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aparoscopic-Assisted Psoas blockade: A novel post-operative analgesic technique in patients undergoing laparoscopic inguinal hernia repair

Not Applicable
Completed
Conditions
Postoperative pain in patients undergoing inguinal hernia repair
Anaesthesiology - Anaesthetics
Surgery - Surgical techniques
Oral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
Registration Number
ACTRN12615000632594
Lead Sponsor
Dr tarek Fouad Tammam
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Male
Target Recruitment
46
Inclusion Criteria

Male patients scheduled for elective laparoscopic unilateral inguinal hernia repair with ASA physical status I–III will be enrolled in the clinical trial.

Exclusion Criteria

Patients that had history of allergy to local anesthetics, obesity (BMI 'greater than or equal to' 30 kg/m2), recurrent hernia, neuropathies, or those on chronic analgesic therapies will be excluded from the study.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome measure is the total morphine requirements in the first 36 hours postoperatively[First 36 postoperative hours ]
Secondary Outcome Measures
NameTimeMethod
The time to first request for analgesia is defined as the time from completion of the block injection (taken as time zero minute) to the first postoperative administration of IV morphine. [the time from completion of the block injection (taken as time zero minute) to the first postoperative administration of IV morphine];The dermatomal sensory involvement of both approaches will be estimated bilaterally with pinprick and thermal tests after block performance. The most proximal and distal levels of sensory involvement will be established if the same dermatome level will be recorded on three consecutive times. [The assessment will be done before induction of the anesthesia and at regular 30-min intervals for 3 hours postoperative. ];All patients will be asked to rate their postoperative surgical pain at rest and while coughing by using a numerical rating scale (NRS) (NRS: 0= no pain, 10= worst pain) [Assessment will be at regular predefined time intervals (6, 12, 24, and 36 hrs) after completion of the block]
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