Comparison of peripheral regional blocks with ultrasonography for post operative pain relief in laparoscopic cholecystectomy patients

Phase 3

Completed

Registration Number: CTRI/2020/10/028603

Lead Sponsor: Dr Asha Devanand

Brief Summary: Laparoscopic cholecystectomy is a frequently done minimally invasive surgery. It causes moderate to severe post operative pain. This pain has three components. Somatic pain, local visceral pain and referred visceral pain. Laparoscopic cholecystectomy leads to somatic pain from the supraumbilical abdominal area and visceral pain due to pneumoperitoneum and surgical manipulation.Ultrasound guided erector spinae plane block (ESPB) is a recently described technique targeting the ventral rami, dorsal rami and rami communicantes of spinal nerves. It is an effective method for the blockage of both somatic and visceral pain and easier to perform compared to neuraxial, nerve plexus, and targeted nerve blocks. OSTAP leads to only blockage of somatic pain and the deeper fibres of the anterior and lateral cutaneous branches of 7th to 11th thoracic intercostal nerves which partially innervate the parietal peritoneum because of which it has an effect on visceral pain.

In this study we aim to compare the analgesic efficacy of oblique subcostal transverus abdominis block and erector spinae plane block.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 80

Inclusion Criteria

patients undergoing laparoscopic cholecystectomy.

Exclusion Criteria

patient refusal, ASA III-IV, contraindication to regional anaesthesia, bleeding diathesis use of anticoagulants, hypertension, known allergy to local anaesthetics, advanced hepatic or renal failure, advanced psychiatric illness, obesity- bmi>35kg/m2.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
analgesic efficacy to be measured by numeric rating scale	at the end of surgery as block given to 24 hours postoperatively

Secondary Outcome Measures

Name	Time	Method
total rescue analgesic consumption in 24 hours, hemodynamic parameters and any complications	postoperative 20 minutes after giving block to 24 hours follow up

Trial Locations

Locations (1): General surgery operation theater
🇮🇳
Ahmadabad, GUJARAT, India
General surgery operation theater
🇮🇳Ahmadabad, GUJARAT, India
Dr Asha Devanand
Principal investigator
8921097072
ashadevanand@gmail.com