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A Comparative Study of Effectiveness of Ultrasound Guided Posterior Transversus Abdominis Plane(TAP) Block Vs Epidural Analgesia For Postoperative Pain Relief in Lower Abdominal Surgeries.

Not yet recruiting
Conditions
Benign prostatic hyperplasia without lower urinary tract symptoms, (2) ICD-10 Condition: K400||Bilateral inguinal hernia, with obstruction, without gangrene, (3) ICD-10 Condition: N813||Complete uterovaginal prolapse,
Registration Number
CTRI/2019/09/021391
Lead Sponsor
NA
Brief Summary

70 PATIENTS OF AGE 18 TO 80 YEARS OF BOTH SEXES UNDERGOING LOWER ABDOMINAL SURGERY WILL RANDOMLY ASSIGNED INTO TWO GROUPS (GROUP A & GROUP B) FOR POSTOPERATIVE ANALGESIA USING ULTRASONOGRAPHY GUIDED POSTERIOR TRANSVERSUS ABDOMINS PLANE BLOCK AND EPIDURAL BLOCK .EACH GROUP HAVING EQUAL NUMBER OF PATIENTS. RANDOMIZATION WILL BE DONE BY A COMPUTER GENERATED RANDOMIZATION. PATIENTS OF GROUP A WILL BE GIVEN TAP BLOCK WITH ROPIVACAINE AND PATIENTS OF GROUP B WILL BE GIVEN EPIDURAL BLOCK WITH ROPIVACAINE.

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
All
Target Recruitment
70
Inclusion Criteria

ASA GRADE I, II, Weight 50kg to 90kg, Elective Lower Abdominal Surgeries,.

Exclusion Criteria
  • Patient refusal.
  • Patients ASA grade III ,IV Age >80 years Patients on chronic opioid usage Patients with allergies to local anaesthetics Patients with significant coexisting diseases like ischemic heart disease, hypertension, cardiovascular diseases, impaired renal functions and severe liver disease.
  • Any existence of contraindications to regional anaesthesia in the presence of anti-platelet, anticoagulant drug use, bleeding/clotting disorders.
  • Evidence of any neurological impairment.
  • Cases with failed blocks.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1) TO COMPARE THE QUALITY OF ANALGESIA AND DURATION OF ANALGESIA.24 hours
2) TOTAL OPIOID CONSUMPTION IN FIRST TWENTY FOUR HOURS.24 hours
Secondary Outcome Measures
NameTimeMethod
1) TO COMPARE THE EFFECT OF TAP BLOCK ON HEMODYNAMIC PARAMETERS AND OTHER VITAL PARAMETERS IN TERMS OF HEART RATE, BLOOD PRESSURE, OXYGEN SATURATION(SPO2) AND RESPIRATORY RATE.2) POSTOPERATIVE COMPLICATIONS INCLUDING LOCAL ANESTHETIC TOXICITY,POSTOPERATIVE NAUSEA AND VOMITING,HEMODYNAMIC INSTABILITY, HEMATOMA AT THE SITE OF INJECTION ETC.

Trial Locations

Locations (1)

Mahatma Gandhi Hospital/Mathura Das Mathur Hospital

🇮🇳

Jodhpur, RAJASTHAN, India

Mahatma Gandhi Hospital/Mathura Das Mathur Hospital
🇮🇳Jodhpur, RAJASTHAN, India
Santosh Bhagasara
Principal investigator
9414112844
drsantoshbhagasara@gmail.com

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