postoperative pain relief in lower abdominal surgery patients using either tranversis abdominis plane block or epidural analgesia

Not yet recruiting

• Conditions: Other specified diseases of the digestive system,

• Registration Number: CTRI/2020/11/029351
• Lead Sponsor: Azeezia Medical College

Brief Summary

Postoperative pain control after surgery is one of the basic medical issues and challenges. Most patients who had undergone surgical procedures experience acute postoperative pain, but evidence suggests that less than half of them report adequate postoperative pain relief. Routinely the opioids are used for pain control after surgery; however, the widespread use of opioids has numerous side effects and delay postoperative recovery.  According to the World Health Organization guidelines, the excessive use of opioids decreases the patients’ satisfaction.

Epidural analgesia is considered to be the most effective method of pain relief and is often the preferred choice of analgesia. In search a regional technique for effective post-operative analgesia transverse abdominis plane block provide post-operative analgesia with decreased systemic effect. It is relatively simple and efficacious. It has been reported to significantly reduce pain associated with lower abdominal surgery, regardless of whether it is used as the primary anaesthetic or for pain control after general anaesthesia . Tap block along with reduction in postoperative pain, it also decreases analgesic drug usage.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2020-11-15
• Study Start: 2020-12-15

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

Adult patients ASA 1 and ASA 2 undergoing lower abdominal surgeries under general anaesthesia.

Exclusion Criteria

• Refusal to consent 2.
• Contraindication to TAP block and epidural analgesia such as a) soft-tissue infection of the abdominal wall and skin; b) patients suffering from coagulopathy c) those requiring postoperative mechanical ventilation;.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
post operative pain relief	3rd 6th and 9th hour postoperatively

Secondary Outcome Measures

Name	Time	Method
rescue analgesia consumption	3rd 6th and 9 th hour postoperatively

Trial Locations

Locations (1)

Azeezia Medical Collage , Kollam; 🇮🇳 Kollam, KERALA, India

Azeezia Medical Collage , Kollam

🇮🇳Kollam, KERALA, India

Dr Shyjar babu J

Principal investigator

9633841122

shyjarbabu@gmail.com