Ignite Creation Date:
2024-10-26 @ 3:43 PM
Last Modification Date:
2024-10-26 @ 3:43 PM
Study NCT ID:
NCT06656299
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-10-20
Brief Title:
EOIB for Laparoscopic Cholecystectomy
Sponsor:
None
Organization:
None
Study Overview
Official Title:
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
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-10
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:
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
Detailed Description:
Despite the advancements in surgical and anesthesia techniques pain following surgical interventions remains a significant issue concerning patient health and comfort today The physiological response resulting from surgical trauma and stress can lead to various unwanted conditions in the pulmonary cardiovascular gastrointestinal metabolic and neuroendocrine systems These complications negatively impact wound healing length of hospital stay and costs The primary goal in managing pain after surgery is to facilitate the healing process avoid potential side effects associated with analgesic treatments and enhance patient comfort
Cholecystectomy which plays a significant role among abdominal surgical interventions can currently be performed using two distinct techniques open and laparoscopic
Laparoscopic cholecystectomy is considered the gold standard treatment for symptomatic cholelithiasis due to its ability to cause less trauma compared to open surgery facilitate faster recovery in patients result in less postoperative pain and allow patients to return to their normal lives more quickly
There are three components of postoperative pain observed after laparoscopic cholecystectomy These include somatic pain associated with the laparoscopic trocar entry incisions in the anterior abdominal wall visceral pain due to pneumoperitoneum and surgical dissection of the gallbladder and referred shoulder pain resulting from the stimulation of the phrenic nerve by residual carbon dioxide gas
Effective management of postoperative pain is crucial for reducing respiratory complications shortening hospital stay and increasing patient satisfaction In this context both nonsteroidal intravenous analgesics and opioids are used However opioids have undesirable side effects including respiratory depression nausea and vomiting and reduced gastrointestinal motility Therefore multimodal analgesia methods that combine intravenous analgesics with regional anesthesia are preferred allowing for the reduction of drug-related side effects while providing safe and effective postoperative analgesia
Interfascial plane blocks have been widely used for postoperative analgesia worldwide in recent years When using long-acting local anesthetics and performed under ultrasound guidance peripheral nerve blocks can be administered more easily effectively and reliably providing analgesia for approximately 8 to 24 hours
The External Oblique Intercostal Plane Block EOIB is one of the interfascial blocks used in upper abdominal surgeries The local anesthetic is administered between the anterior axillary line and the midclavicular line specifically in the fascia between the external oblique muscle and the sixth rib Cadaver studies have demonstrated the spread of local anesthesia to the anterior cutaneous nerve at the T6-9 dermatomes and to the lateral cutaneous nerve at the T6-10 dermatomes These studies suggest that the EOIB could be part of multimodal analgesia in upper and lateral abdominal surgeries In this study our hypothesis is that the EOIB may reduce the amount of opioids used in postoperative pain management decrease opioid-related side effects enhance patient comfort and shorten the recovery process
Cholecystectomy which plays a significant role among abdominal surgical interventions can currently be performed using two distinct techniques open and laparoscopic
Laparoscopic cholecystectomy is considered the gold standard treatment for symptomatic cholelithiasis due to its ability to cause less trauma compared to open surgery facilitate faster recovery in patients result in less postoperative pain and allow patients to return to their normal lives more quickly
There are three components of postoperative pain observed after laparoscopic cholecystectomy These include somatic pain associated with the laparoscopic trocar entry incisions in the anterior abdominal wall visceral pain due to pneumoperitoneum and surgical dissection of the gallbladder and referred shoulder pain resulting from the stimulation of the phrenic nerve by residual carbon dioxide gas
Effective management of postoperative pain is crucial for reducing respiratory complications shortening hospital stay and increasing patient satisfaction In this context both nonsteroidal intravenous analgesics and opioids are used However opioids have undesirable side effects including respiratory depression nausea and vomiting and reduced gastrointestinal motility Therefore multimodal analgesia methods that combine intravenous analgesics with regional anesthesia are preferred allowing for the reduction of drug-related side effects while providing safe and effective postoperative analgesia
Interfascial plane blocks have been widely used for postoperative analgesia worldwide in recent years When using long-acting local anesthetics and performed under ultrasound guidance peripheral nerve blocks can be administered more easily effectively and reliably providing analgesia for approximately 8 to 24 hours
The External Oblique Intercostal Plane Block EOIB is one of the interfascial blocks used in upper abdominal surgeries The local anesthetic is administered between the anterior axillary line and the midclavicular line specifically in the fascia between the external oblique muscle and the sixth rib Cadaver studies have demonstrated the spread of local anesthesia to the anterior cutaneous nerve at the T6-9 dermatomes and to the lateral cutaneous nerve at the T6-10 dermatomes These studies suggest that the EOIB could be part of multimodal analgesia in upper and lateral abdominal surgeries In this study our hypothesis is that the EOIB may reduce the amount of opioids used in postoperative pain management decrease opioid-related side effects enhance patient comfort and shorten the recovery process
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