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This study aims to compare the efficacy of Subcostal Transversus Abdominis Plan Block, External Oblique Intercostal Plan Block and the combination of these two blocks, which are used in anesthesiology practice for postoperative pain in laparoscopy cholecystectomy surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1: subcostal transversus abdominis plane block | Active Comparator | This group will receive 30 ml 0.25% of bupivacaine for the subcostal transversus abdominis plane block prior to surgery. |
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| Group 2: external oblique intercostal plane block | Active Comparator | This group will receive 30 ml 0.25% of bupivacaine for the external oblique intercostal plane block prior to surgery. |
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| Group 3: subcostal transversus abdominis and external oblique intercostal plane block combination | Active Comparator | This group will receive 15 ml 0.25% of bupivacaine for the external oblique intercostal plane block, in combination with 15 ml 0.25% of bupivacaine for the subcostal transversus abdominis plane block prior to surgery. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| subcostal transversus abdominis plane block | Procedure | Under ultrasound guidance, 30 ml of bupivacaine is injected along the fascia of transversus abdominis muscle. |
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| Measure | Description | Time Frame |
|---|---|---|
| Postoperative Analgesic Consumption | The opioid consumption via patient controlled analgesia (PCA) in 24 hours postoperatively | 24 hours postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative Pain Scores | Postoperative pain will be assessed using Numeric Rating Scale (NRS) at 30 mins, and 1, 4, 8, 12, 24 hours after surgery. | up to 24 hours after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Faruk Kömez | Contact | +90 507 688 28 50 | dr.farukkomez@gmail.com |
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| External Oblique Intercostal Plane Block | Procedure | Under ultrasound guidance, 30 ml of bupivacaine is injected between the fascias of external oblique and intercostal muscles. |
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| external oblique intercostal plane block and subcostal transversus abdominis plane block combination | Procedure | The combination of the two blocks will be applied in 15 ml of volume for each. |
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