Comparison of Analgesic Efficacy of USG Guided External Oblique Intercostal Plane block vs Subcostal Transversus Abdominis Plane Block in Patients Undergoing Elective Laparoscopic Cholecystectomy Randomised Controlled Trial

Title

"COMPARISON OF ANALGESIC EFFICACY OF USG GUIDED EXTERNAL OBLIQUE INTERCOSTAL PLANE BLOCK VS SUBCOSTAL TRANSVERSUS ABDOMINIS PLANE BLOCK IN PATIENTS UNDERGOING ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY: RANDOMISED CONTROLLED STUDY"

Need for Study/Introduction

Laparoscopically performed Cholecystectomy is the corner stone of modern surgical practice as it speeds up post operative recovery. Even if LC is a minimally invasive procedure, patients may experience severe pain the postoperative period. Such pain can occur due to inflammation as result of surgical trauma, muscle and soft tissue trauma caused by port entry sites, insufflation of the abdominal cavity with carbon dioxide and trauma to the liver caused by dissection of the gall bladder. Inadequate analgesia in LC has implications for post operative pain management and patient recovery, as it can lead to delayed mobilization and a longer hospitalization period. In our institution we use inj. Fentanyl 2 mcg/kg, inj. Paracetamol 15 mg/kg IV infusion, local port site infiltration for analgesia. PROSPECT guidelines recommend truncal blocks for post-LC analgesia Regional anaesthesia technique have increasingly become essential components of multimodal analgesia, providing targeted pain relief while minimizing systemic opioid requirements.

Despite promising preliminary data, there remains a paucity of direct comparative studies evaluating the efficacy of EOIP versus TAP blocks in Laparoscopic Cholecystectomy surgeries. A rigorous assessment of these two techniques is necessary to determine the most effective and reliable regional block for optimizing postoperative pain control in this patient population