Visceral Block in Bariatric Surgery: A Pilot Double Blind Randomized Clinical Study
Local anesthetics are used in various sites and mechanisms to maximize perioperative analgesia and reduce opioid use and side effects. Pain management in the bariatric setting is challenging and the efficacy of local anesthetics intraoperatively is under current evaluation. To determine the safety a...
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| Veröffentlicht in: | The Israel Medical Association journal 2024-09, Vol.26 (8), p.483 |
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| container_title | The Israel Medical Association journal |
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| creator | Farraj, Moaad Waksman, Igor Arzumanov, Tatyana Vakarev, Anna Hussein, Hisham Bramnick, Zakhar Dar, Ron |
| description | Local anesthetics are used in various sites and mechanisms to maximize perioperative analgesia and reduce opioid use and side effects. Pain management in the bariatric setting is challenging and the efficacy of local anesthetics intraoperatively is under current evaluation.
To determine the safety and efficacy of a new intra-abdominal anesthetic technique performed during laparoscopic bariatric operations: visceral block.
During this prospective randomized double-blinded pilot study, 16 patients undergoing bariatric surgery were treated with the injection of ropivacaine to the anterior esophagogastric junction fat, and 15 were injected with saline as control.
The procedure was shown to be safe, and no adverse events nor side effects were encountered. A non-statistically significant trend toward the use of a non-opioid analgesia was documented during the first postoperative hours.
Visceral block is a safe and feasible intraoperative procedure. A trend toward its efficacy warrants future larger scale studies. |
| format | Article |
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To determine the safety and efficacy of a new intra-abdominal anesthetic technique performed during laparoscopic bariatric operations: visceral block.
During this prospective randomized double-blinded pilot study, 16 patients undergoing bariatric surgery were treated with the injection of ropivacaine to the anterior esophagogastric junction fat, and 15 were injected with saline as control.
The procedure was shown to be safe, and no adverse events nor side effects were encountered. A non-statistically significant trend toward the use of a non-opioid analgesia was documented during the first postoperative hours.
Visceral block is a safe and feasible intraoperative procedure. A trend toward its efficacy warrants future larger scale studies.</description><identifier>ISSN: 1565-1088</identifier><identifier>PMID: 39254407</identifier><language>eng</language><publisher>Israel</publisher><subject>Adult ; Anesthetics, Local - administration & dosage ; Bariatric Surgery - adverse effects ; Bariatric Surgery - methods ; Double-Blind Method ; Female ; Humans ; Laparoscopy - methods ; Male ; Middle Aged ; Nerve Block - methods ; Obesity, Morbid - surgery ; Pain, Postoperative - drug therapy ; Pain, Postoperative - etiology ; Pain, Postoperative - prevention & control ; Pilot Projects ; Prospective Studies ; Ropivacaine - administration & dosage ; Treatment Outcome</subject><ispartof>The Israel Medical Association journal, 2024-09, Vol.26 (8), p.483</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39254407$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Farraj, Moaad</creatorcontrib><creatorcontrib>Waksman, Igor</creatorcontrib><creatorcontrib>Arzumanov, Tatyana</creatorcontrib><creatorcontrib>Vakarev, Anna</creatorcontrib><creatorcontrib>Hussein, Hisham</creatorcontrib><creatorcontrib>Bramnick, Zakhar</creatorcontrib><creatorcontrib>Dar, Ron</creatorcontrib><title>Visceral Block in Bariatric Surgery: A Pilot Double Blind Randomized Clinical Study</title><title>The Israel Medical Association journal</title><addtitle>Isr Med Assoc J</addtitle><description>Local anesthetics are used in various sites and mechanisms to maximize perioperative analgesia and reduce opioid use and side effects. Pain management in the bariatric setting is challenging and the efficacy of local anesthetics intraoperatively is under current evaluation.
To determine the safety and efficacy of a new intra-abdominal anesthetic technique performed during laparoscopic bariatric operations: visceral block.
During this prospective randomized double-blinded pilot study, 16 patients undergoing bariatric surgery were treated with the injection of ropivacaine to the anterior esophagogastric junction fat, and 15 were injected with saline as control.
The procedure was shown to be safe, and no adverse events nor side effects were encountered. A non-statistically significant trend toward the use of a non-opioid analgesia was documented during the first postoperative hours.
