Comparative Study Between Bilateral Ultrasound-Guided Erector Spinae Plane Block Versus Bilateral Ultrasound-Guided Transversus Abdominis Plane Block on Postoperative Analgesia After Total Abdominal Hysterectomy
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Ain Shams University
- Enrollment
- 40
- Locations
- 2
- Primary Endpoint
- Total morphine consumption
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 40 Years to 60 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients American Society of Anesthesiologists physical status (ASA) I and II.
- •Female sex.
- •Age between 40 to 60 years old.
- •Scheduled for elective total abdominal hysterectomy surgeries.
Exclusion Criteria
- •Patient's refusal.
- •Patients who received long-acting opioids preoperatively.
- •Patients with bleeding disorders and coagulopathy.
- •Infection at the injection site.
- •Allergy to local anesthetics.
- •Patients with significant cognitive dysfunction.
- •Patients with diabetic neuropathy.
- •Patients with uncontrolled hypertension or diabetes.
- •Patients with advanced cardiac, respiratory, hepatic or renal disease.
- •Patients with viral hepatitis or HIV.
- •Surgeries which have been complicated or prolonged (more than 150 mins).
Outcomes
Primary Outcomes
Total morphine consumption
Time Frame: 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
Time Frame: 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
Time Frame: 24 hours postoperative
the time for first call rescue analgesia
Secondary Outcomes
- Patient satisfaction(24 hours postoperative)
- Recognize the adverse effects(24 hours postoperative)
Investigators
Israa Ihab Abdel Aziz
assistant lecturer
Ain Shams University