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.
- 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
ASA GRADE I, II, Weight 50kg to 90kg, Elective Lower Abdominal Surgeries,.
- 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
Name Time Method 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
Name Time Method 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, IndiaSantosh BhagasaraPrincipal investigator9414112844drsantoshbhagasara@gmail.com