Postoperative Analgesia of TAP Block for Laparoscopic Sleeve Gastrectomy
NCT ID: NCT06156657
Last Updated: 2023-12-05
Study Results
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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RECRUITING
NA
100 participants
INTERVENTIONAL
2023-01-30
2023-12-15
Brief Summary
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but subcostal (TAP) block has provided good analgesic effect when used as a part of multimodal analgesia in bariatric surgery due to lack of visceral block
Detailed Description
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As the transverse abdominis plane (TAP) block which is of increasing interest nowadays (Basaran B, et al 2015)
The ultrasound-guided oblique SCTAP block, first described by Hebbard et al., has the potential to provide analgesia for both upper and lower abdominal surgery. There is a growing consensus that the SCTAP block provides better analgesia for upper abdominal incisions
The TAP block via various approaches provides some advantages over neuraxial anesthesia (Ganapathy Set al 2015). For example, TAP blocks are associated with a lower use of intraoperative phenylephrine and a lesser degree of intraoperative blood pressure changes. The SCTAP block may be utilized in cases in which neuraxial anesthesia is contraindicated, such as patients with coagulation issues or infection at the epidural puncture site. Although the SCTAP block provides sensory blockade of the abdominal wall, it is lacking in coverage of visceral pain (Lissauer J,et al 2014).
The lack of visceral pain analgesia may require the use of additional methods of postoperative pain control such as intravenous opioids or non-narcotic analgesics.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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TAP group
patients candidate for laparoscopic sleeve gastrectomy to receive GA and subcostal TAP block to control postoperative pain and minimize opioid consumption
subcostal TAP block
Comparison between subcostal TAP block and opioids for postoperative pain after laparscopic sleeve gastrectomy
Control group
healthy controls candidate for laparoscopic sleeve gastrectomy to receive GA only opioids were used
No interventions assigned to this group
Interventions
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subcostal TAP block
Comparison between subcostal TAP block and opioids for postoperative pain after laparscopic sleeve gastrectomy
Eligibility Criteria
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Inclusion Criteria
* ASA Ι-ΙΙ
* BMI \>35
Exclusion Criteria
* Allergy to study drugs.
* Infection at site of injection.
21 Years
60 Years
ALL
No
Sponsors
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Al-Azhar University
OTHER
Responsible Party
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Ismail Mohamed Abdelgawad Ahmed
DOCTOR
Locations
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Al Azhar University
Cairo, Naser City, Egypt
Countries
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Central Contacts
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Facility Contacts
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Ahmed M Selim, director
Role: primary
References
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Basaran B, Basaran A, Kozanhan B, Kasdogan E, Eryilmaz MA, Ozmen S. Analgesia and respiratory function after laparoscopic cholecystectomy in patients receiving ultrasound-guided bilateral oblique subcostal transversus abdominis plane block: a randomized double-blind study. Med Sci Monit. 2015 May 7;21:1304-12. doi: 10.12659/MSM.893593.
Hebbard PD, Barrington MJ, Vasey C. Ultrasound-guided continuous oblique subcostal transversus abdominis plane blockade: description of anatomy and clinical technique. Reg Anesth Pain Med. 2010 Sep-Oct;35(5):436-41. doi: 10.1097/aap.0b013e3181e66702.
Ganapathy S, Sondekoppam RV, Terlecki M, Brookes J, Das Adhikary S, Subramanian L. Comparison of efficacy and safety of lateral-to-medial continuous transversus abdominis plane block with thoracic epidural analgesia in patients undergoing abdominal surgery: A randomised, open-label feasibility study. Eur J Anaesthesiol. 2015 Nov;32(11):797-804. doi: 10.1097/EJA.0000000000000345.
Lissauer J, Mancuso K, Merritt C, Prabhakar A, Kaye AD, Urman RD. Evolution of the transversus abdominis plane block and its role in postoperative analgesia. Best Pract Res Clin Anaesthesiol. 2014 Jun;28(2):117-26. doi: 10.1016/j.bpa.2014.04.001. Epub 2014 May 9.
Other Identifiers
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TAP block
Identifier Type: -
Identifier Source: org_study_id