Comparison of External Oblique Intercostal Block with Subcostal Transversus Abdominis plane Block for Postoperative Analgesia in Laparoscopic Cholecystectomy
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Teerthanker Mahaveer Medical College and research Centre
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- To evaluate tramadol consumption for postoperative 24 hours in both the groups
Overview
Brief Summary
After getting approval from College Research Committee (CRC) and Institutional Ethical Committee (IEC), TMMC & RC
All Patients meeting our inclusion & exclusion criterions will be studied
Patients will be randomly allocated into two groups : E-External oblique intercoastal block[EOIB] and T-Subcostal transversus abdominis plane block [STAP]
General anaesthesia will be given as per the institution’s protocol
After surgery before extubation : Group E- Ultrasound guided EOIB 20ml Bupivacaine 0.25% and Group T- Ultrasound guided STAP 20ml Bupivacaine 0.25%
The patient will be shifted to PACU and standard analgesia (1 gm PCM 8 hourly I. V.) will be given as per institute protocol.
VAS score and hemodynamic parameter will be recorded at the end of surgery 30mins , 45mins then 1st hour, 2nd hour ,6th hour, 12th hour, 16th hour, 20th hour, and 24th hour.
VAS >4 will be given rescue analgesia in form of I/V Tramadol 1mg/kg.
Total rescue analgesic consumption in 24 hours and complications will be noted.
Data will be analysed using the appropriate statistical method.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant and Investigator Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 70.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •1-Patients posted for Elective Laparoscopic 2-Cholecystectomy (Cholelithiasis and Cholecystitis) giving informed and written consent 3-Patients of age 18-70 years 4-American Society of Anesthesiologist (ASA) physical status I-II.
Exclusion Criteria
- •1-H/o coagulopathy 2-History of chronic alcohol abuse / drug abuse 3-Allergy to local anaesthetic 4-BMI ≥35kg/m2 5-Pregnant patients 6-All other indications of laparoscopic cholecystectomy.
Outcomes
Primary Outcomes
To evaluate tramadol consumption for postoperative 24 hours in both the groups
Time Frame: To evaluate tramadol consumption for postoperative 24 hours in both the groups, 0 min, 15 min, 30 min, 1 hour, 2 hour, 4 hour, 8 hour, 12 hour,16 hour, 24 hour
Secondary Outcomes
- 1-To compare VAS score postoperatively.(2-To compare total consumption of analgesics in 24 hours post operatively.)
Investigators
Dr Purvika Singh
Teerthanker Mahaveer Medical College and Research Centre