Effect of Preoperative Rectus Sheath Block on Quality of Recovery in Single Port Laparoscopic Adnexal Surgery
- Conditions
- Single Port Laparoscopic Adnexal Surgery
- Interventions
- Drug: Ultrasound guided rectus sheath block with normal saline
- Registration Number
- NCT05984212
- Lead Sponsor
- Yonsei University
- Brief Summary
In this study, the investigators aimed to demonstrate if the quality of recovery in patients undergoing single-port laparoscopic adnexal surgery, with preoperative rectus sheath block and intraoperative opioid administration based on analgesia nociception index, improves compared to the patients without block.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 56
-
Adult female patient aged 19 years or older undergoing elective single-port laparoscopic adnexal surgery under general anesthesia at Yonsei Cancer Center
-
patients with moderate to severe pain before surgery 2. patients with history of taking chronic analgesic use, 3. patients allergic or hypersensite to remifentanil or local anesthetic (ropivacaine), 4. patients with infection at the site of the block, 5. patietns who cannot communicate
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description normal saline infusion group Ultrasound guided rectus sheath block with normal saline - dexmedetomidine infusion group Ultrasound guided rectus sheath block with dexmedetomidine -
- Primary Outcome Measures
Name Time Method Quality of Recovery 40 scale score at postoperative 24 hour 24 hours after the end of surgery Postoperative quality of recovery according to the block performance
- Secondary Outcome Measures
Name Time Method rescue analgesics administered up to 24 hours postoperatively intraoprative and postoperative 24hours To evaluate the effect of rectus sheath block on intraoperative and postoperative pain and patients' satisfaction
Intraoperative remifentanil consumption,postoperative pain score at 0, 1, 6, 12, and 24 hours postoperative To evaluate the effect of rectus sheath block on intraoperative and postoperative pain and patients' satisfaction
satisfaction with pain control intraoprative and postoperative 24hours Patient self-rated overall satisfaction with pain control. Evaluated on an 11-point scale from 0 to 10, with 0 points for completely dissatisfied and 10 points for complete satisfaction. The higher the number, the more satisfactory it is.
serum cortisol level (μg/dL) before and after surgery intraoprative and postoperative 24hours To evaluate the effect of rectus sheath block on intraoperative and postoperative pain and patients' satisfaction
leukocyte level (10^3/μL) before and after surgery intraoprative and postoperative 24hours To evaluate the effect of rectus sheath block on intraoperative and postoperative pain and patients' satisfaction
arterial pH before and after surgery intraoprative and postoperative 24hours To evaluate the effect of rectus sheath block on intraoperative and postoperative pain and patients' satisfaction
blood glucose level (mg/dL) before and after surgery intraoprative and postoperative 24hours To evaluate the effect of rectus sheath block on intraoperative and postoperative pain and patients' satisfaction
measurement of adequate analgesia (NRS <4) before and after surgery intraoprative and postoperative 24hours To evaluate the effect of rectus sheath block on intraoperative and postoperative pain and patients' satisfaction
Trial Locations
- Locations (1)
Severance hospital
🇰🇷Seoul, Korea, Republic of