Comparison of ESP Block and M-TAPA Block Efficiency in Postoperative Analgesia Management in Nephrectomy Cases

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorBaşakşehir Çam & Sakura City Hospital

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

All patients aged 18 and over with ASA1-2 who underwent elective nephrectomy

Disqualifiers

ASA ≥3

Body mass index>35 kg/ m²

Infection in the block area

Coagulation disorder,

Trial population

All patients aged 18 and over with ASA1-2 who underwent elective nephrectomy. .

Trial design

Design model

Case-crossover

Time perspective

Prospective

Treatments tested in this trial

  • NRS 0. hour

    Other intervention

    Numerical rating scala

  • NRS 6. Hour

    Other intervention

    Numerical rating scala

  • NRS 12. Hour

    Other intervention

    Numerical rating scala

  • NRS 24. Hour

    Other intervention

    Numerical rating scala

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: M-TAPA Block4 interventions
Group B: ESP Block4 interventions

Trial outcomes

Primary outcomes

1

Postoperative Pain Management

The primary outcome of this study is to demonstrate that Modified Thoracoabdominal Nerves Block(M-TAPA) contributes sufficiently to multimodal analgesia in perioperative analgesia in nephrectomy surgery.This contribution will be evaluated with the NRS. NRS is a unidimensional scale in which 11 numbers (between 0 and 10) are used to measure pain intensity. The patient is asked to choose the number that best reflects the pain intensity, with 0 = no pain and 10 = worst (unbearable) pain.

Time frame
0.hour
2

Postoperative Pain Management

The primary outcome of this study is to demonstrate that Modified Thoracoabdominal Nerves Block(M-TAPA) contributes sufficiently to multimodal analgesia in perioperative analgesia in nephrectomy surgery.This contribution will be evaluated with the NRS. NRS is a unidimensional scale in which 11 numbers (between 0 and 10) are used to measure pain intensity. The patient is asked to choose the number that best reflects the pain intensity, with 0 = no pain and 10 = worst (unbearable) pain.

Time frame
6.hour
3

Postoperative Pain Management

The primary outcome of this study is to demonstrate that Modified Thoracoabdominal Nerves Block(M-TAPA) contributes sufficiently to multimodal analgesia in perioperative analgesia in nephrectomy surgery.This contribution will be evaluated with the NRS. NRS is a unidimensional scale in which 11 numbers (between 0 and 10) are used to measure pain intensity. The patient is asked to choose the number that best reflects the pain intensity, with 0 = no pain and 10 = worst (unbearable) pain.

Time frame
12.hour
4

Postoperative Pain Management

The primary outcome of this study is to demonstrate that Modified Thoracoabdominal Nerves Block(M-TAPA) contributes sufficiently to multimodal analgesia in perioperative analgesia in nephrectomy surgery.This contribution will be evaluated with the NRS. NRS is a unidimensional scale in which 11 numbers (between 0 and 10) are used to measure pain intensity. The patient is asked to choose the number that best reflects the pain intensity, with 0 = no pain and 10 = worst (unbearable) pain.

Time frame
24.hour

Secondary outcomes

Other outcomes

Sponsors and contacts

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