- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05020379
The Effects of Erector Spinae Plane Block on Bariatric Surgery.
Investigation of The Effects of The Erector Spinae Plane Block on The Quality Of Recovery After Laparoscopic Bariatric Surgery: A Prospective Randomized Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
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Karaman, Turkey, 70200
- Karaman Training and Research Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Scheduled for elective laparoscopic bariatric surgery
Exclusion Criteria:
- a history of allergy to local anesthetics
- known coagulation disorders
- infection near the puncture site
- Chronic opioid intake
- Patient with psychiatric disorders
- Can not communicate in Turkish
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Sham Comparator: Group N
The patients in Group N will not receive any intervention.
Patients will receive standard multimodal analgesia comprising paracetamol, tenoxicam, and tramadol.
The pain intensity will be evaluated with the 0-10 Numeric Rating Scale (NRS).
NRS are the simple and most commonly used scales.11
The numerical scale is most commonly 0 to 10, with 0 being "no pain" and 10 being "the worst pain imaginable."
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Patients will receive standard multimodal analgesia comprising paracetamol, tenoxicam, and tramadol. The pain intensity during rest and motion will be evaluated with the 0-10 Numeric Rating Scale (NRS). NRS scores for pain and postoperative opioid consumption will be evaluated at 15th and 30th minutes, 1st, 2nd, 6th, 12th, 24th hours, 2nd day.
Other Names:
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Experimental: Group ESPB
The patients in the group ESPB will be placed in sitting pozition.
A convex probe ultrasound transducer will be place in a longitudinal parasagittal orientation about 3 cm lateral to spinous process.
Local anesthetic (20 ml 0.25% bupivacaine) will be injected bilaterally into the fascial plane on the deep aspect of erector spinae muscle.
Standard perioperative and postoperative analgesia protocol will be given and postoperative pain levels will be determined by Numerical rating scale (NRS)
|
Patients will receive standard multimodal analgesia comprising paracetamol, tenoxicam, and tramadol. The pain intensity during rest and motion will be evaluated with the 0-10 Numeric Rating Scale (NRS). NRS scores for pain and postoperative opioid consumption will be evaluated at 15th and 30th minutes, 1st, 2nd, 6th, 12th, 24th hours, 2nd day.
Other Names:
Patients in the ESPB group will be placed in a sitting position.
A convex probe ultrasound transducer will be placed in a longitudinal parasagittal orientation approximately 3 cm lateral to the spinous process.
Local anesthetic (20 ml 0.25% bupivacaine) will be injected bilaterally into the fascial plane on the deep face of the erector spinae muscle.
Standard perioperative and postoperative analgesia protocol will be given and postoperative pain levels will be determined by Numerical Rating Scale (NRS).
NRS scores for pain and postoperative opioid consumption will be evaluated at 15th and 30th minutes, 1st, 2nd, 6th, 12th, 24th hours, 2nd day.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Quality of Recovery (QoR-40) score
Time Frame: postoperative 24th hour
|
QoR-40, a 40-item questionnaire that provides a global score and subscores across five dimensions: patient support, comfort, emotions, physical independence, and pain.
Each item is rated on a scale of 1-5, providing a minimum score of 40 and maximum of 200.
The increase in scores show high quality of recovery.
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postoperative 24th hour
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Postoperative pain: numeric rating scale (NRS)
Time Frame: Postoperative 48 hour
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NRS use numbers to rate pain from 0 (no pain) to 10 (worst pain).
Postoperative pain levels will be determined by Numeric Rating Scale (NRS) system
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Postoperative 48 hour
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Analgesic consumption
Time Frame: Postoperative 48 hour
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Total opioid consumption at the postoperative period
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Postoperative 48 hour
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Side effects
Time Frame: 24 hours
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Rate of side-effect occurrences (such as rate of vomiting,nausea,dizziness)
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24 hours
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Sedation score
Time Frame: Postoperative 48 hour
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Evaluation of the level of sedation in patients with a 4-point scale (0=wake, 1=sleepy, easy to verbally arouse, 2=drowsy, 3=does not open their eyes to verbal commands).
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Postoperative 48 hour
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mobilization time
Time Frame: Postoperative 24 hour
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The time after surgery to the mobilization of the patient
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Postoperative 24 hour
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Quality of Recovery (QoR-40) score
Time Frame: Postoperative 3rd and 7th days
|
QoR-40, a 40-item questionnaire that provides a global score and subscores across five dimensions: patient support, comfort, emotions, physical independence, and pain.
Each item is rated on a scale of 1-5, providing a minimum score of 40 and maximum of 200.
The increase in scores show high quality of recovery.
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Postoperative 3rd and 7th days
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Postoperative complications
Time Frame: Postoperative 30 days
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Postoperative complications will be identified by visiting patients every day or alternate day during their in hospital course, suplemented by patients medical records using our hospital's electronic patient record database.
We will use the Claviene Dindo Classification system from which CC is derived.
We defined a postoperative complication as any deviation from the ideal postoperative course, not inherent in the procedure itself and does not constitute a failure to cure.
CCI scores willbe calculated using the online CCI calculator.
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Postoperative 30 days
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Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 05-2021/05
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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