Not Yet RecruitingPhase 2ACTRN12608000297325

The Analgesic Efficacy of Ultrasound-Guided Transversus Abdominis Plane Blocks after Abdominal Surgery

The Analgesic Efficacy of Ultrasound Guided Transversus Abdominis Plane (TAP) blocks compared with Placebo in Patients Undergoing Abdominal Surgery


Sponsor

Dr Elizabeth Hessian

Enrollment

52 participants

Start Date

Feb 1, 2009

Study Type

Interventional

Conditions

Summary

This trial is looking at the analgesic efficacy of transversus abdominis plane block (TAP block) using ropivacaine following abdominal surgery.


Eligibility

Sex: Both males and femalesMin Age: 18 Yearss

Inclusion Criteria2

  • Age over 18 years
  • Elective or semi-elective abdominal surgery requiring mid-line incision

Exclusion Criteria10

  • Patient refusal
  • Acute abdomen
  • A clinical history consistent with opioid tolerance including preoperative opioid consumption of longer than one week, intravenous opioid drug use
  • Preoperative use of opioid antagonists like buprenorphine and naltrexone
  • A clinical history of chronic pain, where patients may benefit from early commencement of agents like ketamine
  • Renal impairment with creatinine clearance less than 60 mL/min
  • Drug allergy or contraindication to morphine, ropivacaine, paracetamol
  • Anaesthetist preference for placement of central neuroaxial blockade/catheter
  • Surgeon refusal to placement of catheters
  • Inability of patient to use patient controlled analgesia pump post-operatively or to understand grading of pain via verbal pain score

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Interventions

Transversus abdominis plane injection using ropivacaine 0.5%, 20ml bilaterally at the completion of surgery prior to waking from anaesthesia

Transversus abdominis plane injection using ropivacaine 0.5%, 20ml bilaterally at the completion of surgery prior to waking from anaesthesia


Locations(1)

Australia

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ACTRN12608000297325