Comparison of Two Different Approach Ultrasound Guided TAP Block on Pain Management of Laparoscopic Nephrectomy: Posterior or Lateral Approach?
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Analgesia, Patient-Controlled
- Sponsor
- Ankara City Hospital Bilkent
- Enrollment
- 88
- Locations
- 1
- Primary Endpoint
- Visual Analog Pain scale 12
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Primary aim is to compare the effectiveness of the posterior approach Transversus abdominis plane block (P-TAP) and the lateral approach Transversus abdominis plane block (L-TAP) technique on the pain management of the laparoscopic nephrectomy in terms of visual analog pain scale and postoperative opioid consumption. Secondary aim is to compare complication rates of the two techniques.
Detailed Description
Patients included in the study will be randomized into two groups (group L and group P) in the preoperative period. Following routine anesthesia induction TAP block will be applied to group L patients with the lateral approach technique, and to group P patients with the posterior approach technique. Regional block complications will be recorded. Standard laparoscopic nephrectomy surgical method will be applied. 1g of paracetamol and 4mg of dansetron will be administered to both groups 15 minutes before the end of the operation. The pain intensity of the patients will be questioned and VAS values will be recorded at 0, 1, 2, 6, 12 and 24 hours postoperatively.
Investigators
Serap Diker
Anaestesia and Reanimation Specialist
Ankara City Hospital Bilkent
Eligibility Criteria
Inclusion Criteria
- •ASAI-III patients undergoing laparoscopic nephrectomy
- •18\<BMI\<40
Exclusion Criteria
- •infection at the block site
- •coagulation disorder
- •pregnancy
- •kidney failure
- •liver failure
- •heart failure
- •allergy to local anesthetics
- •patient refusal
Outcomes
Primary Outcomes
Visual Analog Pain scale 12
Time Frame: Postoperative 12. hour
Patients will be asked about the severity of pain. They will be told that 0 = no pain, 10 = severe pain, and they will be asked to determine a number between 0 and 10 for the severity of pain.
Visual Analog Pain scale 2
Time Frame: Postoperative second hour
Patients will be asked about the severity of pain. They will be told that 0 = no pain, 10 = severe pain, and they will be asked to determine a number between 0 and 10 for the severity of pain.
Visual analog pain scale 6
Time Frame: Postoperative sixth hour
Patients will be asked about the severity of pain. They will be told that 0 = no pain, 10 = severe pain, and they will be asked to determine a number between 0 and 10 for the severity of pain.
Visual Analog Pain scale 18
Time Frame: Postoperative18. hour
Patients will be asked about the severity of pain. They will be told that 0 = no pain, 10 = severe pain, and they will be asked to determine a number between 0 and 10 for the severity of pain.
Visual Analog Pain scale 24
Time Frame: Postoperative 24. hour
Patients will be asked about the severity of pain. They will be told that 0 = no pain, 10 = severe pain, and they will be asked to determine a number between 0 and 10 for the severity of pain.
Visual analog pain scale 0
Time Frame: at the PACU arrival
Patients will be asked about the severity of pain. They will be told that 0 = no pain, 10 = severe pain, and they will be asked to determine a number between 0 and 10 for the severity of pain.
Visual analog pain scale 1
Time Frame: Postoperative first hour
Patients will be asked about the severity of pain. They will be told that 0 = no pain, 10 = severe pain, and they will be asked to determine a number between 0 and 10 for the severity of pain.
opioid comsuption
Time Frame: Within 24 hours postoperatively
Patients will be asked about the severity of pain. They will be told that 0 = no pain, 10 = severe pain, and they will be asked to determine a number between 0 and 10 for the severity of pain.