In this study, the investigators aimed to demonstrate if the quality of recovery in patients undergoing single-port laparoscopic adnexal surgery, with preoperative rectus sheath block and intraoperative opioid administration based on analgesia nociception index, improves compared to the patients without block.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
QUADRUPLE
Enrollment
56
Intervention Group: Ultrasound guided rectus sheath block with 0.5% ropivacaine 20ml at each side (bilateral)
Control Group: Ultrasound guided rectus sheath block with 0.9% normal saline 20ml at each side (bilateral)
Severance hospital
Seoul, South Korea
Quality of Recovery 40 scale score at postoperative 24 hour
Postoperative quality of recovery according to the block performance
Time frame: 24 hours after the end of surgery
Intraoperative remifentanil consumption,postoperative pain score
To evaluate the effect of rectus sheath block on intraoperative and postoperative pain and patients' satisfaction
Time frame: at 0, 1, 6, 12, and 24 hours postoperative
rescue analgesics administered up to 24 hours postoperatively
To evaluate the effect of rectus sheath block on intraoperative and postoperative pain and patients' satisfaction
Time frame: intraoprative and postoperative 24hours
satisfaction with pain control
Patient self-rated overall satisfaction with pain control. Evaluated on an 11-point scale from 0 to 10, with 0 points for completely dissatisfied and 10 points for complete satisfaction. The higher the number, the more satisfactory it is.
Time frame: intraoprative and postoperative 24hours
serum cortisol level (μg/dL) before and after surgery
To evaluate the effect of rectus sheath block on intraoperative and postoperative pain and patients' satisfaction
Time frame: intraoprative and postoperative 24hours
leukocyte level (10^3/μL) before and after surgery
To evaluate the effect of rectus sheath block on intraoperative and postoperative pain and patients' satisfaction
Time frame: intraoprative and postoperative 24hours
arterial pH before and after surgery
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To evaluate the effect of rectus sheath block on intraoperative and postoperative pain and patients' satisfaction
Time frame: intraoprative and postoperative 24hours
blood glucose level (mg/dL) before and after surgery
To evaluate the effect of rectus sheath block on intraoperative and postoperative pain and patients' satisfaction
Time frame: intraoprative and postoperative 24hours
measurement of adequate analgesia (NRS <4) before and after surgery
To evaluate the effect of rectus sheath block on intraoperative and postoperative pain and patients' satisfaction
Time frame: intraoprative and postoperative 24hours