The Role of Double Modality " Fluoroscopic &Ultrasonographic " Guidance of Superior Hypogastric Plexus Neurolysis in Treating Intractable Pelvic Cancer Pain: a Comparative Study.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- pain relief will be assessed by VAS
研究概览
简要总结
fluoroscopic group & includes 30 patients where SHPB will be done Fluoroscopic-guided (the posterior oblique trajectory technique.the double modality group & includes 30 patients where SHPB will be done using our described new technique of performing the modified Mishra technique by injecting 3-5 ml of contrast media (lohexol=omnipaque) after getting the target position.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age > 18 years.
- •Intractable pelvic cancer pain (VAS > 40 mm)
- •Pain is refractory to pharmacotherapy (both opioids and adjuvant therapy) or opioids' side effects are not tolerated.
排除标准
- •Local or systemic sepsis.
- •Uncorrectable coagulopathy.
- •Neuropsychiatric illness.
- •History of drug abuse.
- •Pregnant or lactating patients.
- •Distorted local anatomy.
- •Patients who are known to be allergic to the used medications.
- •Cardiovascular or respiratory instability.
研究组 & 干预措施
fluroscopic guided block
干预措施: fluroscopic guided block (Procedure)
double modality guided block
干预措施: double modality (ultrasound and fluroscopic) guided block (Procedure)
结局指标
主要结局
pain relief will be assessed by VAS
时间窗: 12 weeks
pain relief will be assessed by VAS (visual Analogue score) which is 100 mscale with left (0) end means no pain \& right (10) end means the worst possible pain
次要结局
未报告次要终点
研究者
Ahmed H Othman
Assisstant professor of Anesthesia ICU and pain Relief
Assiut University