The Visceral Analgesic Effect of Erector Spinae Plane Block in Laparoscopic Cholecystectomy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Difference of analgesic consumption between both group
研究概览
简要总结
The purpose of this study was to investigate the effectiveness of erector spinae plane block on postoperative visceral pain in laparoscopic cholecystectomy (LLC). Given that rectus sheath block may provide sufficient somatic pain block, investigators aimed to investigate whether erector spinae block is effective in visceral pain block.
After induction of general anesthesia, group of patient is decided randomly. In Group R, rectus sheath block is performed with 0.2% Ropivacaine 30ml before the operation. In Group RE, rectus sheath block and erector spinae plane block are performed with 0.2% ropivacaine 70ml before the operation.
NRS score measurement and comparison of the rescue analgesic dose used at 0, 0.5, 1, 2,6, 12, 18, and 24 hours after arrival at the recovery room were collected
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •adults between the ages of 20 and 80
- •scheduled laparoscopic cholecystectomy patient
- •American society of anesthesiologists score 1 or 2
- •Patients who have voluntarily agreed in writing to participate in the trial
排除标准
- •Patient with side effects on local anesthetics or steroids
- •Patient who are taboo of peripheral nerve block such as blood clotting disorder, infection, etc.
- •Patients with uncontrolled medical or psychiatric problem
- •Patient does not agree to participate in the study
- •Patients with deformity at vertebra or chest wall.
- •Patients who are pregnant or lactating
- •Patients receiving a single laparoscopic cholecystectomy (including using a robot)
- •Patients with severe intraperitoneal adhesion (higher than Nair s grade 3), or with external drain.
研究组 & 干预措施
Group R : Rectus sheath block group
ultrasound guided Rectus sheath block with 0.2% ropivacaine (Fresenius Kabi) 30ml before surgical incision
干预措施: Ultrasound guided Rectus sheath block (Drug)
Group RE: Rectus sheath block and erector spinae plane block
ultrasound guided Rectus sheath block with 0.2% ropivacaine (Fresenius Kabi) 30ml before surgical incision and ultrasound guided erector spinae plane block with 0.2% ropivacaine (Fresenius Kabi) 40ml
干预措施: Ultrasound guided Rectus sheath block (Drug)
Group RE: Rectus sheath block and erector spinae plane block
ultrasound guided Rectus sheath block with 0.2% ropivacaine (Fresenius Kabi) 30ml before surgical incision and ultrasound guided erector spinae plane block with 0.2% ropivacaine (Fresenius Kabi) 40ml
干预措施: Ultrasound erector spinae plane block (Drug)
结局指标
主要结局
Difference of analgesic consumption between both group
时间窗: at 0, 0.5, 1, 2, 6, 12, 18, 24 hours after operation
The difference in analgesics usage between the two groups after the operation is checked at fixed intervals (at 0, 0.5, 1, 2, 6, 12, 18, 24 hours after operation) to compare.
次要结局
- compare the Numeric rating scale (NRS)(at 0, 0.5, 1, 2, 6, 9, 18, 24 hours after operation)
研究者
Jong Hyuk Lee
clinical assistant professor
Asan Medical Center