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The Effect of Erector Spinae Block on Diaphragma Movement

Phase 4
Completed
Conditions
Acute Post-operative Pain
Laparoscopic Cholecystectomy
Respiratory Diaphragm
Interventions
Procedure: Erector spinae plane block
Registration Number
NCT05021822
Lead Sponsor
Ufuk University
Brief Summary

Laparoscopic cholecystectomy surgeries cause moderate/severe pain and thus can result in shallow breathing, atelectasis and increased opioid consumption in the early postoperative period which in turn cause a longer hospital stay. Erector spinae plane block has been shown to decrease lower thoracic pain after laparoscopic cholecystectomy surgeries. This study aims to investigate the effect of erector spinae plane block on opioid consumption and diaphragma movement after laparoscopic cholecystectomy surgeries.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
70
Inclusion Criteria
  • Ages between 18 and 65
  • Patients in American Society of Anesthesiologists Classification I or II
  • Elective laparoscopic cholecystectomy surgery performed under general anesthesia
Exclusion Criteria
  • Patient refusal
  • Patients who can not provide informed consent or with a known psychiatric disease
  • Patients with a known allergy to study drugs
  • Patients using anticoagulants and corticosteroids
  • Patients with diaphragma hernia, chronic obstructive pulmonary disease, lung cancer
  • Patients who are not able to use a patient controlled analgesia device

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Block GroupErector spinae plane block-
Primary Outcome Measures
NameTimeMethod
Change in Opioid consumptionPostoperative 12 hours: in the first 30 minutes after extubation, 1st hour, 6th hour and 12th hour

To assess Tramadol consumption measured in mg postoperatively in the first 12 hours after the operation

Change of Diaphragma excursionPreoperative measurement-before the erector spina plane block application and postoperative measurement- 30 minutes after extubation

The change of diaphragma excursion as measured by ultrasound in M-mode from the preoperative period to the postoperative period

Change in postoperative painPostoperative 12 hours: in the first 30 minutes after extubation, 1st hour, 6th hour and 12th hour

Postoperative pain will be measured with visual analog scale and numeric scale in the first 12 hours after the operation

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Ufuk Üniversitesi Dr. Rıdvan Ege Hastanesi

🇹🇷

Ankara, Turkey

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