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
Overview
- Phase
- Phase 4
- Status
- Not yet recruiting
- Sponsor
- Ballari Medical College and Research Centre Ballari
- Enrollment
- 48
- Locations
- 1
- Primary Endpoint
- To compare time to first rescue analgesia between External oblique intercostal plane block and subcostal Transversus abdominis plane block in patients undergoing laparoscopic cholecystectomy
Overview
Brief Summary
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
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant and Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 60.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •All patients who will be under going elective laparoscopic cholecystectomy done under general anaesthesia ASA 1 and 2 between 18 t0 60 years.
Exclusion Criteria
- •Patient refusal for procedure Patients with derange coagulation profile Patient with puncture site infection History of allergy to local anesthetic/study drugs Neuromuscular diseases.
Outcomes
Primary Outcomes
To compare time to first rescue analgesia between External oblique intercostal plane block and subcostal Transversus abdominis plane block in patients undergoing laparoscopic cholecystectomy
Time Frame: Duration of post operative analgesia after 4 hours, 8 hours, 12 hours,18 hours, 24 hours
Secondary Outcomes
- To evaluate and compare postoperative pain scores between patients receiving EOIP block and those receiving TAP block at various time intervals.(The amount of Tramadol consumption in the first 24 post operative hours.)
Investigators
Dr Akhil Kumar G
Ballari Medical College and Research Centre