EOIB for Laparoscopic Cholecystectomy
Evaluation of Post-Operative Analgesic Efficacy of Bilateral External Oblique Intercostal Plane Block Versus Wound Site Infiltration Control Group in Patients Underwent Laparoscopic Cholecystectomy Surgery
Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital
60 participants
Oct 30, 2024
INTERVENTIONAL
Conditions
Summary
Laparoscopic cholecystectomy, while less painful compared to conventional methods, is still a surgery that can cause significant pain for patients. Preventing postoperative pain is crucial for reducing respiratory complications, shortening hospital stays, and increasing patient satisfaction. Interfascial plane blocks have been widely used for postoperative analgesia in recent years worldwide. The External Oblique Intercostal Plane Block is one of the interfascial plane blocks used in abdominal surgeries. In our study, we aimed to compare the postoperative pain scores of patients who underwent laparoscopic cholecystectomy under general anesthesia, specifically between those who received the external oblique intercostal plane block and those who had trocar entry site infiltration.
Eligibility
Inclusion Criteria2
- Patients aged 18 to 65 who will be scheduled for an elective laparoscopic cholecystectomy under general anesthesia
- ASA (American Society of Anesthesiologists) I-II-III
Exclusion Criteria13
- presence of coagulation disorder
- infection at the injection site of the block
- known allergy to local anesthetics
- advanced hepatic, heart or renal failure
- history of abdominal surgery or trauma
- conversion of laparoscopic to open surgery
- consumption of any pain killers within the 24 h before the operation
- chronic opioid consumption
- pregnancy
- alcohol or drug abuse
- body mass index (BMI) ≥ 35 kg m-2
- Impairment of the patient's cognitive functions (such as Alzheimer's disease, dementia, etc.).
- Cholecystectomy cases performed under emergency conditions.
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Interventions
ultrasound guided external oblique intercostal plane block
5 ml local anesthetic for each trocar sides
As standard multimodal analgesia, 20 min before the end of the surgery patients will receive 1 g of paracetamol, 1-2 mg/kg of tramadol, and 4 mg of ondansetron via intravenous infusion. All patients will be recovered in the PACU, and after confirming an Aldrete score of \>9, a PCA (patient-controlled analgesia) device will be installed with morphine prepared at a dose appropriate for the patient's age. Patients will be administered paracetamol 1 gr IV every 8 hours in the postoperative period. When patients have a Numerical Rating Scale (NRS) score is ≥ 4, 1 mg/kg iv tramadol will be administered as a rescue analgesic
Locations(1)
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NCT06656299