Comparison of ESP Block and M-TAPA Block Efficiency in Postoperative Analgesia Management in Nephrectomy Cases
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: NRS 0. hour, NRS 6. Hour, NRS 12. Hour, NRS 24. Hour.
- Who it may be relevant to
- Registry conditions: Pain, Postoperative. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
Relieving postoperative nephrectomy pain requires multimodal approaches. Peripheral blocks such as ESP block and M-TAPA block and multimodal analgesics reduce side effects by reducing the use of other analgesics. This study aimed to compare the effectiveness of erector spinae plane block (ESP block) and modified thoracoabdominal nerve blocking with perichondrial approach (M-TAPA block) in postoperative analgesia management in nephrectomy cases.
Detailed description
Relieving postoperative nephrectomy pain requires multimodal approaches. The most commonly used in the treatment of pain are nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, and infiltration of local anesthetics. Due to the side effects of NSAIDs and opioids, the application of regional analgesia techniques can reduce complications while providing better analgesia quality. Peripheral blocks such as ESP block and M-TAPA block and multimodal analgesics reduce side effects by reducing the use of other analgesics. Pain is considered one of the most important factors affecting the quality of healing. Postoperative pain delays the postanesthesia care unit, hospital stay, early ambulation, increases resource utilization, and negatively affects patient satisfaction. If postoperative analgesia is provided, all these negativities will be eliminated. This study aimed to compare the effectiveness of erector spinae plane block (ESP block) and modified thoracoabdominal nerve blocking with perichondrial approach (M-TAPA block) in postoperative analgesia management in nephrectomy cases.
Interventions
- Other NRS 0. hour
Numerical rating scala - Other NRS 6. Hour
Numerical rating scala - Other NRS 12. Hour
Numerical rating scala - Other NRS 24. Hour
Numerical rating scala
Primary outcome measures
- Postoperative Pain Management [Time frame: 0.hour]
- Postoperative Pain Management [Time frame: 6.hour]
- Postoperative Pain Management [Time frame: 12.hour]
- Postoperative Pain Management [Time frame: 24.hour]
- Postoperative Pain Management [Time frame: 24 hours]
- Postoperative Pain Management [Time frame: 24 hours]
Eligibility criteria
Inclusion criteria
- All patients aged 18 and over with ASA1-2 who underwent elective nephrectomy
Exclusion criteria
- ASA ≥3
- Body mass index>35 kg/ m²
- Infection in the block area
- Coagulation disorder,
- Known allergy to local anesthetics
- Pregnant
- Patient with neuropathy
- Patient without cooperation
- Patient who refuses to participate in the study
- Patients under 18 years of age
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Case-crossover
Study locations
Turkey (Türkiye) · 1 center
- BasaksehirCamSakuraH — Istanbul
Identifiers
NCT: NCT06566859 · 2024-297