Study Comparing Two Methods of TransversusAbdominis Plane

NCT ID: NCT04108221

Last Updated: 2022-04-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

SUSPENDED

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-16

Study Completion Date

2022-03-31

Brief Summary

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Interventional, randomised, prospective, multicentric study

Detailed Description

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Interventional, randomised, prospective, multicentric and single blind study

Primary objective :

demonstrate the equivalence of c-TAP Block to us-TAP Block in postoperative analgesia

Secondary objective :

* Assess the effectiveness of c-TAP block on us-TAP Block in the obese and/or malnourished patient subgroup
* Compare the running time of the c-TAP Block to the us-TAP Block
* Assess the safety of the c-TAP Block gesture in terms of trauma to the intraperitoneal organs by the injection needle two groups:
* Arm A : c-TAP Block performed by the surgeon
* Arm B : us-TAP Block performed by the anesthesist under ultrasound control

Schedule :

* Inclusions start at: 16/09/2019
* End date of inclusions: 31/03/2022
* End date of follow-up: 01/04/2022
* Study report: 30/09/2022

Conditions

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Pain, Postoperative

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

two arms : arm A : c-TAP Block performed by surgeon arm B : us-TAP Block performed by anesthetist
Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Investigators

Study Groups

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Arm A : c-TAP Block performed by surgeon

c-TAP Block Block performed by surgeon

Group Type EXPERIMENTAL

laparoscopy or laparotomy withTransversusAbdominis Plane Block

Intervention Type PROCEDURE

The US-TAP is performed by the anesthetist under ultrasound control after the end of the procedure of laparoscopy or laparotomy. Under sterile conditions, the anesthetist identifies the oblique abdominal muscles externally, obliquely internally and transversely by ultrasound. A 20 ml needle of 0.5% ropivacaine is injected.

The surgical TAP (c-TAP) block is performed by the surgeon at the end of the procedure of laparoscopy or laparotomy.The needle and the product used are identical to those of the us-TAP block. The positioning of the needle is in the plane of the fascia between the internal oblique muscle and the transverse muscle, identified by a significant loss of resistance.

Arm B : us-TAP Block performed by anesthetist

us-TAP Block by anesthetist

Group Type ACTIVE_COMPARATOR

laparoscopy or laparotomy withTransversusAbdominis Plane Block

Intervention Type PROCEDURE

The US-TAP is performed by the anesthetist under ultrasound control after the end of the procedure of laparoscopy or laparotomy. Under sterile conditions, the anesthetist identifies the oblique abdominal muscles externally, obliquely internally and transversely by ultrasound. A 20 ml needle of 0.5% ropivacaine is injected.

The surgical TAP (c-TAP) block is performed by the surgeon at the end of the procedure of laparoscopy or laparotomy.The needle and the product used are identical to those of the us-TAP block. The positioning of the needle is in the plane of the fascia between the internal oblique muscle and the transverse muscle, identified by a significant loss of resistance.

Interventions

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laparoscopy or laparotomy withTransversusAbdominis Plane Block

The US-TAP is performed by the anesthetist under ultrasound control after the end of the procedure of laparoscopy or laparotomy. Under sterile conditions, the anesthetist identifies the oblique abdominal muscles externally, obliquely internally and transversely by ultrasound. A 20 ml needle of 0.5% ropivacaine is injected.

The surgical TAP (c-TAP) block is performed by the surgeon at the end of the procedure of laparoscopy or laparotomy.The needle and the product used are identical to those of the us-TAP block. The positioning of the needle is in the plane of the fascia between the internal oblique muscle and the transverse muscle, identified by a significant loss of resistance.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

Patient over 18 years old

* Patient undergoing laparoscopic or laparotomic abdominal surgery at the investigator hospital.
* Patient mastering the French language
* Patient who received informed information about the study and signed a consent
* Patient affiliated to a social security scheme.

Exclusion Criteria

* Patients with chronic pain
* Patients with opioid dependence
* Patients allergic to local anesthetic
* Patient who has not signed the consent of the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institut Jean-Godinot

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean Christophe EYMARD, PI

Role: PRINCIPAL_INVESTIGATOR

Institut GODINOT

Locations

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Institut Godinot

Reims, , France

Site Status

Countries

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France

Other Identifiers

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2019-A01444-53

Identifier Type: -

Identifier Source: org_study_id

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