External Oblique Intercostal Plane Block vs. Wound Infiltration for Laparoscopic Sleeve Gastrectomy
Study Details
Study Description
Brief Summary
The morbidity and mortality associated with being overweight or obese have been known to the medical profession since Hippocrates, more than 2500 years ago.
Pain that develops following bariatric surgery may prolong recovery time. Most morbidly obese patients have obstructive sleep apnea and cardiac comorbidities. In these patients, prolonged postoperative pain may cause early ambulation and delay performing deep breathing exercises.
Using regional anesthetic techniques results in less opioid use and better pain management. External oblique internal costal block; It is a new block that provides dermatomal sensory blockage involving T6-T10 in the anterior axillary line and T6-T9 in the midline. It can be used as part of multimodal analgesia in laparoscopic cases.
There is no study in the literature regarding the use of external oblique plane block in bariatric surgery yet.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Active Comparator: External oblique intercostal plane block Ultrasound-guided External oblique intercostal plane block before surgery |
Other: ultrasound guided external oblique intercostal plane block
ultrasound guided external oblique intercostal plane block 30 ml local anesthetic each side
|
| Active Comparator: Wound infiltration Wound infiltration to trocar sites before surgery |
Other: Wound infiltration
5 ml local anesthetic for each trocar side
|
Outcome Measures
Primary Outcome Measures
- Postoperative opioid consumption [first 24 hours]
First 24 hours total fentanyl consumption with patient controlled analgesia
Secondary Outcome Measures
- Visual analog pain score [postextubation 0-24 hours]
Post operative pain will be evaluated with a Visual Analogue Scale (VAS) score of 0-10 (0= no pain and 10= worst imaginable pain)
Eligibility Criteria
Criteria
Inclusion Criteria:
-
American Society of Anesthesiologist's physiologic state I-III patients
-
Laparoscopic Obesity surgery
Exclusion Criteria:
- Chronic pain bleeding disorders renal or hepatic insufficiency patients on chronic non-steroidal anti-inflammatory medications emergency cases
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Atatürk University | Erzurum | Turkey | 25100 |
Sponsors and Collaborators
- Ataturk University
- Erzurum City Hospital
- Bursa City Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Cosarcan SK, Yavuz Y, Dogan AT, Ercelen O. Can Postoperative Pain Be Prevented in Bariatric Surgery? Efficacy and Usability of Fascial Plane Blocks: a Retrospective Clinical Study. Obes Surg. 2022 Sep;32(9):2921-2929. doi: 10.1007/s11695-022-06184-9. Epub 2022 Jul 1.
- White L, Ji A. External oblique intercostal plane block for upper abdominal surgery: use in obese patients. Br J Anaesth. 2022 May;128(5):e295-e297. doi: 10.1016/j.bja.2022.02.011. Epub 2022 Mar 3. No abstract available.
- atauniobesity