Official Title
Comparison of ESP Block and M-TAPA Block Efficiency in Postoperative Analgesia Management in Nephrectomy Cases
Brief Summary

Relieving postoperative nephrectomy pain requires multimodal approaches. Peripheralblocks such as ESP block and M-TAPA block and multimodal analgesics reduce side effectsby reducing the use of other analgesics. This study aimed to compare the effectiveness oferector spinae plane block (ESP block) and modified thoracoabdominal nerve blocking withperichondrial approach (M-TAPA block) in postoperative analgesia management innephrectomy 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.

Not yet recruiting
Pain, Postoperative

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

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

Eligibility Gender
All
Eligibility Age
Minimum: 18 Years ~ Maximum: N/A
Countries
Turkey
Locations

BasaksehirCamSakuraH
Istanbul, Turkey

Contacts

Hilal Akça
05548421509
drhllbs@gmail.com

Hilal Akça, Principal Investigator
BasaksehirCamSakuraH

Başakşehir Çam & Sakura City Hospital
NCT Number
Keywords
Nerve block
pain management
postoperative period
Postoperative complications
Regional Anesthesia
Pain
MeSH Terms
Pain, Postoperative