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The transversus abdominis plane (TAP) block, whereby local anesthetic is injected between the internal oblique and transversus abdominis fascia to facilitate blockade of somatic afferents nerves, is an effective, non-narcotic adjunct incorporated into many ERAS protocols. We hypothesized that surgeon delivered LAP-TAPs would be non-inferior to anesthesia-delivered US-TAPs in terms of post-operative pain control
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| US-TAP group | Active Comparator |
| |
| LAPTAP group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| US-TAP | Procedure | regional block team under ultrasound guidance |
| |
| Measure | Description | Time Frame |
|---|---|---|
| morphine needed | mg | UP TO 24 HOURE |
| Measure | Description | Time Frame |
|---|---|---|
| first analgesic request time | he time elapsed between the end of the operation till the first analgesic dose | up to 24 hours |
| patients' satisfaction | scale of 1-4 (1, poor; 2, acceptable; 3, satisfactory; and 4, excellent) |
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Inclusion Criteria:
Elective laparoscopic sleeve gastrectomy aging > 18years BMI > 40 kg/m2, ASA score I-III
Exclusion Criteria:
history of chronic opioid consumption suffering from contraindications to regional blocks suffering from allergy to study drugs, history of prior complex abdominal wall reconstruction
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo university | Cairo | 11562 | Egypt |
Still working
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| LAPTAP |
| Procedure |
performed TAP block under direct visualization with the laparoscope |
|
| UP TO 24 HOURE |
| opioid-associated side effects | bradycardia and hypotesion | UP TO 24 HOURE |