Postoperative Pain Assessment in Patients Undergoing Scheduled Laparoscopic Intestinal Resection Surgery
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Postoperative Pain, Acute
- Sponsor
- Dr. Negrin University Hospital
- Enrollment
- 105
- Locations
- 1
- Primary Endpoint
- Postoperative acute pain assessed using Visual Analogue Scale, from 0 to 10
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This observational prospective study aims to evaluate the postoperative analgesic effect of a regional anesthesia thechnique (TAP block) in patients undergoing scheduled laparoscopic intestinal resection for intestinal cancer. ASA I-III patients operated between May 1 and September 30, 2019 under general anesthesia according to usual clinical practice, will be included. Patients who meet any of the following criteria will be excluded from this study: under 18 years old, language barrier, cognitive impairment or inability to assist in clinical assessment, drug or alcohol abuse, intake of opioids, consumption of analgesics 24 hours before surgery, BMI <18 or >35 kg/m2. Subsequently, an analysis will be made evaluating the quality of analgesia and the appearance of postoperative chronic pain and comparing the patients who underwent TAP block with those who did not.
Detailed Description
The transverse abdominal plane (TAP) block is a regional anesthesia technique that blocks the afferent nerves of the anterolateral abdominal wall. This observational prospective study aims to evaluate the postoperative analgesic effect in patients undergoing laparoscopic intestinal resection. ASA I-III patients operated on a scheduled basis, between May 1 and September 30, 2019, by laparoscopy for intestinal cancer resection under general anesthesia according to usual clinical practice, will be included. Patients who meet any of the following criteria will be excluded from this study: under 18 years old, language barrier, cognitive impairment or inability to assist in clinical assessment, drug or alcohol abuse, intake of opioids, consumption of analgesics 24 hours before surgery, BMI \<18 or \>35 kg/m2. Subsequently, an analysis will be made evaluating the quality of analgesia and the appearance of postoperative chronic pain and comparing the patients who underwent TAP block with those who did not.
Investigators
Ángel Becerra
Principal Investigator
Dr. Negrin University Hospital
Eligibility Criteria
Inclusion Criteria
- •ASA I-III
- •Operated on a scheduled basis for laparoscopic intestinal cancer resection
Exclusion Criteria
- •Under 18 years old
- •Language barrier
- •Cognitive impairment or inability to collaborate in clinical assessment during the study
- •Drug or alcohol abuse
- •Habitual intake of opioids
- •Consumption of analgesics 24 hours before surgery
- •BMI \<18 or \>35 kg/m2
Outcomes
Primary Outcomes
Postoperative acute pain assessed using Visual Analogue Scale, from 0 to 10
Time Frame: from the arrival to the postanesthesia care unit to the 4 postoperative hours
assessed using visual analogue scale
Intraoperative analgesic consumption
Time Frame: from the anesthesia induction to the end of the surgery
assessed measuring the perioperative analgesics provided during the intraoperative period following routine clinical practice
Secondary Outcomes
- Side effects(from the arrival to the postanesthesia care unit to the hospital discharge (7 days postoperatively))
- Postoperative chronic pain assessed using Visual Analogue Scale, from 0 to 10(2 years postoperatively)