Evaluation of Postoperative Pain and Recovery Quality (QoR-40) in Patients Undergoing Erector Spinal Area (ESP) Block After Laparoscopic Cholecystectomy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Postoperative Recovery
- Sponsor
- Konya Meram State Hospital
- Enrollment
- 82
- Locations
- 1
- Primary Endpoint
- Quality of Recovery (QoR-40) score
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The primary aim of this prospective, randomized study is to evaluate the effect of erector spinae block (ESP) on quality of recovery with the QoR-40 questionnaire in patients undergoing elective laparoscopic cholecystectomy.
Detailed Description
Laparoscopic cholecystectomy, one of the most common general surgical procedures, is the gold standard for the treatment of symptomatic gallbladder diseases. Although it is considered as minimally invasive surgery, pain in the early postoperative period is still meaningful. Proper pain control is essential for optimizing clinical outcomes and earlier ambulation after surgery. Traditional pain management with opioids provide good pain control, however, have undesirable side effects such as nausea, vomiting, and respiratory depression. Multimodal analgesia strategies with different classes of analgesics or local anesthetics may enhance pain relief and reduce side effects after surgery. The ESP a newer regional nerve blockade, has been used as part of a multimodal strategy to optimize postoperative pain control. The primary aim of this study is to evaluate the effect of ESP block on postoperative recovery quality in patients undergoing laparoscopic cholecystectomy with QoR-40 recovery questionnaire. Secondary aim is to assess the effect of ESP block on postoperative pain, nausea, and vomiting. Study hypothesize is that patients who receive an ESP block in addition to the current standard of care, consisting of parenteral opioids and paracetamol, will have a clinically significant improvement in their QoR-40 at postoperative day 1 and lower pain levels, as measured by NRS in comparison to those patients who receive the current standard of care along.
Investigators
Betul Kozanhan
Ass.Prof.
Konya Meram State Hospital
Eligibility Criteria
Inclusion Criteria
- •American Society of Anesthesiology (ASA) physical status I-II
- •Scheduled for elective laparoscopic cholecystectomy
Exclusion Criteria
- •a history of allergy to local anesthetics
- •known coagulation disorders
- •infection near the puncture site
- •Chronic opioid intake
- •Patient with psychiatric disorders
- •inability to communicate
Outcomes
Primary Outcomes
Quality of Recovery (QoR-40) score
Time Frame: postoperative 24 hour
QoR-40, a 40-item questionnaire that provides a global score and subscores across five dimensions: patient support, comfort, emotions, physical independence, and pain. Each item is rated on a scale of 1-5, providing a minimum score of 40 and maximum of 200.
Secondary Outcomes
- Postoperative pain: numeric rating scale (NRS)(Postoperative 24 hours)
- Analgesic consumption(Postoperative 24 hour)