Management of Acute Appendicitis Pain in the Emergency Department

Launched by ANKARA CITY HOSPITAL BILKENT · Jan 29, 2025

Keywords

ClinConnect Summary

This clinical trial is looking at how to manage pain for patients with acute appendicitis who need emergency surgery. Specifically, the study is comparing three different methods: a TAP block, an ESP block, and tramadol (a type of pain medication). The goal is to see which method helps reduce pain before surgery, making the experience more comfortable for patients.

To participate in this trial, you need to be at least 18 years old and able to give your written consent. However, there are some conditions that would exclude you from participating, such as having certain medical issues, allergies to local anesthetics, or being pregnant. If you join the study, you can expect to receive one of the pain management methods before your surgery, and researchers will monitor how well it works. This research aims to improve pain control for patients like you in emergency situations, helping to ensure a better experience during a challenging time.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients aged 18 years and older
• • Patients who provide written consent
• Exclusion Criteria:
• • Patients with abdominal wall anatomical abnormalities
• • Patients with known local anesthetic allergies
• • Patients with a BMI \>30
• • Patients weighing less than 45 kg
• • Patients with coagulopathy
• • Patients with opioid, alcohol, or substance dependence
• • Patients with skin infections at the site of local anesthetic administration
• • Pregnant or breastfeeding patients
• • Hemodynamically unstable patients
• • Patients with liver or kidney failure
• • Patients with chronic pain conditions
• • Patients who have difficulty cooperating or have language barriers
• • Patients who do not provide written consent
• • Patients under 18 years of age