The EFFICIENCY of FASCIAL PLANE BLOCKS in BARIATRIC SURGERY

NCT ID: NCT05284695

Last Updated: 2025-04-02

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

COMPLETED

Total Enrollment

113 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-01-01

Study Completion Date

2021-12-31

Brief Summary

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Bariatric surgery effectively produces weight loss and reduces obesity-related comorbidities. Although it is mostly performed with minimally invasive techniques, the patients may still suffer from moderate-to-severe pain immediately after surgery \[1\]. Opioids remain the first choice for multimodal analgesia in the treatment of postoperative pain. Providing analgesia after bariatric surgery might be challenging due to a high prevalence of obstructive sleep apnea syndrome and the increased sensitivity to respiratory depression triggered by opioid overuse after surgeryThe most common plane block techniques utilized during laparoscopic bariatric surgery are transversus abdominis plane block (TAP), rectus sheath block (RB), the erector spinae plane block (ESPB) and the external oblique intercostal block (EOI). In this study, we have evaluated the auxiliary benefit of these various techniques in reduction of the postoperative in bariatric surgery. patients who had laparoscopic bariatric surgery at VKV American Hospital between January 2019 and December 2021 were reviewed retrospectively.

Detailed Description

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Conditions

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Regional Anesthesia Morbidity Post Operative Pain Bariatric Surgery Candidate

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Study Groups

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TAP + RB

transversus abdominis plane block and rectus sheath block

Bariatric surgery

Intervention Type PROCEDURE

Patients undergoing elective bariatric surgery

ESPB

Erector spinae plane block

Bariatric surgery

Intervention Type PROCEDURE

Patients undergoing elective bariatric surgery

EOI

External oblique intercostal block

Bariatric surgery

Intervention Type PROCEDURE

Patients undergoing elective bariatric surgery

Interventions

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Bariatric surgery

Patients undergoing elective bariatric surgery

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing elective bariatric surgery

Exclusion Criteria

* Patients with a history of cerebrovascular events
* Alzheimer's and dementia
* inadequate cognitive functions
* history of chronic pain
* long-term opioid therapy
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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V.K.V. American Hospital, Istanbul

OTHER

Sponsor Role lead

Responsible Party

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Sami Kaan Coşarcan

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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sami kaan coşarcan

Role: STUDY_CHAIR

American hospital

Locations

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American Hsopital

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Park CH, Nam SJ, Choi HS, Kim KO, Kim DH, Kim JW, Sohn W, Yoon JH, Jung SH, Hyun YS, Lee HL; Korean Research Group for Endoscopic Management of Metabolic Disorder and Obesity. Comparative Efficacy of Bariatric Surgery in the Treatment of Morbid Obesity and Diabetes Mellitus: a Systematic Review and Network Meta-Analysis. Obes Surg. 2019 Jul;29(7):2180-2190. doi: 10.1007/s11695-019-03831-6.

Reference Type BACKGROUND
PMID: 31037599 (View on PubMed)

Subramani Y, Nagappa M, Wong J, Patra J, Chung F. Death or near-death in patients with obstructive sleep apnoea: a compendium of case reports of critical complications. Br J Anaesth. 2017 Nov 1;119(5):885-899. doi: 10.1093/bja/aex341.

Reference Type BACKGROUND
PMID: 29077813 (View on PubMed)

Frauenknecht J, Kirkham KR, Jacot-Guillarmod A, Albrecht E. Analgesic impact of intra-operative opioids vs. opioid-free anaesthesia: a systematic review and meta-analysis. Anaesthesia. 2019 May;74(5):651-662. doi: 10.1111/anae.14582. Epub 2019 Feb 25.

Reference Type BACKGROUND
PMID: 30802933 (View on PubMed)

Brummett CM, Waljee JF, Goesling J, Moser S, Lin P, Englesbe MJ, Bohnert ASB, Kheterpal S, Nallamothu BK. New Persistent Opioid Use After Minor and Major Surgical Procedures in US Adults. JAMA Surg. 2017 Jun 21;152(6):e170504. doi: 10.1001/jamasurg.2017.0504. Epub 2017 Jun 21.

Reference Type BACKGROUND
PMID: 28403427 (View on PubMed)

Chin KJ, McDonnell JG, Carvalho B, Sharkey A, Pawa A, Gadsden J. Essentials of Our Current Understanding: Abdominal Wall Blocks. Reg Anesth Pain Med. 2017 Mar/Apr;42(2):133-183. doi: 10.1097/AAP.0000000000000545.

Reference Type BACKGROUND
PMID: 28085788 (View on PubMed)

Cosarcan SK, Yavuz Y, Dogan AT, Ercelen O. Can Postoperative Pain Be Prevented in Bariatric Surgery? Efficacy and Usability of Fascial Plane Blocks: a Retrospective Clinical Study. Obes Surg. 2022 Sep;32(9):2921-2929. doi: 10.1007/s11695-022-06184-9. Epub 2022 Jul 1.

Reference Type DERIVED
PMID: 35776242 (View on PubMed)

Other Identifiers

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Cosarcan4

Identifier Type: -

Identifier Source: org_study_id

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