Efficacy Of Ultrasound-guided Ilioinguinal/Iliohypogastric Nerve Block With And Without Subcostal Nerve Block For Post-operative Analgesia In Patients Undergoing Hernia Repair Surgery- A Double Blinded Randomised Control Study
试验速览
- 阶段
- 2/3 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 68
- 试验地点
- 1
- 主要终点
- -To compare the rescue analgesic requirement in the first 24 hours of post-operative period with and without Subcostal nerve block
研究概览
简要总结
**Summary:**This study investigates whether adding a subcostal nerve block to the commonly used ilioinguinal/iliohypogastric (II/IH) nerve block provides better post-operative pain relief for patients undergoing open inguinal hernia repair.
The research is conducted as a single-blinded randomized controlled trial at a tertiary care hospital involving 68 male patients (aged 18–65, ASA I–II, BMI less than 30).
Participants are randomly divided into:
- Group A: Receives II/IH block with subcostal nerve block.
- Group B: Receives II/IH block alone.
Aims & Objectives:
- Primary Objective: Compare the need and timing of rescue pain medication within 24 hours post-surgery.
- Secondary Objectives: Compare intra-operative pain control, length of hospital stay, and post-operative nausea/vomiting.
Methodology:
- All nerve blocks are performed under ultrasound guidance.
- Pain is assessed using the Visual Analogue Scale at 0, 4, and 24 hours post-op.
- Data is analyzed statistically with significance set at p less than 0.05.
Significance:
- This is the first RCT exploring whether adding a subcostal block improves analgesia in this context.
- Aims to improve post-surgical comfort, reduce opioid use, shorten hospital stay, and contribute to enhanced recovery protocols.
Ethical Considerations:
- Approved by Institutional Ethical Committee.
- Informed consent to be obtained from all participants.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- Male
入选标准
- •ASA physical status 1 and 2 patients posted for unilateral open inguinal hernia surgery 2) Body Mass Index (BMI) less than 30 kg per metre square.
排除标准
- •Known allergies to local anesthetics and analgesics 2) Coagulation disorders 3) Body Mass Index (BMI) more than 30 kg per metre square.
结局指标
主要结局
-To compare the rescue analgesic requirement in the first 24 hours of post-operative period with and without Subcostal nerve block
时间窗: 0, 4 hours, 6 hours, 12 hours, 24 hours
次要结局
- -To compare the time until first analgesic requirement using Visual Analogue Scale(VAS) scores(0, 4 hours, 6 hours, 12 hours, 24 hours)
研究者
Dr Prasanna Vadhanan
Vinayaka Missions Medical College and Hospital, Karaikal