Comparison of an Ultrasound Guided Bilateral Transversus Abdominis Plane Block With Dexamethasone and Preperitoneal Instillation of Local Anesthetic With Dexamethasone to a Standard Anesthetic Technique for Analgesic Efficacy and Patient Satisfaction Following a Total Extraperitoneal Bilateral Inguinal Hernia Repair: A Prospective Randomized Single Blinded Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 75
- 试验地点
- 2
- 主要终点
- Assess the efficacy of a bilateral TAP block and preperitoneal instillation of local anesthetic to a standard anesthetic technique for TEP hernia repair
研究概览
简要总结
Comparison of an ultrasound guided bilateral TAP (transversus abdominis plane) block with dexamethasone and preperitoneal instillation of local anesthetic with dexamethasone under direct visualization will be compared it to a standard anesthetic technique (control) following a TEP (total extraperitoneal) bilateral hernia repair. The investigators are hypothesizing that the bilateral TAP block and preperitoneal instillation of local anesthetics with the addition of dexamethasone are superior in terms of patient satisfaction and post-operative pain control when compared to a standard anesthetic technique (no regional technique).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •18-80 yrs of age
- •American Society of Anesthesiologists (ASA) physical status 1-3
- •Scheduled for outpatient TEP bilateral inguinal hernia repair
排除标准
- •Patients refusal to participate
- •inability to give consent
- •drug allergies to medications used in study
- •pregnancy
- •bleeding diathesis
- •conversion to an open procedure
- •any subject whose anatomy, or surgical procedure, in the opinion of the investigator might preclude the potential successful performance of a TAP block
- •any subject whose anatomy, or surgical procedure, in the opinion of the investigator, might preclude the potential successful performance of a TAP block
研究组 & 干预措施
Control Group
Standard anesthetic technique
干预措施: Opioid IV medications (Control) (Procedure)
Ultrasound guided bilateral TAP block
Ultrasound guided TAP Block with local anesthetic and dexamethasone.
干预措施: Transversus abdominis plane block (TAP BLOCK) (Procedure)
Instillation of surgical site with local anesthestic.
Instillation of surgical site under direct visualization with local anesthetics and dexamethasone.
干预措施: Instillation of surgical site with local anesthetic. (Procedure)
结局指标
主要结局
Assess the efficacy of a bilateral TAP block and preperitoneal instillation of local anesthetic to a standard anesthetic technique for TEP hernia repair
时间窗: Post-operatively (Day 1)
Assessment will be done postoperatively using a Quality of Recovery 40 (QoR-40) questionnaire after surgery.
次要结局
- Assess the efficacy of a bilateral TAP block and preperitoneal instillation of local anesthetic to a standard anesthetic technique for TEP hernia repair(Post-operatively (day 0))