Evaluation of The Postoperative Analgesic Effectivity of Quadratus Lumborum Block III With Adjuvant on Patients Undergoing Laparoscopic Cholecystectomy Surgery : A Randomised Controled Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 83
- Locations
- 2
- Primary Endpoint
- Total amount of opioid requirements
Study Overview
Brief Summary
İn recent years abdominal wall blocks are widely used for to reduce intraoperative anesthetic recuirements and postoperative analgesia.Quadratus lumborum blocks are one of the abdominal wall blocks to used at laparoscopic cholecystectomy.Conventionally adjuvants used to improve and prolonged the effect of periferic nerve, spinal and abdominal blocks.İn this study investigators will evaluate the effectiveness of adjuvants at quatratus lumborum block at patient underwent laparoscopic cholecystectomy.
Detailed Description
Laparoscopic approach in cholecystectomy surgery is frequently preferred because of its advantages in systemic complications, morbidity, mortality and hospital stay. Pain is one of the important causes of late discharge after surgery. Laparoscopic cholecystectomy surgery requires a multimodal analgesia approach because of its multiple pain components.Regional analgesia techniques are effective in reducing the side effects such as intraoperative opioid use, postoperative pain and nausea and vomiting. Quadratus lumborum III block is a regional technique performed for multimodal analgesia.Adjuvants are known to improve the analgesic efficacy and prolonge the effect of the periferic and central nerve blocks.The aim of this study is to determine the effectiveness of adding adjuvant at quadratus lumborum block for patients who underwent laparoscopic cholecystectomy.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Double (Participant, Care Provider)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •American Society of Anesthesiologists physical statusⅠ-II
Exclusion Criteria
- •Inclusion Criteria:
- •18-65 years of age
- •American Society of Anesthesiologists physical statusⅠ-II
- •Exclusion Criteria:
- •local anesthetic allergy
- •Infection at the procedure site Body Mass Index >35 kg/m2 Anticoagulant use with bleeding disorder Chronic analgesia and opioid use with mental and psychiatric disorders Contraindications to regional anesthesia several lung and heart disease
Outcomes
Primary Outcomes
Total amount of opioid requirements
Time Frame: within 24 hours after the surgery
The total tramadol use of the patients in 24 hours will be recorded.
rescue analgesia
Time Frame: within 24 hours after the surgery
The rescue analgesia requirement and time of the need of the rescue analgesia requirement
Secondary Outcomes
- intraoperative remifentanil consumption(during operation procedure])
- side effects such as nausea, vomiting and shoulder pain(within 24 hours after the surgery)
- Visual Analogue Scale values(at 1st, 4th,8th 12th and 24th hours after the surgery])
Investigators
SERPİL ŞEHİRLİOĞLU
MD
Gaziosmanpasa Research and Education Hospital