The Effect of Erector Spinae Block on Diaphragma Movement
Study Details
Study Description
Brief Summary
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Phase 4 |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Active Comparator: Block Group
|
Procedure: Erector spinae plane block
Bilateral erector spinae plane block will be performed preoperatively under ultrasound guidance using 15 ml bupivacaine on each side
|
| No Intervention: Control Group
|
Outcome Measures
Primary Outcome Measures
- Change of Diaphragma excursion [Preoperative measurement-before the erector spina plane block application and postoperative measurement- 30 minutes after extubation]
The change of diaphragma excursion as measured by ultrasound in M-mode from the preoperative period to the postoperative period
- Change in Opioid consumption [Postoperative 12 hours: in the first 30 minutes after extubation, 1st hour, 6th hour and 12th hour]
To assess Tramadol consumption measured in mg postoperatively in the first 12 hours after the operation
- Change in postoperative pain [Postoperative 12 hours: in the first 30 minutes after extubation, 1st hour, 6th hour and 12th hour]
Postoperative pain will be measured with visual analog scale and numeric scale in the first 12 hours after the operation
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Ages between 18 and 65
-
Patients in American Society of Anesthesiologists Classification I or II
-
Elective laparoscopic cholecystectomy surgery performed under general anesthesia
Exclusion Criteria:
-
Patient refusal
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Patients who can not provide informed consent or with a known psychiatric disease
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Patients with a known allergy to study drugs
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Patients using anticoagulants and corticosteroids
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Patients with diaphragma hernia, chronic obstructive pulmonary disease, lung cancer
-
Patients who are not able to use a patient controlled analgesia device
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Ufuk Üniversitesi Dr. Rıdvan Ege Hastanesi | Ankara | Turkey | 06520 |
Sponsors and Collaborators
- Ufuk University
Investigators
- Principal Investigator: Ülkü C Köksoy, Ass. Prof., Ufuk University Faculty of Medicine Department of Anesthesiology and Reanimation
Study Documents (Full-Text)
None provided.More Information
Publications
- 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.
- 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.
- 2021-03