Subarachnoid Block Versus Ultrasound Guided Transversalis Fascia Plane Block for Postoperative Analgesia of Inguinal Hernia Repair in Adults: A Randomized, Double Blinded, Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- The total amount of postoperative morphine consumption during the first 24hrs postoperative.
研究概览
简要总结
The aim of our study is to investigate the effect of the ultrasound guided transversalis fascia plane block on the postoperative opioid consumption as a part of multimodal analgesia in patients undergoing inguinal herniorrhaphy under spinal anesthesia.
详细描述
The aim of our study is to investigate the efficacy of the ultrasound-guided transversalis fascia plane block as a postoperative analgesia as a part of multimodal analgesia in patients undergoing inguinal herniorrhaphy under spinal anesthesia.
The ultrasound (US)-guided transversalis fascia plane (TFP) block was first described by Hebbard in 2009. A local anesthetic (LA) injected between the transversus abdominis muscle, and its deep investing fascia will block the anterior and the lateral branches of the T12 and L1 nerves (4). The efficacy of this block has been demonstrated in iliac crest bone graft harvesting, caesarean section and inguinal herniorrhaphy
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Care Provider)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients undergoing inguinal herniorrhaphy.
- •Patients 18-60 years.
- •ASA I and II.
- •Both sexes.
- •Having no contraindication for spinal anesthesia or TFP block.
排除标准
- •Refusal of regional anesthesia.
- •Infection in the back or at the site of injection for TFP block.
- •INR > 1.
- •Platelet count < 80000 per microliter of blood.
- •Patients known to be allergic to amide local anesthetics.
- •BMI greater than 35 kgm_
- •Opioid addiction.
- •Have communication problems that may hinder the assessement of pain postoperative.
研究组 & 干预措施
bupivacaine group
the patient in this arm will receive 20 ml of 0.25% bupivacaine injection by ultrasound guided transversalis fascia block for inguinal herniorraphy
干预措施: bupivacaine injection by ultrasound guided transversalis fascia plane block (Drug)
20 ml of 0.9% normal saline solution
he patient in this arm will receive 20 ml of 0.9% normal saline solution by ultrasound guided transversalis fascia block for inguinal herniorraphy
干预措施: bupivacaine injection by ultrasound guided transversalis fascia plane block (Drug)
结局指标
主要结局
The total amount of postoperative morphine consumption during the first 24hrs postoperative.
时间窗: First 24 hours postoperative
The patients will be evaluated regarding the first demand to rescue analgesia postoperatively. The pain will be assessed by the VAS score. It will be performed in the immediate post-operative period every 15 min for the first 60 min, 2 h, 4 h, 8h, 12h, 18 and 24 h. Breakthrough pain will be defined as VAS \>4 at rest.
次要结局
未报告次要终点
研究者
Rabab
lecture of anathesia
Cairo University