Ultrasound-guided Transversus Abdominis Plane Block Versus Quadratus Lumborum Block for Postoperative Analgesia in Laparoscopic Appendectomy: A Prospective, Randomized, Controlled Clinical Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Post Operative Pain
- Sponsor
- Bakirkoy Dr. Sadi Konuk Research and Training Hospital
- Enrollment
- 168
- Locations
- 1
- Primary Endpoint
- Postoperative 24-hours total tramadol hydrochloride consumption
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Laparoscopic appendectomy causes postoperative pain. The primary objective of this prospective randomized controlled study is to compare the effect of ultrasound (US)-guided quadratus lumborum block (QLB) on 24-hour cumulative opioid requirements with transversus abdominis plane (TAP) block.
Detailed Description
168 patients (ASA I-II-III) between 18 and 65 years of age, who were to undergo laparoscopic appendectomy, were randomized and divided into two groups. 32 patients were dropout for different reasons.(68 patients in each of the TAP block and QLB block groups). TAP block was performed for TAP group and QLB block was performed for QLB group. Postoperative analgesia was provided by intravenous tramadol hydrochloride using a patient-controlled analgesia device. 24-hour total tramadol hydrochloride consumption was primary outcome measure.Postoperative numeric rating scale values were the secondary outcome measure.
Investigators
Gokhan Sertcakacilar, MD
Principal investigator
Bakirkoy Dr. Sadi Konuk Research and Training Hospital
Eligibility Criteria
Inclusion Criteria
- •Ages of 18-65
- •Patients who will undergo laparoscopic appendectomy
- •ASA I-II-III patients
Exclusion Criteria
- •Clinically known local anesthetic allergy
- •Morbid obesity (body mass index\>40 kg m2)
- •Clinically diagnosis of opioid, alcohol and substance dependence
- •Clinically diagnosis of psychiatric disease
- •Coagulopathy
- •Patients with ASA IV-V
Outcomes
Primary Outcomes
Postoperative 24-hours total tramadol hydrochloride consumption
Time Frame: 24 hours postoperatively
This will be measured by pca device in the 24 hour after
Secondary Outcomes
- Numerical rating scale (NRS) scores of patients(24 hours postoperatively)