Rhomboid Intercostal Block Versus Retrolaminar Block for Postoperative Analgesia After Thoracoscopic Sympathectomy
- Conditions
- Post Operative Pain
- Registration Number
- NCT06653803
- Lead Sponsor
- Damanhour Teaching Hospital
- Brief Summary
Background: Although thoracoscopic sympathectomy is made via small incisions, it is associated with severe postoperative pain. Both Rhomboid intercostal block (RIB) and Retrolaminar block (RLB) are recent techniques used for pain control after such procedures
Objectives: To compare the effectiveness of RIB and RLB in providing postoperative analgesia after thoracoscopic sympathectomy in adult patients and their impact on the patient's outcomes.
Patients and Methods: This prospective, randomized (1:1), double-blind clinical trial; will be carried out on 60 patients scheduled for elective thoracoscopic sympathectomy under general anesthesia at our hospital. Patients will be randomly allocated into two equal groups (30 patients each) and will receive: in group A; general anesthesia with intraoperative ipsilateral ultrasound-guided RIB, whereas in group B; general anesthesia with intraoperative ipsilateral ultrasound-guided RLB.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 60
- American Society of Anesthesiologists (ASA) physical status ≤ II
- Age from 18 to 60 years
- Body Mass Index (BMI) < 35 kg/m²
- American Society of Anesthesiologists (ASA) physical status > II
- Age < 18 years or > 60 years
- Body Mass Index (BMI) ≥ 35
- Local infection at the puncture site
- Altered mental status
- Pregnant women
- Allergy to study drugs
- Chronic pain
- Coagulation abnormalities or on anticoagulants
- Severe hepatic or kidney disease
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Mean and Standard deviation of time to the first request of postoperative rescue analgesic (minutes) (mean±SD) 24 hours after the end of surgery The time interval between the block performance and the first request of postoperative analgesia
- Secondary Outcome Measures
Name Time Method Mean and Standard deviation of Numeric Pain Rating Scale (NPRS) score (mean±SD) 24 hours after the end of surgery NPRS measures the severity of postoperative pain, it is a 11 point scale from 0-10; where 0=No pain and 10=Worst possible pain (At PACU, 1h, 3h, 6h, 12h, 18h, 24h) after the end of surgery
Mean and Standard deviation of the total dose of the rescue analgesic consumed (milligrams) (mean±SD) 24 hours after the end of surgery The total dose of the rescue analgesic consumed in the first 24 hours after the end of surgery
Trial Locations
- Locations (1)
Damanhour Teaching Hospital
🇪🇬Damanhūr, El-Beheira, Egypt