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
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Total morphine consumption
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 60 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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).
研究组 & 干预措施
Group A : erector spinae block.
patients will receive bilateral ultrasound guided erector spinae block.
干预措施: erector spinae plane block (Procedure)
Group B : transversus abdominis plane block.
patients will receive bilateral ultrasound guided transversus abdominis plane block.
干预措施: transversus abdominis plane block (Procedure)
结局指标
主要结局
Total morphine consumption
时间窗: 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
时间窗: 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
时间窗: 24 hours postoperative
the time for first call rescue analgesia
次要结局
- Recognize the adverse effects(24 hours postoperative)
- Patient satisfaction(24 hours postoperative)
研究者
Israa Ihab Abdel Aziz
assistant lecturer
Ain Shams University