominis Plane Blocks in Laparoscopic colorectal surgeries- Randomised Control Trial
试验速览
- 阶段
- 3 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 74
- 试验地点
- 1
- 主要终点
- The primary outcome is to compare surgeon placed Laparoscopic transversus abdominis plane blocks and anaesthetist placed ultrasound guided transversus abdominis plane blocks for post-operative pain control in laparoscopic colorectal surgery and to compare the primary duration of analgesia as determined by the vas score.
研究概览
简要总结
Enhanced recovery after surgery (ERAS) programs improve post-operative outcomes and reduces cost in colorectal surgery.A multimodal, opiate sparing pain regimen is a central component of ERAS protocols.Benefits of reducing opiates include decreased post operative nausea,vomiting, and sedation as well as reducing time to return of bowel function and expediting patient recovery.The transversus abdominis plane (TAP) block is an important non-narcotic adjunct for post-operative pain control in abdominal surgery.Surgeons can use laparoscopic guidance for TAP block placement (LTAP), however, direct comparisons to conventional ultrasound guided TAP (UTAPs) have been lacking.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- •ASA grade 1,2 & 3 Laparoscopic colorectal surgeries Consented for regional anaesthesia technique for post operative analgesia.
排除标准
- •ASA grade 4 Those who refuse to give consent.
- •Open colorectal surgeries.
- •Necessity of combined surgeries with colorectal surgery.
- •Local infections at proposed blocked site.
- •Contraindications to the use of loco regional anaesthesia.
结局指标
主要结局
The primary outcome is to compare surgeon placed Laparoscopic transversus abdominis plane blocks and anaesthetist placed ultrasound guided transversus abdominis plane blocks for post-operative pain control in laparoscopic colorectal surgery and to compare the primary duration of analgesia as determined by the vas score.
时间窗: The time points are to measure vas score every hour for first 6hours, then at 12th hour and 24th hour post operatively and to measure vitals every 30 minutes till end of the surgery.
次要结局
- The secondary outcome is to determine the incidence of post operative nausea & vomiting & to find out total dose of narcotics used(time frame –upto 24 hours) & also(to find out the time of rescue analgesia)
研究者
INDUKRISHNA V
ASTER MEDCITY,KUTTISAHIB ROAD CHERANELLOOR,SOUTH CHITTOOR,KOCHI,KERALA