A Study to compare the efficacy and safety of subcostal transverse abdominis plane block versus external oblique intercostal plane block as a part of multimodal analgesia among patients undergoing upper abdominal surgeries -A single blind , randomised control trial
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- 1.Duration of post operative analgesia
研究概览
简要总结
50 patients of ASA grade 1 and 2 undergoing upper abdominal surgeries under general anaesthesia are randomly allocated into 2 groups.
Group S - 25 patients receiving subcostal transverse abdominis plane block
Group E- 25 patients receiving External oblique intercostal plane block
After induction of general anesthesia, patient in supine position, under asepsis and under ultrasound guidance sono anatomy identified and block given with inj bupivacaine 0.25% 20 ml each side after negative aspiration for blood .after completion of surgery , inhalational agents discontinued, 100 % oxygen given , neuromuscular agents reversed with glyco pyrolate and neostigmine. Extubation done once patient has met extubation criteria is met..
Post operative hemodynamic monitoring , assessment of pain using VAS Scores , first rescue analgesia and total analgesic requirement in 24 hours is assessed.. data analysis done by descriptive statistics.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •1.patient willing to give informed written consent 2.American society of anesthesiologist grade 1 and 2 , 3.scheduled to undergo elective upper abdominal surgeries under general anesthesia (epigastric herniotomy, gastrectomy,open cholecystectomy, gastric perforation repair).
排除标准
- •Patient refusal to give informed written consent
- •Allergy to local anesthetics
- •Infection at the site of injection 4.coagulopathy.5.prolonged opioid medication 6.chronic liver disease, chronic renal disease and cognitive impairment.
结局指标
主要结局
1.Duration of post operative analgesia
时间窗: Immediate postoperative period, 2 hours, 6 hours 12 hours 24 hours
2.Time for requirement of first rescue analgesia
时间窗: Immediate postoperative period, 2 hours, 6 hours 12 hours 24 hours
3.post operative pain scores(VAS Scores)
时间窗: Immediate postoperative period, 2 hours, 6 hours 12 hours 24 hours
4. Total consumption of rescue analgesia in 24 hours
时间窗: Immediate postoperative period, 2 hours, 6 hours 12 hours 24 hours
次要结局
- Hemodynamic monitoring
研究者
Dr Priyanka D S
Bangalore medical college and research institute, Bangalore