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dc.contributor.authorBilge, Ayşegül
dc.contributor.authorBaşaran, Betül
dc.contributor.authorAltıparmak, Başak
dc.contributor.authorEt, Tayfun
dc.contributor.authorKorkusuz, Muhammet
dc.contributor.authorYarımoğlu, Rafet
dc.date.accessioned2023-05-22T11:47:02Z
dc.date.available2023-05-22T11:47:02Z
dc.date.issued2023en_US
dc.identifier.citationBilge, A., Başaran, B., Altıparmak, B. et al. Comparing ultrasound-guided modified thoracoabdominal nerves block through perichondrial approach with oblique subcostal transversus abdominis plane block for patients undergoing laparoscopic cholecystectomy: a randomized, controlled trial. BMC Anesthesiol 23, 139 (2023). https://doi.org/10.1186/s12871-023-02106-zen_US
dc.identifier.issn1471-2253
dc.identifier.urihttps://doi.org/10.1186/s12871-023-02106-z
dc.identifier.urihttps://hdl.handle.net/20.500.12809/10684
dc.description.abstractBackground: Laparoscopic cholecystectomy(LC) causes significant postoperative pain. Oblique subcostal transversus abdominis plane(OSTAP) block was described for postoperative analgesia, especially for upper abdominal surgeries. Modified thoracoabdominal nerves block through perichondrial approach(M-TAPA) block is a new technique defined by the modification of the thoracoabdominal nerves through perichondrial approach (TAPA) block, in which local anesthetics are delivered only to the underside of the perichondral surface. The primary aim of this study was to evaluate the effect of M-TAPA and OSTAP blocks as part of multimodal analgesia on postoperative opioid consumption in patients undergoing LC. Method: The present study was designed as a randomized, controlled, prospective study. Seventy-six adult patients undergoing LC were randomly assigned to receive either bilaterally M-TAPA or OSTAP block after the induction of anesthesia and before surgery using bupivacaine 0.25%, 25 ml. The primary outcome was assessed as postoperative 24 h opioid consumption, between groups were compared. Secondary outcomes were Numerical Rational scale(NRS) scores, time to first opioid analgesia, patient recovery, using the Quality of Recovery-15 (QoR-15) scale, nausea and vomiting, sedation score, metoclopramide consumption, and evaluating the analgesic range of dermatome. Results: The mean tramadol consumption at the postoperative 24th hour was higher in the group OSTAP than in group M-TAPA (P = 0.047). NRS movement score at 12th hour was statistically significantly lower in group M-TAPA than in group OSTAP (P = 0.044). Dermatomes showed intense sensory analgesia between T7-11 in both groups, and it was determined that there was proportionally more involvement in the group M-TAPA. There were no differences between the groups in terms of other results. Conclusions: After the LC surgery, ultrasound-guided M-TAPA block effectively reduced opioid consumption, postoperative pain, and QoR-15 scores similar to OSTAP block.en_US
dc.item-language.isoengen_US
dc.publisherBMCen_US
dc.relation.isversionof10.1186/s12871-023-02106-zen_US
dc.item-rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLaparoscopic cholecystectomyen_US
dc.subjectModified thoracoabdominal nerve Block through the Perichondrial Approachen_US
dc.subjectNerve blocken_US
dc.subjectOblique Subcostal Transversus Abdominis Plane Blocken_US
dc.subjectPostoperative Painen_US
dc.subjectUltrasonographyen_US
dc.titleComparing ultrasound-guided modified thoracoabdominal nerves block through perichondrial approach with oblique subcostal transversus abdominis plane block for patients undergoing laparoscopic cholecystectomy: a randomized, controlled trialen_US
dc.item-typearticleen_US
dc.contributor.departmentMÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.contributor.authorID0000-0002-8165-3438en_US
dc.contributor.institutionauthorAltıparmak, Başak
dc.identifier.volume23en_US
dc.identifier.issue1en_US
dc.identifier.startpage139en_US
dc.relation.journalBMC Anesthesiol .en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


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