protocolSection identificationModule nctId: NCT06274307, orgStudyIdInfo id: IRB-21-10-4045, briefTitle: Efficacy of Transversus Abdominis Plane Block, statusModule overallStatus: RECRUITING, startDateStruct date: 2023-06-22, primaryCompletionDateStruct date: 2024-07-01, completionDateStruct date: 2024-09-01, studyFirstPostDateStruct date: 2024-02-23, lastUpdatePostDateStruct date: 2024-02-23, sponsorCollaboratorsModule leadSponsor name: Justin Hruska, class: OTHER, descriptionModule briefSummary: This study aims to assess the efficacy of Transversus Abdominus Plane (TAP) blocks, a well-established anesthetic technique, to decrease the amount of post-operative pain in patients who undergo minimally invasive gynecologic surgeries. During minimally invasive gynecologic surgeries, the abdomen is inflated with pressurized air for visualization purposes and released at the end of the surgery. Traditionally, TAP blocks are performed by injecting long-acting local anesthetic agents under ultrasound guidance into the abdominal wall after abdominal surgery after the air has been emptied from the abdomen for additional anesthetic coverage post-operatively. This study proposes a novel approach: that performing TAP blocks while the abdomen is still insufflated will result in better post-operative pain outcomes as compared to the traditional method., conditionsModule conditions: Anesthesia, Local, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, interventionModelDescription: The treatment group (Group 1) will have a transversus abdominis plane (TAP) block performed with an insufflated abdomen in the operating room. The control group (Group 2) will receive the traditionally performed standard of care TAP block performed in the post-anesthesia care unit, primaryPurpose: TREATMENT, maskingInfo masking: DOUBLE, maskingDescription: The patient will be unaware of their grouping allotment. The outcomes assessor will be unaware of the patient grouping allotment., whoMasked: PARTICIPANT, whoMasked: OUTCOMES_ASSESSOR, enrollmentInfo count: 120, type: ESTIMATED, armsInterventionsModule interventions name: Transversus abdominis plane block, outcomesModule primaryOutcomes measure: Time to perform TAP Block, primaryOutcomes measure: TAP block attempts, primaryOutcomes measure: Pain Score Visual Analog Scale (VAS) 0 Hours Post Surgery, primaryOutcomes measure: Pain Score Visual Analog Scale (VAS) 1 Hours Post Surgery, primaryOutcomes measure: Pain Score Visual Analog Scale (VAS) 2 Hours Post Surgery, primaryOutcomes measure: Pain Score Visual Analog Scale (VAS) 4 Hours Post Surgery, primaryOutcomes measure: Pain Score Visual Analog Scale (VAS) 24 Hours Post Surgery, primaryOutcomes measure: Postoperative Opioid Consumption, primaryOutcomes measure: Ease of performing TAP Block-anatomical plane visualization, primaryOutcomes measure: Ease of performing TAP Block-performance efficacy, primaryOutcomes measure: Patient satisfaction, eligibilityModule sex: FEMALE, minimumAge: 18 Years, maximumAge: 85 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Detroit Medical Center Detroit Receiving Hospital, status: RECRUITING, city: Detroit, state: Michigan, zip: 48201, country: United States, contacts name: George M McKelvey, PhD, role: CONTACT, phone: 313-598-6036, email: gmckelve@dmc.org, contacts name: Justin Hruska, M.D., role: PRINCIPAL_INVESTIGATOR, geoPoint lat: 42.33143, lon: -83.04575, locations facility: Detroit Medical Center, Harper University Hospital, status: RECRUITING, city: Detroit, state: Michigan, zip: 48201, country: United States, contacts name: George M McKelvey, PhD, role: CONTACT, phone: 313-598-6036, email: gmckelve@dmc.org, contacts name: Justin Hruska, MD, role: PRINCIPAL_INVESTIGATOR, geoPoint lat: 42.33143, lon: -83.04575, hasResults: False