Ultrasound Guided External Oblique Intercostal Plane Block vs. Wound Infiltration for Laparoscopic Sleeve Gastrectomy: Prospective Randomized Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Obesity
- Sponsor
- Ataturk University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Postoperative opioid consumption
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The morbidity and mortality associated with being overweight or obese have been known to the medical profession since Hippocrates, more than 2500 years ago.
Pain that develops following bariatric surgery may prolong recovery time. Most morbidly obese patients have obstructive sleep apnea and cardiac comorbidities. In these patients, prolonged postoperative pain may cause early ambulation and delay performing deep breathing exercises.
Using regional anesthetic techniques results in less opioid use and better pain management. External oblique internal costal block; It is a new block that provides dermatomal sensory blockage involving T6-T10 in the anterior axillary line and T6-T9 in the midline. It can be used as part of multimodal analgesia in laparoscopic cases.
There is no study in the literature regarding the use of external oblique plane block in bariatric surgery yet.
Investigators
Ali Ahiskalioglu
Principal Investigator
Ataturk University
Eligibility Criteria
Inclusion Criteria
- •American Society of Anesthesiologist's physiologic state I-III patients
- •Laparoscopic Obesity surgery
Exclusion Criteria
- •Chronic pain bleeding disorders renal or hepatic insufficiency patients on chronic non-steroidal anti-inflammatory medications emergency cases
Outcomes
Primary Outcomes
Postoperative opioid consumption
Time Frame: first 24 hours
First 24 hours total fentanyl consumption with patient controlled analgesia
Secondary Outcomes
- Visual analog pain score(postextubation 0-24 hours)