Unique ID issued by UMIN | UMIN000039333 |
---|---|
Receipt number | R000044855 |
Scientific Title | Consideration of the validity of Thoracoabdominal nerves through perichondral approach Block to laparoscopic cholecystectomy and laparoscopic colectomy |
Date of disclosure of the study information | 2020/02/04 |
Last modified on | 2020/12/17 12:43:15 |
Consideration of the validity of Thoracoabdominal nerves through perichondral approach Block to laparoscopic cholecystectomy and laparoscopic colectomy
Consideration of the validity of Thoracoabdominal nerves through perichondral approach Block to laparoscopic cholecystectomy and laparoscopic colectomy
Consideration of the validity of Thoracoabdominal nerves through perichondral approach Block to laparoscopic cholecystectomy and laparoscopic colectomy
Consideration of the validity of Thoracoabdominal nerves through perichondral approach Block to laparoscopic cholecystectomy and laparoscopic colectomy
Japan |
laparoscopic cholecystectomy
laparoscopic colectomy
Gastrointestinal surgery | Hepato-biliary-pancreatic surgery |
Malignancy
NO
Up to now, epidural anesthesia has been performed as perioperative analgesia for trunk surgery, but peripheral nerve blocks have been increasing in recent years. This is due to an increase in contraindications for epidural anesthesia due to anticoagulant therapy and advances in ultrasound diagnostic equipment.
TAP blocks have been used for abdominal analgesia, but TAP blocks required two punctures for upper or lower abdominal surgery.
The TAPA block reported in 2019 is said to be possible with two punctures for cases requiring upper and lower abdominal pain during trunk surgery. Reducing the number of punctures would avoid complications and would be very useful if analgesia of the entire abdominal wall could be achieved with two punctures. However, prospective studies on the analgesic effects of TAPA block have not been conducted yet.
In this study, we examine the effectiveness of TAPA block in trunk surgery by conducting a randomized controlled trial.
Efficacy
Confirmatory
opioid consumption within 48 hours after surgery
NRS
side effects
Interventional
Parallel
Randomized
Individual
Single blind -investigator(s) and assessor(s) are blinded
Active
YES
YES
Central registration
2
Treatment
Maneuver |
TAPA block
IVPCA
20 | years-old | <= |
Not applicable |
Male and Female
Patients undergoing laparoscopic colorectomy and laparoscopic cholecystectomy in the operating room of Juntendo University School of Medicine Shizuoka Hospital
Patients with bronchial asthma
Patients with reduced renal function (eGFR <30)
Patients who moved to open surgery
Patients with lesions that are not suitable for puncturing the skin at the puncture site
Patients with a history of allergy to local anesthetics
Patients who are considered to be at risk of performing the procedure
Other patients who are judged inappropriate by the investigator
28
1st name | masateru |
Middle name | |
Last name | kumemura |
Juntendo university Shizuoka hospital
anesthesiology
410-2295
1129 Nagaoka, Izunokuni, Shizuoka Prefecture
055-948-3111
m-kumemura@juntendo.ac.jp
1st name | masateru |
Middle name | |
Last name | kumemura |
juntendo university shizuoka hospital
anesthesiology
410-2295
1129 Nagaoka, Izunokuni, Shizuoka Prefecture
055-948-3111
m-kumemura@juntendo.ac.jp
Nintendo university shizuoka hospital
Nintendo university shizuoka hospital
Self funding
juntendo university shizuoka hospital
1129 Nagaoka, Izunokuni, Shizuoka Prefecture
055-948-3111
m-kumemura@juntendoaac.jp
NO
2020 | Year | 02 | Month | 04 | Day |
Unpublished
Completed
2020 | Year | 01 | Month | 21 | Day |
2020 | Year | 02 | Month | 10 | Day |
2020 | Year | 02 | Month | 11 | Day |
2020 | Year | 05 | Month | 30 | Day |
2020 | Year | 05 | Month | 31 | Day |
2020 | Year | 01 | Month | 31 | Day |
2020 | Year | 12 | Month | 17 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044855