Laparoscopic-assisted Versus Ultrasonography-guided Transversus Abdominis Plane Block in Laparoscopic Sleeve Gastrectomy

Cairo University74 enrolled

Overview

The transversus abdominis plane (TAP) block, whereby local anesthetic is injected between the internal oblique and transversus abdominis fascia to facilitate blockade of somatic afferents nerves, is an effective, non-narcotic adjunct incorporated into many ERAS protocols. We hypothesized that surgeon delivered LAP-TAPs would be non-inferior to anesthesia-delivered US-TAPs in terms of post-operative pain control

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

TRIPLE

Enrollment

Conditions

Transversus Abdominis Plane

Interventions

US-TAPPROCEDURE

regional block team under ultrasound guidance

LAPTAPPROCEDURE

performed TAP block under direct visualization with the laparoscope

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: Elective laparoscopic sleeve gastrectomy aging \> 18years BMI \> 40 kg/m2, ASA score I-III Exclusion Criteria: history of chronic opioid consumption suffering from contraindications to regional blocks suffering from allergy to study drugs, history of prior complex abdominal wall reconstruction

Locations (1)

Cairo university

Cairo, Egypt

Outcomes

Primary Outcomes

morphine needed

Time frame: UP TO 24 HOURE

Secondary Outcomes

first analgesic request time

he time elapsed between the end of the operation till the first analgesic dose

Time frame: up to 24 hours

patients' satisfaction

scale of 1-4 (1, poor; 2, acceptable; 3, satisfactory; and 4, excellent)

Time frame: UP TO 24 HOURE

opioid-associated side effects

bradycardia and hypotesion

Time frame: UP TO 24 HOURE

Data from ClinicalTrials.gov

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