Anterior Abdominal Blocks for Postoperative Pain Control in Obese Patients

Not Applicable

Completed

• Conditions: Postoperative Pain
• Interventions: Procedure: Surgical Transversus Abdominis Plane Block; Procedure: Surgical Rectus Sheath Block

• Registration Number: NCT03732027
• Lead Sponsor: Ain Shams University

Brief Summary

The purpose of this study is to compare between two surgical techniques for anterior abdominal wall blocks in obese patients Undergoing Major Gynecological Surgery: Surgical Transversus Abdominis Plane \[TAP\] block versus Rectus Sheath block as regards the efficacy and adverse effects

Detailed Description

Not available

Basic Information
|
Recruitment & Eligibility
|
Study & Design
|
Trial Locations

Study Timeline

• Study Start: 2018-10-23
• Study First Submitted: 2018-11-03
• Study First Submitted QC: 2018-11-05
• Study First Posted: 2018-11-06
• Primary Completion: 2020-01-23
• Study Completion: 2020-01-23
• Status Verified: 2021-08
• Last Update Submitted: 2021-08-19
• Last Update Posted: 2021-08-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• female patients
• undergoing major gynecological surgery with supraumbilical midline incision the first time
• Body mass index (BMI) more than 40.

Read More

Exclusion Criteria

• patient refusal to participate in the study,
• reoperation,
• addiction
• alcohol abuse
• hypersensitivity or allergy to the study drugs

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Transversus Abdominis Block [TB] group	Surgical Transversus Abdominis Plane Block	Patients will receive Surgical Transversus Abdominis Plane Block
Rectus Sheath Block [RB] group	Surgical Rectus Sheath Block	Patients will receive Surgical Rectus Sheath Block

Primary Outcome Measures

Name	Time	Method
Total dose of morphine consumption	First 24 hours postoperatively

Secondary Outcome Measures

Name	Time	Method
Numerical rate scale	First 24 hours postoperatively	Postoperative pain will be assessed at rest and coughing using numerical rate scale (NRS) patients are asked to rate their pain on a scale from 0 to 10, where 0 represents "no pain" and 10 represents "the worst pain possible,".
Postoperative respiratory functions	First 24 hours postoperatively	will be measured using incentive spirometer. Patients were asked to do sustained maximal inspiration (SMI) three times. Then average SMI will be recorded. They will be instructed prior to induction of general anesthesia about the usage of incentive spirometer then a basal measurement will be obtained. After recovery, measurement will be obtained on 60 min, 6 hours, 12 hrs and 24 hrs.

Trial Locations

Locations (1)

Ain Shams University hospitals; 🇪🇬 Cairo, Egypt