TAP Block for Bariatric Surgery
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial examines how the timing of a TAP block (a type of anesthesia that numbs the belly area) affects pain control after surgery. Researchers aim to determine if administering the TAP block before surgery improves pain management and reduces the need for pain medication, compared to administering it after surgery begins. Suitable participants include those undergoing planned abdominal surgeries, such as bariatric surgery, who can understand English well enough to follow the study procedures.
As an unphased trial, this study provides a unique opportunity to contribute to the understanding of pain management techniques for future surgical patients.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that TAP Block is safe for bariatric surgery patients?
Research has shown that the TAP block is a safe and effective method for managing post-surgical pain. Studies have found that it significantly reduces pain and the need for painkillers after abdominal surgeries. One study found that the TAP block lowered pain levels both immediately after surgery and in the following days, providing sustained relief. Another study highlighted its safety and effectiveness in reducing pain and painkiller use after weight-loss surgery, also aiding faster recovery, such as earlier mobility. While the TAP block is a safe option, discussing any concerns with a doctor is advisable.12345
Why are researchers excited about this trial?
Researchers are excited about the TAP Block technique for bariatric surgery because it offers a potentially more effective way to manage pain. Unlike traditional pain management methods that often rely on systemic opioids, the TAP Block works by directly numbing the nerves in the abdominal wall, which can significantly reduce pain after surgery. The trial is exploring whether administering the TAP Block before or after the surgical incision makes a difference in pain relief, which could lead to more personalized and effective pain management strategies. This approach not only aims to enhance patient comfort but also reduce the reliance on opioids, minimizing side effects and the risk of addiction.
What evidence suggests that TAP Block is effective for postoperative pain control in bariatric surgery?
Research has shown that the Transversus Abdominis Plane (TAP) block effectively reduces pain after abdominal surgeries. Studies have found that it decreases the need for opioids, which are strong painkillers, post-surgery. For example, one study found that patients who received a TAP block reported less pain and required less morphine, a common opioid, after stomach surgery. Another review of studies confirmed that the TAP block reduces pain and nausea on the first day after surgery. In this trial, participants will receive the TAP block either pre-incision or post-incision to evaluate its effectiveness in managing pain and reducing the use of strong pain medications after bariatric surgery. Overall, TAP blocks have proven effective in managing pain and reducing the use of strong pain medications after various types of abdominal surgeries.13678
Who Is on the Research Team?
Cheguevara Afaneh, MD
Principal Investigator
Weill Medical College of Cornell University
Are You a Good Fit for This Trial?
This trial is for English-speaking adults aged 18-65 who are scheduled for elective bariatric or other abdominal surgeries. They must be able to give informed consent. It's not open to those with cognitive impairments, pregnant women, prisoners, minors, or anyone allergic to the local anesthetics used in TAP blocks.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive TAP block either pre-incision or post-incision during elective abdominal surgeries
Postoperative Monitoring
Participants are monitored for opioid consumption and pain scores up to 90 days postoperatively
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- TAP Block
Find a Clinic Near You
Who Is Running the Clinical Trial?
Weill Medical College of Cornell University
Lead Sponsor