Comparison Between Erector Spinae Plane Block and Transversus Abdominis Plane Block on Postoperative Analgesia After Total Abdominal Hysterectomy

Not Applicable

Recruiting

• Conditions: Uterine Diseases
• Interventions: Procedure: erector spinae plane block; Procedure: transversus abdominis plane block

• Registration Number: NCT05533710
• Lead Sponsor: Ain Shams University

Brief Summary

This study aims to compare the ultrasound-guided bilateral erector spinae block versus the ultrasound-guided bilateral transversus abdominis plane block on postoperative analgesia after total abdominal hysterectomy.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-08-28
• Status Verified: 2022-09
• Study First Submitted: 2022-09-03
• Study First Submitted QC: 2022-09-07
• Last Update Submitted: 2022-09-07
• Study First Posted: 2022-09-09
• Last Update Posted: 2022-09-09
• Primary Completion: 2023-06
• Study Completion: 2023-08

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 40

Inclusion Criteria

1. Patients American Society of Anesthesiologists physical status (ASA) I and II.
2. Female sex.
3. Age between 40 to 60 years old.
4. Scheduled for elective total abdominal hysterectomy surgeries.

Exclusion Criteria

1. Patient's refusal.
2. Patients who received long-acting opioids preoperatively.
3. Patients with bleeding disorders and coagulopathy.
4. Infection at the injection site.
5. Allergy to local anesthetics.
6. Patients with significant cognitive dysfunction.
7. Patients with diabetic neuropathy.
8. Patients with uncontrolled hypertension or diabetes.
9. Patients with advanced cardiac, respiratory, hepatic or renal disease.
10. Patients with viral hepatitis or HIV.
11. Surgeries which have been complicated or prolonged (more than 150 mins).

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group A : erector spinae block.	erector spinae plane block	patients will receive bilateral ultrasound guided erector spinae block.
Group B : transversus abdominis plane block.	transversus abdominis plane block	patients will receive bilateral ultrasound guided transversus abdominis plane block.

Primary Outcome Measures

Name	Time	Method
Total morphine consumption	24 hours postoperative	Compare postoperative pain intensity using the total amount of morphine consumption in the first 24 hours after the operation, and the time for first call rescue analgesia
Visual Analog Scale Score	24 hours postoperative	Compare postoperative pain intensity using VAS score in the first 24 hours after the operation.The VAS score is a 10-cm line labeled with "worst pain imaginable" on the right border, and "no pain" on the left border (ranging from 0 by indicating no pain to 10 indicating extreme pain).
The time for first call rescue analgesia	24 hours postoperative	the time for first call rescue analgesia

Secondary Outcome Measures

Name	Time	Method
Patient satisfaction	24 hours postoperative	Measure patient satisfaction by asking the patient if he is satisfied or not "yes or no"
Recognize the adverse effects	24 hours postoperative	Recognize the adverse effects

Trial Locations

Locations (1)

Ain Shams University; 🇪🇬 Cairo, Egypt