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Laparoscopic cholecystectomy surgeries cause moderate/severe pain and thus can result in shallow breathing, atelectasis and increased opioid consumption in the early postoperative period which in turn cause a longer hospital stay. Erector spinae plane block has been shown to decrease lower thoracic pain after laparoscopic cholecystectomy surgeries. This study aims to investigate the effect of erector spinae plane block on opioid consumption and diaphragma movement after laparoscopic cholecystectomy surgeries.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Block Group | Active Comparator |
| |
| Control Group | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Erector spinae plane block | Procedure | Bilateral erector spinae plane block will be performed preoperatively under ultrasound guidance using 15 ml bupivacaine on each side |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change of Diaphragma excursion | The change of diaphragma excursion as measured by ultrasound in M-mode from the preoperative period to the postoperative period | Preoperative measurement-before the erector spina plane block application and postoperative measurement- 30 minutes after extubation |
| Change in Opioid consumption | To assess Tramadol consumption measured in mg postoperatively in the first 12 hours after the operation | Postoperative 12 hours: in the first 30 minutes after extubation, 1st hour, 6th hour and 12th hour |
| Change in postoperative pain | Postoperative pain will be measured with visual analog scale and numeric scale in the first 12 hours after the operation | Postoperative 12 hours: in the first 30 minutes after extubation, 1st hour, 6th hour and 12th hour |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ülkü C Köksoy, Ass. Prof. | Ufuk University Faculty of Medicine Department of Anesthesiology and Reanimation | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ufuk Üniversitesi Dr. Rıdvan Ege Hastanesi | Ankara | 06520 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30288093 | Background | Petsas D, Pogiatzi V, Galatidis T, Drogouti M, Sofianou I, Michail A, Chatzis I, Donas G. Erector spinae plane block for postoperative analgesia in laparoscopic cholecystectomy: a case report. J Pain Res. 2018 Sep 24;11:1983-1990. doi: 10.2147/JPR.S164489. eCollection 2018. | |
| 29913392 | Background | Tulgar S, Kapakli MS, Senturk O, Selvi O, Serifsoy TE, Ozer Z. Evaluation of ultrasound-guided erector spinae plane block for postoperative analgesia in laparoscopic cholecystectomy: A prospective, randomized, controlled clinical trial. J Clin Anesth. 2018 Sep;49:101-106. doi: 10.1016/j.jclinane.2018.06.019. Epub 2018 Jun 15. |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |