Evaluation of the effect of rectus sheath block and transversus abdominis plan block on sevoflurane and fentanyl consumption in laparoscopic cholecystectomy: A randomized controlled study

Ecem Keleş; Ahmet Gültekin; Ilker Yildirim; Cavidan Arar; Birol Topçu

Makale detayları

Evaluation of the effect of rectus sheath block and transversus abdominis plan block on sevoflurane and fentanyl consumption in laparoscopic cholecystectomy: A randomized controlled study

Yazarlar:

Ecem Keleş | Ahmet Gültekin | Ilker Yildirim | Cavidan Arar | Birol Topçu

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Anaesthesiology

Dergi:

The European Research Journal Vol.11 Issue 4, pp.776-785

Belge Tipi:

Makale

Yayın Tarihi:

4/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001350983

pISSN:

2149-3189

Anahtar kelimeler:

Özet:

 Objectives: We aimed to compare the total amount of inhalation anesthesia consumed and the amount of fentanyl used as an additional dose in cases where transversus abdominis plane and rectus sheath blocks were applied for postoperative analgesia. Methods: Eighty patients aged 18-75 years, classified as ASA I-II, who were scheduled for laparoscopic cholecystectomy, were included. The patients were divided into two groups: those who received a combination of transversus abdominis and rectus sheath blocks under general anesthesia Group B, n40, and those who received analgesia with tramadol under general anesthesia Group C, n40. Throughout the procedure, both groups were monitored to maintain the entropy target value between 40-60 with a maximum MAC value of 1.3. At the end of the procedure, the total amount of inhalation agent consumed, and the additional need for superficial anesthesiaanalgesia, as well as the total amount of fentanyl added as an extra dose, were recorded. Results: Comparing the total amount of inhalation agent consumed throughout the case, it was found to be 27.057.43 mL in Group C Control group and 12.254.34 mL in Group B Block group, with a statistically significant difference between the groups. There was a significant difference in the need for additional intraoperative and the total amount of fentanyl consumed between the groups P0.05. Conclusions: In laparoscopic cholecystectomy cases, we observed that the use of transversus abdominis plane block and rectus sheath block combined with standardized general anesthesia monitored by entropy reduced the amount of inhalation agent consumed, as well as the need for additional intraoperative and total opioid consumption.

 Objectives: We aimed to compare the total amount of inhalation anesthesia consumed and the amount of fentanyl used as an additional dose in cases where transversus abdominis plane and rectus sheath blocks were applied for postoperative analgesia. Methods: Eighty patients aged 18-75 years, classified as ASA I-II, who were scheduled for laparoscopic cholecystectomy, were included. The patients were divided into two groups: those who received a combination of transversus abdominis and rectus sheath blocks under general anesthesia Group B, n40, and those who received analgesia with tramadol under general anesthesia Group C, n40. Throughout the procedure, both groups were monitored to maintain the entropy target value between 40-60 with a maximum MAC value of 1.3. At the end of the procedure, the total amount of inhalation agent consumed, and the additional need for superficial anesthesiaanalgesia, as well as the total amount of fentanyl added as an extra dose, were recorded. Results: Comparing the total amount of inhalation agent consumed throughout the case, it was found to be 27.057.43 mL in Group C Control group and 12.254.34 mL in Group B Block group, with a statistically significant difference between the groups. There was a significant difference in the need for additional intraoperative and the total amount of fentanyl consumed between the groups P0.05. Conclusions: In laparoscopic cholecystectomy cases, we observed that the use of transversus abdominis plane block and rectus sheath block combined with standardized general anesthesia monitored by entropy reduced the amount of inhalation agent consumed, as well as the need for additional intraoperative and total opioid consumption.

 Objectives: We aimed to compare the total amount of inhalation anesthesia consumed and the amount of fentanyl used as an additional dose in cases where transversus abdominis plane and rectus sheath blocks were applied for postoperative analgesia. Methods: Eighty patients aged 18-75 years, classified as ASA I-II, who were scheduled for laparoscopic cholecystectomy, were included. The patients were divided into two groups: those who received a combination of transversus abdominis and rectus sheath blocks under general anesthesia Group B, n40, and those who received analgesia with tramadol under general anesthesia Group C, n40. Throughout the procedure, both groups were monitored to maintain the entropy target value between 40-60 with a maximum MAC value of 1.3. At the end of the procedure, the total amount of inhalation agent consumed, and the additional need for superficial anesthesiaanalgesia, as well as the total amount of fentanyl added as an extra dose, were recorded. Results: Comparing the total amount of inhalation agent consumed throughout the case, it was found to be 27.057.43 mL in Group C Control group and 12.254.34 mL in Group B Block group, with a statistically significant difference between the groups. There was a significant difference in the need for additional intraoperative and the total amount of fentanyl consumed between the groups P0.05. Conclusions: In laparoscopic cholecystectomy cases, we observed that the use of transversus abdominis plane block and rectus sheath block combined with standardized general anesthesia monitored by entropy reduced the amount of inhalation agent consumed, as well as the need for additional intraoperative and total opioid consumption.

 Objectives: We aimed to compare the total amount of inhalation anesthesia consumed and the amount of fentanyl used as an additional dose in cases where transversus abdominis plane and rectus sheath blocks were applied for postoperative analgesia. Methods: Eighty patients aged 18-75 years, classified as ASA I-II, who were scheduled for laparoscopic cholecystectomy, were included. The patients were divided into two groups: those who received a combination of transversus abdominis and rectus sheath blocks under general anesthesia Group B, n40, and those who received analgesia with tramadol under general anesthesia Group C, n40. Throughout the procedure, both groups were monitored to maintain the entropy target value between 40-60 with a maximum MAC value of 1.3. At the end of the procedure, the total amount of inhalation agent consumed, and the additional need for superficial anesthesiaanalgesia, as well as the total amount of fentanyl added as an extra dose, were recorded. Results: Comparing the total amount of inhalation agent consumed throughout the case, it was found to be 27.057.43 mL in Group C Control group and 12.254.34 mL in Group B Block group, with a statistically significant difference between the groups. There was a significant difference in the need for additional intraoperative and the total amount of fentanyl consumed between the groups P0.05. Conclusions: In laparoscopic cholecystectomy cases, we observed that the use of transversus abdominis plane block and rectus sheath block combined with standardized general anesthesia monitored by entropy reduced the amount of inhalation agent consumed, as well as the need for additional intraoperative and total opioid consumption.

Makale detayları

Evaluation of the effect of rectus sheath block and transversus abdominis plan block on sevoflurane and fentanyl consumption in laparoscopic cholecystectomy: A randomized controlled study

Yazarlar:

Ecem Keleş | Ahmet Gültekin | Ilker Yildirim | Cavidan Arar | Birol Topçu

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Anaesthesiology

Dergi:

The European Research Journal Vol.11 Issue 4, pp.776-785

Belge Tipi:

Makale

Yayın Tarihi:

4/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001350983

pISSN:

2149-3189

Transversus abdominis plane block

rectus sheath block

entropy

sevoflurane

fentanyl

Sayı

Makale detayları

Evaluation of the effect of rectus sheath block and transversus abdominis plan block on sevoflurane and fentanyl consumption in laparoscopic cholecystectomy: A randomized controlled study

Yazarlar: Ecem Keleş | Ahmet Gültekin | Ilker Yildirim | Cavidan Arar | Birol Topçu

Yayıncı: Prusa Medical Publishing

Ana Başlıklar: Anaesthesiology

Dergi: The European Research Journal Vol.11 Issue 4, pp.776-785

Belge Tipi: Makale

Yayın Tarihi: 4/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001350983

pISSN: 2149-3189

Transversus abdominis plane block

rectus sheath block

entropy

sevoflurane

fentanyl

Sayı

Yazarlar:

Ecem Keleş | Ahmet Gültekin | Ilker Yildirim | Cavidan Arar | Birol Topçu

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Anaesthesiology

Dergi:

The European Research Journal Vol.11 Issue 4, pp.776-785

Belge Tipi:

Makale

Yayın Tarihi:

4/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001350983

pISSN:

2149-3189