Ultrasound Guided : Retrolaminar Block Versus Thoracic Epidural Analgesia for Pain Control Following Laparoscopic Cholecystectomy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Analgesia
- Sponsor
- Zagazig University
- Enrollment
- 52
- Locations
- 1
- Primary Endpoint
- Pain intensity at rest and at cough using Numerical Rating Scales (NRS)
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The aim of this study is to evaluate analgesic effect of ultrasound-guided retrolaminar block vs ultrasound-guided thoracic epidural analgesia in pain control following laparoscopic cholecystectomy.
Detailed Description
To study the difference between the effects of ultrasound-guided bilateral retrolaminar block and ultrasound-guided thoracic epidural analgesia on pain control following laparoscopic cholecystectomy. To relief pain and improve satisfaction in patients undergoing laparoscopic cholecystectomy at Zagazig university hospitals.
Investigators
Dina Abdelhameed Elsadek Salem
Principle investigator
Zagazig University
Eligibility Criteria
Inclusion Criteria
- •Written informed consent from the patient.
- •Age: 21-45 years old.
- •Sex: both sex (males and females).
- •Physical status: ASA 1\& II.
- •BMI = (25-35 kg/m2).
- •Type of operation: elective laparoscopic cholecystectomy
Exclusion Criteria
- •Altered mental state.
- •Patients with known history of allergy to study drugs.
- •Advanced hepatic, renal, cardiovascular, and respiratory diseases.
- •Patients with chronic pain.
- •Patients receiving anticoagulants.
- •Contraindications of regional anesthesia, e.g., allergy to local anesthetics, coagulopathy, or septic focus at site of injection.
Outcomes
Primary Outcomes
Pain intensity at rest and at cough using Numerical Rating Scales (NRS)
Time Frame: at 12 hours postoperative
measured by NRS consisted of a series of numbers represents range of pain intensity (10 means the worst pain and 0 means no pain)
Secondary Outcomes
- Total analgesic (Naluphine) consumption(within 12 hours postoperative)
- Time to first call of rescue analgesia(within 12 hours postoperative)
- The number of participant with nausea, vomiting, hypotension and bradycardia.(24 hours postoperative)
- The number of participant with complications of the techinque (dural puncture , nerve injury, spinal injection, epidural haematoma, pleural puncture)(within 24 hours postoperative)
- Patient satisfaction is recorded at the end of 24 hours postoperative(24 hours postoperative)