Erector Spinae Plane Block and Subcostal Transverse Abdominis Plane Block in Laparoscopic Cholecystectomy
- Conditions
- Postoperative Pain
- Interventions
- Other: Standard Pain Followup and Monitorization
- Registration Number
- NCT04116008
- Lead Sponsor
- Baskent University
- Brief Summary
Erector Spinae Plane Block is a newly defined regional anesthesia technique. Its use for many indications has been identified by case reports in the literature. As the investigators have considered that erector spinae plane block could be efficacious for providing postoperative analgesia in laparoscopic cholecystectomy, the investigators have implemented the application of this blockade into practice at the clinic Subcostal transverse abdominis plane block (STAP) is another regional anesthesia technic used for postoperative analgesia in laparoscopic cholecystectomy. Main purpose of this study is to compare the analgesic effect of ultrasound-guided erector spinae block and STAP in laparoscopic cholecystectomy.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 70
- ASA I-II-III
- Undergoing elective laparoscopic cholecystectomy
- obesity
- ASA IV
- infection of the skin at the site of needle puncture area
- patients with known allergies to any of the study drugs
- coagulopathy
- recent use of analgesic drugs
- Inability to provide informed consent
- Severe kidney or liver disease
- Inability to operate PCA system
- Patient with psychiatric disorders
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Erector Spinae Block Standard Pain Followup and Monitorization Ultrasound-guided bilateral Erector spinae plane block performed at end of the surgery with 40 ml of a bupivacaine/prilocaine mixture. Perioperative and postoperative routine analgesic protocol will be performed (consist of intravenous analgesics and intravenous patient-controlled analgesia) with no additional intervention (block) Standard Pain Followup and Monitorization will be performed. Subcostal Abdominis Plane Block Standard Pain Followup and Monitorization Ultrasound-guided bilateral STAP block performed at end of the surgery with 40 ml of a bupivacaine/prilocaine mixture. Perioperative and postoperative routine analgesic protocol will be performed (consist of intravenous analgesics and intravenous patient-controlled analgesia) with no additional intervention (block) Standard Pain Followup and Monitorization will be performed.
- Primary Outcome Measures
Name Time Method Pain Score 24 hours Changes in Numeric Rating Scale (NRS) at rest and on movement will be recorded at intervals. NRS is a unidimensional measure of pain intensity in adults. The NRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable").
- Secondary Outcome Measures
Name Time Method analgesic consumption at PACU (postanesthetic care unit), 2nd, 4th, 6th, 12th and 24th hours Tramadol consumption in Patient Controlled Analgesia device and additional and rescue analgesic using
block related complication in this block performing time, till patients anesthetized right after block procedure, at PACU, 2nd, 4th, 6th, 12th and 24th hours local anesthetic systemic toxicity during and after block procedure , pneumothorax and vascular puncture during block procedure
opioid complication at PACU (postanesthetic care unit), 2nd, 4th, 6th, 12th and 24th hours sedation, itching, nausea and vomiting
Trial Locations
- Locations (1)
Baskent University,Konya
🇹🇷Konya, Selcuklu, Turkey