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the aim of this study is evaluate postoperative analgesic effects of dexmedetomidine added to bupivacaine on TAP block in patients undergoing lower abdominal surgery.
TAP block is being used a method of multimodal balanced analgesia reduces postoperative pain, opioid requirement after surgery and adverse effect of opioid such as sedation, nausea vomiting and ileus. Dexmedetomidine ,an alfa-2 adrenoreceptor agonist, is being used and adjuvant capable of prolonging duration of sensory and motor block on nerve blocks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| bupivacaine | Active Comparator | 0,5% 20 ml bupivacaine added 0.9% 1 ml serum physiologic on TAP block |
|
| dexmedetomidine | Active Comparator | 100 mcg dexmedetomidine added to 0,5% 20 ml bupivacaine on TAP block |
|
| serum phsyologic | Sham Comparator | 0,9% 21 ml serum physiologic |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bupivacaine | Drug | 21 ml 0.5 %bupivacaine is applied interfasially |
|
| Measure | Description | Time Frame |
|---|---|---|
| opioid consumption | patient controlled analgesia | postoperative 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| visual analog scale | postoperative 1 day |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Recep Aksu, assoc. prof. | Erciyes universty medicine faculty | Study Director |
| Gülçin Patmano, resident | Erciyes universty medicine faculty | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Erciyes universty | Kayseri | Melikgazi | 38039 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| D020927 | Dexmedetomidine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| Dexmedetomidine | Drug | 1 ml dexmedetomidin + 20 ml 0.5 % bupivacaine are applied interfasially |
|
|
| serum physiologic | Drug | 21 ml serum physiologic is applied interfasially |
|
| D000588 |
| Amines |
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |