- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05826652
Subcostal TAP Block With Single or Multiple Injection
The Effect of Unilateral Subcostal Transversus Abdominis Plane Block Applied as Single or Multiple Injections on Pain in Laparoscopic Cholecystectomy Operations
Study Overview
Status
Conditions
Detailed Description
60 patients between 18-65 years of age with ASA I-II who were scheduled for laparoscopic cholecystectomy were included in the study. Patients with local anesthesia allergy, chronic use of analgesics, BMI> 35 kg/m2, psychiatric disease, kidney and/or liver dysfunction, coagulopathy and pregnancy will not be included in the study. The patients who are taken to the operating room will be recorded their first data while standard monitorization is performed.
Propofol 2 mg/kg and fentanyl 1 mg/kg are injected for induction and rocuronium 0.5 mg/kg is injected for muscle relaxation. Patients with adequate muscle relaxation will be intubated with an appropriate endotracheal tube and mechanical ventilation will be initiated. Sevoflurane concentration appropriate for the maintenance of anesthesia will be given in air/O2 mixture at FiO2 with a flow rate of 2 lt / min. For intraoperative analgesia, remifentanil infusion of 0.2mcg / kg / min will be infused. During the operation, arterial pressure will be maintained within the limits of 20% of the initial measurement. The mechanical ventilation parameters will be arranged at the appropriate frequency and tidal volume that make EtCO t 30-40 mmHg. After removal of the gallbladder, Tramadol 1 mg/kg and Metaclopromide 2 mg/kg iv will be administered to all patients. At the end of the operation, a right-sided subcostal transabdominal plan block will be applied to the patients by ultrasound aided. While applying subcostal transabdominal plan block, %2,5 Marcaine 20 ml will be given between transverse and rectus abdominis muscle immediately next to the linea semilunaris in a group of patients. The other group of patients received %2,5 Marcaine 5 ml between the transverse and rectus abdominis muscle, 5 ml on the transverse muscle near the semilunaris and two more 5 ml volumes lateral to this point near the subcostal margin. Patient-controlled analgesia devices with Tramadol will be prepared for postoperative analgesia. Rest and coughing pains, nausea and total PCA consumption will be recorded10 minutes, 30 minutes, 1, 3, 6, 24 hours postoperatively. Verbal Numerical Rating Scala (0 = no pain; 10 = the most severe pain you can imagine) for pain and Categorical Scoring Method (0 = none; 1 = less; 2 = too; 3 = too much) for nausea will be used. Complications such as infection, bleeding, and subcutaneous emphysema will be recorded.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Mesure GN Ozden, MD
- Phone Number: +9005323614400
- Email: nihanozdenn@gmail.com
Study Locations
-
-
-
İ̇stanbul, Turkey, 34730
- Recruiting
- Istanbul Medeniyet University
-
Contact:
- mesure Gul Nihan Ozden
- Phone Number: 05323614400
- Email: nihanozdenn@gmail.com
-
İ̇stanbul, Turkey, 34887
- Recruiting
- MEDENIYET UNIVERSITY
-
Contact:
- MESURE GUL NIHAN OZDEN, DOCTOR
- Phone Number: +90 5323614400
- Email: nihanozdenn@gmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 18-65 years old
- ASA I-III
- Patients scheduled for laparoscopic cholecystectomy operations
Exclusion Criteria:
- Those who have previously had neurological and psychiatric disease symptoms and use drugs (TIA, syncope, dementia, depression, bipolar disorder, etc.)
- Patients with known allergy to local anesthetics
- Chronic opioid or corticosteroid users
- Those with coagulopathy
- Those with local or systemic infections
- BMI>35 kg/m2
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: subcostal transversus abdominis plane block
At the end of the operation, a right-sided subcostal transversus abdominis plane block will be applied to the patients by ultrasound aided.
While applying the subcostal transabdominal plan block, %2,5 Marcaine 20 ml will be given between the transverse and rectus abdominis muscle immediately next to the linea semilunaris.
Patient-controlled analgesia devices with Tramadol will be prepared for postoperative analgesia.
Rest and coughing pains, nausea and total PCA consumption will be recorded10 minutes, 30 minutes, 1, 3, 6, 24 hours postoperatively.
Verbal Numerical Rating Scala (0 = no pain; 10 = the most severe pain you can imagine) for pain and Categorical Scoring Method (0 = none; 1 = less; 2 = too; 3 = too much) for nausea will be used.
Complications such as infection, bleeding, and subcutaneous emphysema will be recorded.
|
Single injection subcostal transversus abdominis plane block will be applied with %2,5 Marcaine 20 ml between tranvers and rectus abdominis muscle immediately next to the linea semilunaris.
|
Active Comparator: Multiple injection subcostal transversus abdominis plane block
At the end of the operation, a right-sided subcostal transversus abdominis plane block will be applied to the patients by ultrasound aided.
patients received %2,5 Marcaine 5 ml between the transverse and rectus abdominis muscle, 5 ml on the transverse muscle near the semilunaris and two more 5 ml volumes lateral to this point near the subcostal margin.
Patient-controlled analgesia devices with Tramadol will be prepared for postoperative analgesia.
Rest and coughing pains, nausea and total PCA consumption will be recorded10 minutes, 30 minutes, 1, 3, 6, 24 hours postoperatively.
Verbal Numerical Rating Scala (0 = no pain; 10 = the most severe pain you can imagine) for pain and Categorical Scoring Method (0 = none; 1 = less; 2 = too; 3 = too much) for nausea will be used.
Complications such as infection, bleeding, and subcutaneous emphysema will be recorded.
|
Multiple injection subcostal transversus abdominis plane block will be applied with %2,5 Marcaine 5 ml between transverse and rectus abdominis muscle, 5 ml on the transverse muscle near the semilunaris and two more 5 ml volume lateral to this point near the subcostal margin.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Tramadol consumption
Time Frame: 10 minutes, 30 minutes, 1, 3, 6, 24 hours postoperatively
|
Postoperative opiod consumption
|
10 minutes, 30 minutes, 1, 3, 6, 24 hours postoperatively
|
Remifentanil consumption
Time Frame: up to 2 hours
|
Intraoperative opiod consumption
|
up to 2 hours
|
Verbal Numerical Rating Scala
Time Frame: 10 minutes postoperatively
|
Verbal Numerical Rating Scala: 0 = no pain; 10 = the most severe pain you can imagine
|
10 minutes postoperatively
|
Verbal Numerical Rating Scala
Time Frame: 30 minutes postoperatively
|
Verbal Numerical Rating Scala: 0 = no pain; 10 = the most severe pain you can imagine
|
30 minutes postoperatively
|
Verbal Numerical Rating Scala
Time Frame: 1 hours postoperatively
|
Verbal Numerical Rating Scala: 0 = no pain; 10 = the most severe pain you can imagine
|
1 hours postoperatively
|
Verbal Numerical Rating Scala
Time Frame: 3 hours postoperatively
|
Verbal Numerical Rating Scala: 0 = no pain; 10 = the most severe pain you can imagine
|
3 hours postoperatively
|
Verbal Numerical Rating Scala
Time Frame: 6 hours postoperatively
|
Verbal Numerical Rating Scala: 0 = no pain; 10 = the most severe pain you can imagine
|
6 hours postoperatively
|
Verbal Numerical Rating Scala
Time Frame: 24 hours postoperatively
|
Verbal Numerical Rating Scala: 0 = no pain; 10 = the most severe pain you can imagine
|
24 hours postoperatively
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
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
- IstanbulMU Subcostal TAP Block
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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