Comparison of Erector Spina Plan Block and Trnsversus Abdominis Plan Block in Laparoscopic Nephrectomy: Prospective Randomized Clinical Trial

Kocaeli University

Status: Enrolling

Conditions: Laparoscopic Nephrectomy

Treatments: Procedure: laparoscopic nephrectomy

Study type: Interventional

Funder types: Other

Identifiers

NCT05913167

LAPNEF2023

Details and patient eligibility

About

Nephrectomy pain was higher. erector spina plan block and transversus abdominis plan block had shown to be effective in abdominal surgeries. This study aimed to compare these two bloc analgesic efficacy in laparoscopic nephrectomy patients. The primary aim is postoperative morphine consumption.

Full description

Patients ASA 18-65 who will undergo laparoscopic nephrectomy are included in this prospective randomized clinical trial. Patients will be divided into two groups; erector spina and transversus abdominis plane block. Anesthesia will. induced with propofol, fentanyl, and rocuronium will be administered for muscle relaxation. Bispectral index monitoring will be used for monitorisation of the depth of anesthesia. Remifentanil was used during the whole procedure. the amount of consumption will be recorded. Patient-controlled device will be used with morphine. The postoperative morphine consumption will also be recorded.

Enrollment: 50 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18-65 age
• patients undergoing laparoscopic nephrectomy
• ASA 1-3

Exclusion criteria

• <18- >65 < age
• patients undergoing open nephrectomy
• ASA 4-5

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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50 participants in 2 patient groups

Erector spina plan block

Active Comparator group

Description:

Erector spina plan block will be administered to the patients in this group.

Treatment:

Procedure: laparoscopic nephrectomy

Transversus abdominis plan block

Active Comparator group

Description:

Transversus abdominis plan block will be administered to the patients in this group.

Treatment:

Procedure: laparoscopic nephrectomy