Visceral block is a safe and feasible intraoperative procedure. A trend toward its efficacy warrants future larger scale studies.</description><subject>Adult</subject><subject>Anesthetics, Local - administration & dosage</subject><subject>Bariatric Surgery - adverse effects</subject><subject>Bariatric Surgery - methods</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Humans</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nerve Block - methods</subject><subject>Obesity, Morbid - surgery</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Pain, Postoperative - etiology</subject><subject>Pain, Postoperative - prevention & control</subject><subject>Pilot Projects</subject><subject>Prospective Studies</subject><subject>Ropivacaine - administration & dosage</subject><subject>Treatment Outcome</subject><issn>1565-1088</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kEtLxDAYRbNQnHH0L0iWbgp5N3U3U58woFh1W9Lkq0TTh2m7qL_eiuPqwuVw4N4jtKZSyYQSrVfodBg-CGFSkuwErXjGpBAkXaPizQ8Wogl4Fzr7iX2LdyZ6M0ZvcTHFd4jzFd7iJx-6EV93UxVgQX3r8LNpXdf4b3A4XwpvF0kxTm4-Q8e1CQOcH3KDXm9vXvL7ZP9495Bv90lPBR0TxQkorVmtMkqVVUpUDJQDwjMliaxqkgpHmKHEaWlEKoAbYx0DDaZmnPMNuvzz9rH7mmAYy-Z3TAimhW4aSk4JEykTmVjQiwM6VQ24so--MXEu_4_gP3EkV3A</recordid><startdate>202409</startdate><enddate>202409</enddate><creator>Farraj, Moaad</creator><creator>Waksman, Igor</creator><creator>Arzumanov, Tatyana</creator><creator>Vakarev, Anna</creator><creator>Hussein, Hisham</creator><creator>Bramnick, Zakhar</creator><creator>Dar, Ron</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>202409</creationdate><title>Visceral Block in Bariatric Surgery: A Pilot Double Blind Randomized Clinical Study</title><author>Farraj, Moaad ; Waksman, Igor ; Arzumanov, Tatyana ; Vakarev, Anna ; Hussein, Hisham ; Bramnick, Zakhar ; Dar, Ron</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-630e6882f69116c664b2e6de0396505bf074d02a10d85a474e3aacd2e8eaf2333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Anesthetics, Local - administration & dosage</topic><topic>Bariatric Surgery - adverse effects</topic><topic>Bariatric Surgery - methods</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Humans</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nerve Block - methods</topic><topic>Obesity, Morbid - surgery</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Pain, Postoperative - etiology</topic><topic>Pain, Postoperative - prevention & control</topic><topic>Pilot Projects</topic><topic>Prospective Studies</topic><topic>Ropivacaine - administration & dosage</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Farraj, Moaad</creatorcontrib><creatorcontrib>Waksman, Igor</creatorcontrib><creatorcontrib>Arzumanov, Tatyana</creatorcontrib><creatorcontrib>Vakarev, Anna</creatorcontrib><creatorcontrib>Hussein, Hisham</creatorcontrib><creatorcontrib>Bramnick, Zakhar</creatorcontrib><creatorcontrib>Dar, Ron</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The Israel Medical Association journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Farraj, Moaad</au><au>Waksman, Igor</au><au>Arzumanov, Tatyana</au><au>Vakarev, Anna</au><au>Hussein, Hisham</au><au>Bramnick, Zakhar</au><au>Dar, Ron</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Visceral Block in Bariatric Surgery: A Pilot Double Blind Randomized Clinical Study</atitle><jtitle>The Israel Medical Association journal</jtitle><addtitle>Isr Med Assoc J</addtitle><date>2024-09</date><risdate>2024</risdate><volume>26</volume><issue>8</issue><spage>483</spage><pages>483-</pages><issn>1565-1088</issn><abstract>Local anesthetics are used in various sites and mechanisms to maximize perioperative analgesia and reduce opioid use and side effects. Pain management in the bariatric setting is challenging and the efficacy of local anesthetics intraoperatively is under current evaluation.
To determine the safety and efficacy of a new intra-abdominal anesthetic technique performed during laparoscopic bariatric operations: visceral block.
During this prospective randomized double-blinded pilot study, 16 patients undergoing bariatric surgery were treated with the injection of ropivacaine to the anterior esophagogastric junction fat, and 15 were injected with saline as control.
The procedure was shown to be safe, and no adverse events nor side effects were encountered. A non-statistically significant trend toward the use of a non-opioid analgesia was documented during the first postoperative hours.
Visceral block is a safe and feasible intraoperative procedure. A trend toward its efficacy warrants future larger scale studies.</abstract><cop>Israel</cop><pmid>39254407</pmid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1565-1088 |
| ispartof | The Israel Medical Association journal, 2024-09, Vol.26 (8), p.483 |
| issn | 1565-1088 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3102472494 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult Anesthetics, Local - administration & dosage Bariatric Surgery - adverse effects Bariatric Surgery - methods Double-Blind Method Female Humans Laparoscopy - methods Male Middle Aged Nerve Block - methods Obesity, Morbid - surgery Pain, Postoperative - drug therapy Pain, Postoperative - etiology Pain, Postoperative - prevention & control Pilot Projects Prospective Studies Ropivacaine - administration & dosage Treatment Outcome |
| title | Visceral Block in Bariatric Surgery: A Pilot Double Blind Randomized Clinical Study |
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