Effect of Bilateral Erector Spinae Plane Block on Postoperative Opioid Consumption in Open Abdominal Surgeries Under General Anaesthesia
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 46
- 试验地点
- 1
- 主要终点
- Postoperative Opioid Consumption
研究概览
简要总结
his randomized controlled trial aims to evaluate the efficacy of the bilateral erector spinae plane (ESP) block in reducing postoperative opioid consumption in patients undergoing open abdominal surgeries under general anesthesia
详细描述
Patients undergoing abdominal surgeries experience severe postoperative pain. Conventional pain management methods, including opiates, may pose significant side effects. This study addresses the imperative need for optimizing postoperative pain management by systematically investigating the analgesic effects and complications associated with the bilateral ESP block. The study involves 46 patients allocated into two groups using a lottery method: a control group receiving standard pain control treatment, and an erector spinae block group receiving a bilateral ESP block in addition to standard pain control treatment. Pain intensity will be evaluated using a visual analogue scale (VAS) at 4, 8, 12, and 24 hours after the operation.
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
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •American Society of Anesthesiology (ASA) stage I-II.
- •Scheduled for abdominal surgery due to any indication.
排除标准
- •History of Diabetes
- •History of neuropathic diseases
- •History of gastrointestinal bleeding, peptic ulcer, or inflammatory bowel disease
- •History of long-term nonsteroidal anti-inflammatory
- •History of chronic opioid analgesic use
- •History of severe hepatic or renal failure
研究组 & 干预措施
Control Group
Patients receiving standard pain control treatment. Postoperatively, patients receive 1000 mg of IV paracetamol every 6 hours. If a patient reports a Visual Analogue Score (VAS) exceeding five, they will receive rescue analgesia consisting of nalbuphine 4mg
干预措施: Standard Postoperative Analgesia (Drug)
Erector Spinae Block Group
Patients receiving bilateral ESP block in addition to standard pain control treatment
干预措施: Bilateral Erector Spinae Plane (ESP) Block (Procedure)
Erector Spinae Block Group
Patients receiving bilateral ESP block in addition to standard pain control treatment
干预措施: Standard Postoperative Analgesia (Drug)
结局指标
主要结局
Postoperative Opioid Consumption
时间窗: Within the first 24 hours after surgery
Assessed by the percentage of patients requiring rescue opioid analgesia. The need for rescue analgesia is determined by a Visual Analogue Score (VAS) greater than five
次要结局
未报告次要终点
研究者
Fatima Majeed
Principal Investigator
Fatima Memorial Hospital