Laparoscopic Transversus Abdominis Plane Block Versus Erector Spinae Plane Block in Obese Patients Undergoing Bariatric Surgery: a Randomized Controlled Trial
Overview
- Phase
- N/A
- Intervention
- Bariatric surgery
- Conditions
- Pain, Postoperative
- Sponsor
- Cairo University
- Enrollment
- 96
- Locations
- 1
- Primary Endpoint
- Numerical rating scale
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The aim of this work is to compare the analgesic efficacy of laparoscopic transversus abdominis plane block, performed by the surgeon to ultrasound-guided erector spinae plane block, performed by the anesthetist, in patients with obesity undergoing bariatric surgery.
Detailed Description
This is a randomized controlled trial which will include patients with obesity undergoing bariatric surgery. The patients will be randomly allocated into two groups: transversus abdominis plane block group and erector spinae plane block group. The block will be performed after induction of general anesthesia. Preoperative evaluation and preparation will include history-taking, laboratory investigation, fasting recommendations, and optimization of the medical status. The two groups will receive standard induction and maintenance of anesthesia. After the end of the operation, patients will receive standard care according to the local protocols and the enhanced recovery recommendations. Patients will be monitored according to the pain-related outcomes as well as hemodynamic parameters.
Investigators
Ahmed Hasanin
Professor
Cairo University
Eligibility Criteria
Inclusion Criteria
- •Patients with obesity undergoing laparoscopic bariatric surgery under general anesthesia.
Exclusion Criteria
- •Allergy to local anaesthetic.
- •Bleeding disorders.
- •Obstructive sleep apnea.
- •inability to understand the numerical rating scale for pain assessment.
Arms & Interventions
Transversus abdominis block
Patients in this group will receive Transversus Abdominis block guided by the laparoscope at the beginning of surgery.
Intervention: Bariatric surgery
Transversus abdominis block
Patients in this group will receive Transversus Abdominis block guided by the laparoscope at the beginning of surgery.
Intervention: Endotracheal intubation
Transversus abdominis block
Patients in this group will receive Transversus Abdominis block guided by the laparoscope at the beginning of surgery.
Intervention: Transversus abdominis block
Transversus abdominis block
Patients in this group will receive Transversus Abdominis block guided by the laparoscope at the beginning of surgery.
Intervention: Propofol
Erector spinae block
Patients in this group will receive Erector Spinae block guided by the ultrasound after induction of anesthesia.
Intervention: Erector spinae block
Erector spinae block
Patients in this group will receive Erector Spinae block guided by the ultrasound after induction of anesthesia.
Intervention: Bariatric surgery
Erector spinae block
Patients in this group will receive Erector Spinae block guided by the ultrasound after induction of anesthesia.
Intervention: Endotracheal intubation
Erector spinae block
Patients in this group will receive Erector Spinae block guided by the ultrasound after induction of anesthesia.
Intervention: Propofol
Outcomes
Primary Outcomes
Numerical rating scale
Time Frame: 24 hours after surgery
This is a scale for pain assessment which ranges between 0 and 10 with the highest level of pain having score 10 and lowest level of pain having score 0
Secondary Outcomes
- Consumption of analgesia(24 hours after surgery)
- Heart rate(24 hours after surgery)
- Vomiting(24 hours)
- Systolic blood pressure(24 hours after surgery)
- Diastolic blood pressure(24 hours)