Ultrasound-Guided Transversus Abdominis Plan (TAP) Block in Endovascular Cardiac Interventions
Analgesic Effect of Ultrasound-Guided Transversus Abdominis Plan (TAP) Block in Femoral Endovascular Cardiac Interventions: A Prospective-randomized Study
Istanbul University - Cerrahpasa
100 participants
Sep 10, 2024
INTERVENTIONAL
Conditions
Summary
Sensory innervation of the femoral region which is the entry point for endovascular cardiac interventions such as coronary angiography,cardiac catheterization and percutaneous coronary intervention is complex.It is thought that the ilioinguinal and iliohypogastric nerves contribute mostly.With transversus abdominis plane block(TAPB),it is planned to provide analgesia by creating a block in these nerve branches that contribute to the sensory innervation of the intervention area.In addition;it was aimed to investigate patient's and physician's satisfaction during the procedure.
Eligibility
Inclusion Criteria6
- The patient is over 18 years of age
- Coronary angiography, cardiac catheterization and percutaneous coronary intervention will be applied to the patient,
- The above-mentioned procedures will be taken under elective conditions,
- Providing an optimal image when imaging the patient with ultrasound,
- INR\< 1.5
- If the patient gives consent, S/he will be included in the study.
Exclusion Criteria10
- Patients under 18 years of age,
- Patients treated under emergency conditions,
- morbid obesity (BMI\>35 kg/m2),
- pregnant women,
- New York Heart Association (NYHA) stage 4 patients with advanced decompensated heart failure,
- Patients with symptoms such as redness, temperature increase, infection, hematoma in the application area before the procedure,
- Patients with a history of allergy to local anesthetics,
- Patients who cannot be communicated,
- Those with severe psychosis or progressive neurological deficits and muscle disease,
- Patients who do not consent to the application will be excluded from the study.
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Interventions
In additional to local anesthesia, 10 ml lidocaine (2%) (Lidon, Onfarma, Turkey ), TAPB will be performed under ultrasound imaging..
As routine procedure; the cardiologist will palpate the right or left femoral artery under sterile conditions and apply approximately 10 ml lidocaine (2%) to this area as local anesthesia (Lidon, Onfarma, Turkey ). Then, a puncture will be made on the anterior wall of the femoral artery with an 18 G needle . Approximately 3-4 mm skin incision will be made with the number 11 scalpel tip and the Seldinger technique will be continued. 6F femoral sheath to be placed, cardiac The catheterization process will begin.
Locations(1)
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NCT06576128