Ultrasound Guided Oblique Subcostal Transversus Abdominis Plane Block(TAP) Versus Both Subcostal and Posterior TAP Block as Postoperative Analgesia in Hepatectomy
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Ain Shams University
- Enrollment
- 40
- Primary Endpoint
- postoperative analgesia (VAS) during the 1st 24 hours in ICU
Study Overview
Brief Summary
Inadequately managed acute pain following abdominal surgery originates from somatic pain signals in the abdominal wall and is linked to various unfavorable postoperative outcomes. These consequences encompass patient distress, respiratory complications, delirium, myocardial ischemia, extended hospital stays, an elevated risk of chronic pain, heightened analgesic consumption, delayed bowel function, and an increased need for rescue analgesics.
This study aims to assess the postoperative analgesic efficacy of ultrasound-guided Transversus Abdominis Plane (TAP) block using oblique subcostal and posterior approaches in hepatectomy.
Detailed Description
Pain control is vital to achieve enhanced recovery after abdominal surgeries . TAP block had been demonstrated to improve pain related outcomes after abdominal surgeries.
Postoperative pain management for patients undergoing hepatic resection is a challenge due to the risk of perioperative liver dysfunction.TAP block is a promising regional analgesic technique. This study aimed to evaluate the effect of US-guided subcostal approach versus combination of both subcostal and posterior approaches of TAP block
The patients will be randomly divided into two groups :
group A will recieve oblique subcostal TAP block and group B will recieve both subcostal and posterior TAP block .
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •ASA I and II patients. aged 18 to 50 years. 70 to 80 kg.
Exclusion Criteria
- •patients under 18 years of age.
- •History of Allergic reactions to study drugs.
- •Opioid or analgesic abuse, and chronic treatment with opioids, or non-steroidal anti-inflammatory drugs.
- •History of bleeding tendency or coagulopathy .
Arms & Interventions
Group A
Group A received ultrasound guided subcostal TAP block with 30 ml of local anesthetics and additives
Intervention: ultrasound guided subcostal TAP block (Procedure)
Group B
Group B received ultrasound guided both subcostal and posterior TAP block with 30 ml of local anesthetics and additives at each side
Intervention: ultrasound guided combined posterior and subcostal TAP block (Procedure)
Outcomes
Primary Outcomes
postoperative analgesia (VAS) during the 1st 24 hours in ICU
Time Frame: 24 hours
Pain will be assessed on admission and at 2, 4, 8, 12 and 24 hours at rest and with passive flexion of hip and knee joint using visual analogue scale (VAS) ranging from 0 for no pain to 10 for worst pain.
Secondary Outcomes
No secondary outcomes reported
Investigators
Ahmed wagih Ezzat deusouky
lecturer of anesthesia
Ain Shams University