Comparison of ESP Block and M-TAPA Block Efficiency in Postoperative Analgesia Management in Nephrectomy Cases

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

NOT_YET_RECRUITING

Total Enrollment

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-09-01

Study Completion Date

2025-02-01

Brief Summary

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Relieving postoperative nephrectomy pain requires multimodal approaches. Peripheral blocks such as ESP block and M-TAPA block and multimodal analgesics reduce side effects by reducing the use of other analgesics. This study aimed to compare the effectiveness of erector spinae plane block (ESP block) and modified thoracoabdominal nerve blocking with perichondrial approach (M-TAPA block) in postoperative analgesia management in nephrectomy cases.

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Detailed Description

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Relieving postoperative nephrectomy pain requires multimodal approaches. The most commonly used in the treatment of pain are nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, and infiltration of local anesthetics. Due to the side effects of NSAIDs and opioids, the application of regional analgesia techniques can reduce complications while providing better analgesia quality. Peripheral blocks such as ESP block and M-TAPA block and multimodal analgesics reduce side effects by reducing the use of other analgesics. Pain is considered one of the most important factors affecting the quality of healing. Postoperative pain delays the postanesthesia care unit, hospital stay, early ambulation, increases resource utilization, and negatively affects patient satisfaction. If postoperative analgesia is provided, all these negativities will be eliminated. This study aimed to compare the effectiveness of erector spinae plane block (ESP block) and modified thoracoabdominal nerve blocking with perichondrial approach (M-TAPA block) in postoperative analgesia management in nephrectomy cases.

Conditions

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Pain, Postoperative

Study Design

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Observational Model Type

CASE_CROSSOVER

Study Time Perspective

PROSPECTIVE

Study Groups

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M-TAPA Block

Patients who have standard anesthesia are randomized with the research randomizer application while under anesthesia and M-TAPA block is applied under ultrasound guidance in the preoperative period. For the block, 50 mg of 0.25% bupivacaine and 100 mg lidocaine are injected, totaling 20cc.

NRS 0. hour

Intervention Type OTHER

Numerical rating scala

NRS 6. Hour

Intervention Type OTHER

Numerical rating scala

NRS 12. Hour

Intervention Type OTHER

Numerical rating scala

NRS 24. Hour

Intervention Type OTHER

Numerical rating scala

ESP Block

Patients who have standard anesthesia are randomized with the research randomizer application while under anesthesia and ESP block is applied under ultrasound guidance in the preoperative period. For the block, 50 mg of 0.25% bupivacaine and 100 mg lidocaine are injected, totaling 20cc.

NRS 0. hour

Intervention Type OTHER

Numerical rating scala

NRS 6. Hour

Intervention Type OTHER

Numerical rating scala

NRS 12. Hour

Intervention Type OTHER

Numerical rating scala

NRS 24. Hour

Intervention Type OTHER

Numerical rating scala

Interventions

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NRS 0. hour

Numerical rating scala

Intervention Type OTHER

NRS 6. Hour

Numerical rating scala

Intervention Type OTHER

NRS 12. Hour

Numerical rating scala

Intervention Type OTHER

NRS 24. Hour

Numerical rating scala

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* All patients aged 18 and over with ASA1-2 who underwent elective nephrectomy

Exclusion Criteria

* ASA ≥3
* Body mass index\>35 kg/ m²
* Infection in the block area
* Coagulation disorder,
* Known allergy to local anesthetics
* Pregnant
* Patient with neuropathy
* Patient without cooperation
* Patient who refuses to participate in the study
* Patients under 18 years of age

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No