Ignite Creation Date:
2024-10-25 @ 7:52 PM
Last Modification Date:
2024-10-26 @ 3:35 PM
Study NCT ID:
NCT06515691
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-07-17
Brief Title:
Modified Thoracoabdominal Nerve Plane Block In Laparoscopic Sleeve Gastrectomy
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Evaluation of Effectiveness of Ultrasound-Guided Modified Thoracoabdominal Nerve Plane Block Through Perichondrial Approach M-TAPA for Postoperative Analgesia Management in Patients Undergoing Laparoscopic Sleeve Gastrectomy Operation
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Ultrasound-guided Modified Thoracoabdominal Nerve Plane Block M-TAPA is performed into the costochondral aspect at the 9th-10th costal level by injecting local anesthetics deep into the chondrium It provides blockage of both the anterior and lateral cutaneous branches of the thoracoabdominal nerve Studies show that M-TAPA block is effective for postoperative analgesia and other abdominal surgeries but its effect on patients undergoing LSG surgery has not yet been studied The hypothesis is that the M-TAPA block performed in patients undergoing Laparoscopic Sleeve Gastrectomy LSG Operation would reduce opioid consumption in the first 24 hours period after surgery
Detailed Description:
LSG is defined as first-line bariatric surgery for patients at high surgical risk with better surgical outcomes Effective postoperative pain management is essential for early mobilization and reduction of the risk of morbidity and mortality Opioids due to their potent analgesic effects are used as a component of multimodal analgesia in the postoperative period Despite their advantages opioids may be related to pulmonary complications such as atelectasis and impaired alveolar gas exchange apnea postoperative delayed recovery due to ileus nausea and vomiting and prolonged hospital stay The use of interfascial plane blocks for pain management has increased recently as ultrasonography USG has become a part of daily routine Interfascial plane blocks provide effective postoperative analgesia
Additionally reducing postoperative opioid consumption helps to provide hemodynamic stability and promote early mobilization Studies are showing M-TAPA block to be effective for postoperative analgesia for abdominal surgeries and some studies continued comparing its effect in laparoscopic sleeve gastrectomy with other plane blocks There are also case reports showing the effectiveness of the M-TAPA block in LSG patients M-TAPA blocks effect on LSG patients has not been studied yet The investigators hypothesize that the M-TAPA block performed in patients undergoing laparoscopic sleeve gastrectomy would reduce opioid consumption in the first 24-hour period after surgery
Additionally reducing postoperative opioid consumption helps to provide hemodynamic stability and promote early mobilization Studies are showing M-TAPA block to be effective for postoperative analgesia for abdominal surgeries and some studies continued comparing its effect in laparoscopic sleeve gastrectomy with other plane blocks There are also case reports showing the effectiveness of the M-TAPA block in LSG patients M-TAPA blocks effect on LSG patients has not been studied yet The investigators hypothesize that the M-TAPA block performed in patients undergoing laparoscopic sleeve gastrectomy would reduce opioid consumption in the first 24-hour period after surgery
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None