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Laparoscopic-assisted Versus Ultrasonography-guided Transversus Abdominis Plane Block in Laparoscopic Sleeve Gastrectomy

Not Applicable
Conditions
Transversus Abdominis Plane
Interventions
Procedure: LAPTAP
Procedure: US-TAP
Registration Number
NCT06345248
Lead Sponsor
Cairo University
Brief Summary

The transversus abdominis plane (TAP) block, whereby local anesthetic is injected between the internal oblique and transversus abdominis fascia to facilitate blockade of somatic afferents nerves, is an effective, non-narcotic adjunct incorporated into many ERAS protocols. We hypothesized that surgeon delivered LAP-TAPs would be non-inferior to anesthesia-delivered US-TAPs in terms of post-operative pain control

Detailed Description

Not available

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
74
Inclusion Criteria

Elective laparoscopic sleeve gastrectomy aging > 18years BMI > 40 kg/m2, ASA score I-III

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Exclusion Criteria

history of chronic opioid consumption suffering from contraindications to regional blocks suffering from allergy to study drugs, history of prior complex abdominal wall reconstruction

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
LAPTAP groupLAPTAP-
US-TAP groupUS-TAP-
Primary Outcome Measures
NameTimeMethod
morphine neededUP TO 24 HOURE

mg

Secondary Outcome Measures
NameTimeMethod
first analgesic request timeup to 24 hours

he time elapsed between the end of the operation till the first analgesic dose

patients' satisfactionUP TO 24 HOURE

scale of 1-4 (1, poor; 2, acceptable; 3, satisfactory; and 4, excellent)

opioid-associated side effectsUP TO 24 HOURE

bradycardia and hypotesion

Trial Locations

Locations (1)

Cairo university

🇪🇬

Cairo, Egypt

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