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The aim of the study was to evaluate the response of regional anesthesia to remifentanyl consumption in patients undergoing laparoscopic cholecystectomy surgery.
Routine anesthesia and analgesia protocol will be applied to all participants. The study aims to evaluate the remifentanyl consumption of the participants by dividing them into two groups as those with and without block and then performing their monitoring (pulse, mean arterial pressure with noninvasive measurement, oxygen saturation, Analgesia Nociception Index, Bispectral index). Remifentanil level will be adjusted according to the ANI value. The target is to keep the ANI between 50-70.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group EOİPB | Active Comparator | Bilateral External oblique intercostal plane block will be applied 45 minutes before surgery. |
|
| Group Control | No Intervention | No intervention will be made in this group. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group EOİPB | Other | Bilateral external oblique intercostal plane block under USG guidance will be applied 45 minutes before cholecystectomy surgery. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Intraoperative opioid consumption | Total amount of remifentanil consumed during cholecystectomy surgery | During surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric rating scale for postoperative pain intensity | Evaluated with a Numerical rating scale (NRS) from 0 to 10. (0=no pain; 10=worst imaginable pain) | up to 24 hours (Will be evaluated at 1, 3, 6, 9, 12, 18, 24 hours) |
| Quality of Recovery - 15 score |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| HALE K CELIK | SAMSUN UNİVERSITY | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Samsun University, Samsun Training and Research Hospital | Samsun | İ̇lkadim | Turkey (Türkiye) |
The datasets used and/ or analysed during the current study are available from the corresponding author on reasonable request.
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| ID | Term |
|---|---|
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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The impact of surgical and anesthetic interventions on perioperative quality of life and ability to resume routine life activities will be assessed using the Quality of Recovery (QoR) tool. Each question is scored between 0 and 10. The survey result varies between 0-150 points based on the answers given by the patients. Higher scores indicate better recovery. |
| Postoperative 24th hour |
| Fentanyl consumption at 30 minutes after arrival in the PACU(post anesthesia care unit) | Evaluated with a NRS from 0 to 10 and fentanyl will be administered when NRS is 4 and above. Fentanyl consumed will be recorded. | 30 minutes |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |