EOIPB in Laparoscopic Cholecystectomy: Impact on Opioid Consumption Guided by ANI and Analgesia Quality

Samsun University

Status: Completed

Conditions: Laparoscopic Cholecystectomy Surgery; Pain Management

Treatments: Other: Group EOİPB

Study type: Interventional

Funder types: Other

Identifiers

NCT06869837

OMUKAEK 2024/269

Details and patient eligibility

About

The aim of the study was to evaluate the response of regional anesthesia to remifentanyl consumption in patients undergoing laparoscopic cholecystectomy surgery.

Full description

Routine anesthesia and analgesia protocol will be applied to all participants. The study aims to evaluate the remifentanyl consumption of the participants by dividing them into two groups as those with and without block and then performing their monitoring (pulse, mean arterial pressure with noninvasive measurement, oxygen saturation, Analgesia Nociception Index, Bispectral index). Remifentanil level will be adjusted according to the ANI value. The target is to keep the ANI between 50-70.

Enrollment: 80 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Participants who will undergo elective laparoscopic cholecystectomy surgery,
• Age 18-70,
• ASA I-II physical status,
• Body mass index (BMI) < 35 kg/m²,
• Participants who have written consent to participate in the study

Exclusion criteria

• Participants with routine analgesic consumption,
• Those with coagulopathy,
• Those with a history of local anesthetic allergy,
• Those with cardiac arrhythmia and pacemaker,
• ASA III and above, Those with dementia

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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80 participants in 2 patient groups

Group EOİPB

Active Comparator group

Description:

Bilateral External oblique intercostal plane block will be applied 45 minutes before surgery.

Treatment:

Other: Group EOİPB

Group Control

No Intervention group

Description:

No intervention will be made in this group.