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Postoperative Pain in Patients Undergoing Scheduled Laparoscopic Intestinal Resection Surgery

Completed
Conditions
Postoperative Pain, Chronic
Postoperative Pain, Acute
Interventions
Procedure: TAP
Registration Number
NCT05222789
Lead Sponsor
Dr. Negrin University Hospital
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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
105
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

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
TAP blockTAPPatients receiving TAP block preoperatively, following routine clinical practice
Primary Outcome Measures
NameTimeMethod
Postoperative acute pain assessed using Visual Analogue Scale, from 0 to 10from the arrival to the postanesthesia care unit to the 4 postoperative hours

assessed using visual analogue scale

Intraoperative analgesic consumptionfrom the anesthesia induction to the end of the surgery

assessed measuring the perioperative analgesics provided during the intraoperative period following routine clinical practice

Secondary Outcome Measures
NameTimeMethod
Side effectsfrom the arrival to the postanesthesia care unit to the hospital discharge (7 days postoperatively)

to record the perioperative side effects secondary to the analgesia administered perioperatively

Postoperative chronic pain assessed using Visual Analogue Scale, from 0 to 102 years postoperatively

assessed using visual analogue scale

Trial Locations

Locations (1)

Ángel Becerra

🇪🇸

Las Palmas De Gran Canaria, Las Palmas, Spain

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