the Effect of the Transversus Abdominis Plane (TAP) Block on the Minimal Laparotomy : a Randomized Controlled Trial
Study Details
Study Description
Brief Summary
Transversus abdominis plane block (TAP block) is a new regional block for abdominal wall.It had been reported the effect of post-operative pain control in minor abdominal surgery, such as inguinal hernia repair and appendectomy. On the other hand, because of the accurate of the pre-operative images, the minimal laparotomy for colon cancer was accomplished. Thus, the purpose of this study is to investigate the effect, such as analgesic effect, hemodynamic stability, and post-operative morphine consumption, of TAP block in minimal laparotomy.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
outcome measures:
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Hemodynamic parameters (mean artery pressure, heart rate): recorded at time points of before induction of general anesthesia (baseline), after tracheal intubation immediately, after surgery started 1, 2, 3, 4, 5, 10, 15, 20, 25, and 30 min; then recorded them every 10 mins.
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Post-operative morphine consumption: recorded morphine consumption at the time intervals of post-operative 06 h, 612 h, 1224 h, 2436 h, and 36~48 h ,respectively. The total amount of morphine consumption was also counted.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: morphine consumption
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Procedure: Transversus Abdominis Plane block
TAP BLOCK:
dosage form: 0.5% bupivacaine 75mg with 2% xylocaine 300 mg mixed dosage: total 30 ml frequency: single shot duration: 12~18 hours upon to the regional anesthetics choose
Other Names:
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Outcome Measures
Primary Outcome Measures
- amount of post-operative morphine consumption [post-operative 48 hours]
Secondary Outcome Measures
- evaluation of post-operative pain status using visual analog scale (VAS) and superimposed face pain severity scale [post-operative 48 hours]
Eligibility Criteria
Criteria
Inclusion Criteria:
- Anesthesiologists physical status I-III, ≧ 18 years of age, and needed double-lumen endotracheal tube (DLT) for thoracic surger
Exclusion Criteria:
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increased risk for regurgitation and pulmonary aspiration, history of gastroesophageal reflux, and pregnancy
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a tracheostomy or prolonged ventilation on ICU was planned, patients were also excluded
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | department of anesthesia, Kaohsiung medical university memorial hospital | Kaohsiung | Taiwan | 807 |
Sponsors and Collaborators
- Kaohsiung Medical University Chung-Ho Memorial Hospital
Investigators
- Principal Investigator: Hung-Te Hsu, VS, Department of anesthesia, Kaoshiung medical university hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- KMUH-IRB-990400
- KMUH-IRB-990400