Transversus Abdominis Plane (TAP) Block and Erector Spinae Plane (ESP) Block Comparison on Postoperative Pain and the Need for Morphine in Gynecological Surgery Patients Who Underwent Median Incision in Hasan Sadikin General Hospital

Universitas Padjadjaran1 site in 1 country40 target enrollmentDecember 27, 2022

ConditionsNerve Block Pain, Postoperative

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Nerve Block
Sponsor: Universitas Padjadjaran
Enrollment: 40
Locations: 1
Primary Endpoint: Postoperative Numerical Rating Scale
Status: Completed
Last Updated: 2 years ago

Overview Investigators Eligibility Criteria Outcomes Sites Similar Trials

Overview

Brief Summary

The goal of this double blind randomized controlled trial is to compare transversus abdominis plane block and erector spinae plane block in gynecological surgery patients. The main questions it aims to answer are:

What are the numerical post-operative pain scores in these two groups?
Is there any significant difference in the numerical post-operative pain scores between subjects who underwent TAP block and subjects who underwent ESP block?
What are the differences in the time needed for additional morphine in these two groups?
Is there any significant differences in the time needed for additional morphine between subjects who underwent TAP block and subjects who underwent ESP block?

Registry

clinicaltrials.gov

Start Date

December 27, 2022

End Date

March 26, 2023

Last Updated

2 years ago

Study Type

Interventional

Study Design

Parallel

Sex

Female

Investigators

Sponsor

Universitas Padjadjaran

Responsible Party

Sponsor

Eligibility Criteria

Inclusion Criteria

•Subjects with gynecological surgery techniques with a median incision include: hysterectomy, myomectomy, salpingectomy, ovarectomy and ovarian cystectomy.
•Subjects with physical status based on the American Society of Anesthesiologists (ASA) in categories I-II
•Subjects who are willing to sign informed consent form.

Exclusion Criteria

•The patient has a history of allergies to local anesthetic drugs used for TAP blockade or ESP blockade and is allergic to morphine.
•Patients who have skin infections at the injection site.
•Patients with a history of chronic pain, namely a history of pain for more than 1 month obtained from history taking.
•Patients with a history of chronic pain treatment obtained from history taking.
•Patients with impaired kidney function (Ureum \>39 mg/dL; Creatinine \>1.3 mg/dL) and liver (SGOT \>37 U/L; SGPT \>59 U/L), myopathy, coagulopathy obtained from the results of supporting examinations, heart rhythm disorders obtained from the results of an EKG examination and neurological disorders in the form of hypesthesia or paraesthesia obtained from the results of a physical examination in the form of a sensory examination.
•The patient is pregnant as determined by history taking.
•Patients who are illiterate as obtained from history taking.
•The patient was uncooperative during examination.

Outcomes

Primary Outcomes

Postoperative Numerical Rating Scale

Time Frame: 24 hours post operative

The degree of pain assessment is classified based on the Numeric Rating Scale pain assessment scale) with the lowest scale being no pain (value 0), up to the heaviest pain scale (value 10) when still, namely when the patient does not make any movement and moves, namely when mobilization is carried out on the left side and right tilt