Evaluating the need for Rescue Analgesia with US-Guided External Oblique Intercostal (EOI) Block versus US-Guided Subcostal Transversus Abdominis (TAP) Block in Patients Undergoing Laparoscopic Cholecystectomy. A Prospective Randomised Controlled Trial
Overview
- Phase
- Phase 3
- Status
- Not yet recruiting
- Sponsor
- Dr Abha Singh
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Time to first rescue dose of Tramadol.
Overview
Brief Summary
This study focus on pain relief and need of rescue analgesia in patients after laproscopic cholecystectomy with the help of fascial plane block. this study will compare two blocks that is external oblique intercostal block with subcostal transverse abdominis plane block using 0.2 percentage ropovacaine with 2 percentage lignocaine 15 ml total drug in terms of better pain relief at the set interval of 1,6,12 ,18,24 hours after surgery. patient satisfaction level will be judged with help of likerts scale.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant and Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 75.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •age 18 to 65 willing to give informed consent asa grade 1 and 2 elective surgery.
Exclusion Criteria
- •age less than 18 and above 65 Allergy to local anaesthetics.
- •Coagulopathy BMI more than 30 Kg/m2 Infection at block site.
- •Chronic opioid use or analgesic therapy Cognitive impairment.
- •Severe Renal & Liver dysfunction.
- •Pregnancy & lactating Conversion to open cholecystectomy.
Outcomes
Primary Outcomes
Time to first rescue dose of Tramadol.
Time Frame: 24 hours
Total Tramadol consumption within 24 hours postoperatively.
Time Frame: 24 hours
Secondary Outcomes
- NRS pain scores at the set intervals:1 ,6, 12, 18, 24 hours postoperatively.
- Incidence of PONV, neurovascular injury, block failure, hematoma , pneumothorax or LAST.
- Patient satisfaction level using Likert scale.(24 hours)
Investigators
DR ABHA SINGH
United institute of medical sciences Prayagraj