the Effect of the Transversus Abdominis Plane (TAP) Block on the Minimal Laparotomy : a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Colon Cancer
- Sponsor
- Kaohsiung Medical University Chung-Ho Memorial Hospital
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- amount of post-operative morphine consumption
- Last Updated
- 14 years ago
Overview
Brief Summary
Transversus abdominis plane block (TAP block) is a new regional block for abdominal wall.It had been reported the effect of post-operative pain control in minor abdominal surgery, such as inguinal hernia repair and appendectomy. On the other hand, because of the accurate of the pre-operative images, the minimal laparotomy for colon cancer was accomplished. Thus, the purpose of this study is to investigate the effect, such as analgesic effect, hemodynamic stability, and post-operative morphine consumption, of TAP block in minimal laparotomy.
Detailed Description
outcome measures: * Hemodynamic parameters (mean artery pressure, heart rate): recorded at time points of before induction of general anesthesia (baseline), after tracheal intubation immediately, after surgery started 1, 2, 3, 4, 5, 10, 15, 20, 25, and 30 min; then recorded them every 10 mins. * Post-operative morphine consumption: recorded morphine consumption at the time intervals of post-operative 0\~6 h, 6\~12 h, 12\~24 h, 24\~36 h, and 36\~48 h ,respectively. The total amount of morphine consumption was also counted.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Anesthesiologists physical status I-III, ≧ 18 years of age, and needed double-lumen endotracheal tube (DLT) for thoracic surger
Exclusion Criteria
- •increased risk for regurgitation and pulmonary aspiration, history of gastroesophageal reflux, and pregnancy
- •a tracheostomy or prolonged ventilation on ICU was planned, patients were also excluded
Outcomes
Primary Outcomes
amount of post-operative morphine consumption
Time Frame: post-operative 48 hours
Secondary Outcomes
- evaluation of post-operative pain status using visual analog scale (VAS) and superimposed face pain severity scale(post-operative 48 hours)