Title
LaGRA Trial in Laparoscopic Cholecystectomy
Laparoscopic Guided Regional Analgesia (LaGRA) Reduces Post Operative Pain After Laparoscopic Cholecystectomy - a Randomised, Controlled Trial.
Phase
Phase 4Lead Sponsor
Government of IrelandStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Regional Anesthesia Morbidity Gallbladder Stone PainIntervention/Treatment
Levobupivacaine ...Study Participants
76This study investigated the effectiveness of a surgeon administered, laparoscopic guided, regional anaesthesia technique.
A prospective, double blind, randomised controlled trial was performed. Consenting patients undergoing laparoscopic cholecystectomy were randomised, by envelope, to a laparoscopic guided 2-point blockade (subcostal transversus abdominis plane and rectus sheath) using either Chirocaine® 2.5mg/ml (LaGRA) or 0.9% Saline (Placebo) after specimen extraction.
Primary endpoints were post-operative pain in the first 6 hours. Secondary endpoints were analgesic/anti-emetic usage and day case and re-admission rates. Data was analysed using GraphPad Prism (V7).
Levobupivacaine injection to Transversus abdominis plane and rectus sheath
Saline injection to Transversus abdominis plane and rectus sheath
regional anaesthesia of the right upper quadrant by injection of levobupivacaine 0.25% to the transversus abdominis plane and the rectus sheath under laparoscopic guidance immediately following specimen removal
Sham regional anaesthesia of the right upper quadrant by injection of Saline 0.9% to the transversus abdominis plane and the rectus sheath under laparoscopic guidance immediately following specimen removal
Inclusion Criteria: Patients undergoing laparoscopic cholecystectomy ASA I, II or III Exclusion Criteria: Patients that don't consent to be included Allergy to levobupivacaine