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Modified thoracoabdominal nerves block through perichondrial approach for laparoscopic cholecystectomy.

Title: Modified thoracoabdominal nerves block through perichondrial approach for laparoscopic cholecystectomy.
Authors: Erten E; University of Health Sciences, Gulhane Training and Research Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.; Kara U; University of Health Sciences, Gulhane Training and Research Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.; Şimşek F; University of Health Sciences, Gulhane Training and Research Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.; Öztaş M; Institute of Health Sciences, Gülhane Training and Research Hospital, Department of General Surgery - Ankara, Turkey.; Süzer MA; Private Çankaya Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.; Kamburoğlu H; Private Acıbadem Ataşehir Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.; Eşkin MB; University of Health Sciences, Gulhane Training and Research Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.; Şenkal S; University of Health Sciences, Gulhane Training and Research Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.; Çoşar A; University of Health Sciences, Gulhane Training and Research Hospital, Department of Anesthesiology and Reanimation - Ankara, Turkey.
Source: Revista da Associacao Medica Brasileira (1992) [Rev Assoc Med Bras (1992)] 2024 Apr 22; Vol. 70 (3), pp. e20230962. Date of Electronic Publication: 2024 Apr 22 (Print Publication: 2024).
Publication Type: Journal Article; Randomized Controlled Trial
Language: English
Journal Info: Publisher: Associação Médica Brasileira Country of Publication: Brazil NLM ID: 9308586 Publication Model: eCollection Cited Medium: Internet ISSN: 1806-9282 (Electronic) Linking ISSN: 01044230 NLM ISO Abbreviation: Rev Assoc Med Bras (1992) Subsets: MEDLINE
Imprint Name(s): Original Publication: São Paulo : Associação Médica Brasileira
MeSH Terms: Cholecystectomy, Laparoscopic*/methods ; Nerve Block*/methods ; Postoperative Pain*/prevention & control ; Tramadol*/administration & dosage ; Tramadol*/therapeutic use ; Anesthetics, Local*/administration & dosage ; Pain Measurement*; Analgesics, Opioid/administration & dosage ; Analgesics, Opioid/therapeutic use ; Ultrasonography, Interventional/methods ; Humans ; Male ; Female ; Adult ; Middle Aged ; Treatment Outcome
Abstract: Objective: A new block, namely, modified thoracoabdominal nerves block through perichondrial approach, is administered below the costal cartilage. We sought to compare the analgesic efficacy of the modified thoracoabdominal nerves block through perichondrial approach block with local anesthetic infiltration at the port sites in an adult population who underwent laparoscopic cholecystectomy.; Methods: Patients who will undergo laparoscopic cholecystectomy were randomized to receive bilateral ultrasound-guided modified thoracoabdominal nerves block through perichondrial approach blocks or local anesthetic infiltration at the port insertion sites. The primary outcome was the total amount of tramadol used in the first 12 h postoperatively. The secondary outcomes were total IV tramadol consumption for the first postoperative 24 h and visual analog scale scores.; Results: The modified thoracoabdominal nerves block through perichondrial approach group had significantly less tramadol use in the first 12 h postoperatively (p
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Substance Nomenclature: 39J1LGJ30J (Tramadol); 0 (Anesthetics, Local); 0 (Analgesics, Opioid)
Entry Date(s): Date Created: 20240424 Date Completed: 20240424 Latest Revision: 20260127
Update Code: 20260130
PubMed Central ID: PMC11042825
DOI: 10.1590/1806-9282.20230962
PMID: 38655995
Database: MEDLINE

Journal Article; Randomized Controlled Trial