External Oblique Intercostal Block Versus Paravertebral Block for Postoperative Analgesia in Laparoscopic Cholecystectomy Patients
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Anesthesia
- Sponsor
- Assiut University
- Enrollment
- 80
- Primary Endpoint
- total morphine consumption
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
To compare external oblique intercostal block versus paravertebral block for post operative analgesia in patients undergoing laparoscopic cholecystectomy to decease post operative opioid consumption and use the least dose of local anesthesia.
Detailed Description
Paravertebral Block (PVB) involve injection of local anesthetic in a space immediately lateral to where the spinal nerves emerge from the intervertebral foramina. This technique is being used increasingly for not only intra-operative and post-operative analgesia but also as a sole anesthetic technique for carrying out various procedures. This popularity is mainly due to the ease of the technique and fewer complications. The external oblique intercostal block is a novel motor- and opioid-sparing technique which blocks both the anterior and lateral cutaneous branches of the thoracoabdominal nerves which innervate the upper abdominal quadrant.
Investigators
Mohamed Adel Abdelkareem
Doctor
Assiut University
Eligibility Criteria
Inclusion Criteria
- •Patients between 20-60 years old
- •Patients with ASA clinical status I\\II
- •Patients schedule for laparoscopic cholecystectomy
Exclusion Criteria
- •Patients refusal
- •Coagulopathy
- •Infection at site of injection
- •Allergy of local anesthesia
- •Sever cardiac disease
- •Patients with chest wall deformities
Outcomes
Primary Outcomes
total morphine consumption
Time Frame: first 24 hours postoperatively
Secondary Outcomes
- Time of first rescue analgesia(hours)
- Visual analogue scale (VAS)(at 0.5 ,1,2,4,8,12,24 hours postoperatively)