Comparison of the Effects of Erector Spina Plan Block and Paravertebral Block in Laparoscopic Cholecystectomies on Pain Management.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Nerve Block
- Sponsor
- Giresun University
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- Total tramadol consumption
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Erector spinae plane (ESP) block is a more recent method than paravertebral block (PVB) and has a lower risk of complications. The aim of this study was to compare postoperative analgesia requirements and side-effects in terms of safely reaching the maximum analgesic effect in patients.
Detailed Description
The primary aim of this study was to compare ESP block and PVB as important postoperative pain management in terms of being able to reliably reach the highest analgesic efficacy in patients who underwent laparoscopic surgery which is a frequently applied surgery. The secondary aim was to determine the incidence of postoperative nausea, vomiting and side-effects, and patient satisfaction.
Investigators
Elvan Yilmaz
Assistant Professor
Giresun University
Eligibility Criteria
Inclusion Criteria
- •aged \>18 years
- •patients with the American Society of Anesthesiologists (ASA) physical status I/II -who were planned to undergo laparoscopic cholecystectomy surgery
Exclusion Criteria
- •Did not provide informed consent,
- •Had any psychiatric or mental problem that prevented understanding of the informed consent form
- •They were planned to undergo emergency cholecystectomy,
- •Had any allergy or hypersensitivity to local anaesthetic,
- •Had an infection in the needle entry area
- •History of coagulopathy or the use of anticoagulants
Outcomes
Primary Outcomes
Total tramadol consumption
Time Frame: 24 hours postoperatively
Consumption at the end of 24 hours will be monitored by planning a 10mg bolus, a 10-minute lock-in time, through a patient-controlled analgesia device.
Secondary Outcomes
- Visual analog scale (VAS) at rest and when coughing(at 0, 5, 10,20 minutes and 1, 2,4 , 6, 12 and 24 hours postoperatively)
- Analgesic drug consumption other than tramadol(24 hours postoperatively)
- Heart Rate(preoperative, after insufflation, after exsufflation, after extubation( 5,10,20,30 minutes))
- Mean arterial pressure (MAP)(preoperative, after insufflation, after exsufflation, after extubation( 5,10,20,30 minutes))
- Incidence of postoperative nausea & vomiting (PONV)(24 hours postoperatively)
- Shoulder pain(24 hours postoperatively)