thoracic paravertebral versus oblique subcostal transversus abdominius plane block for open cholecystectomy.

Recruiting

Conditions: Medical and Surgical,

Registration Number: CTRI/2017/02/007936

Lead Sponsor: Guru Gobind Singh Medical College and Hospital

Brief Summary: A chief component in contributition to the pain experienced after abdominal surgery is from the incision in the abdominal wall and parietal peritonium pain and less from internal visceral trauma. Intraoperative and postoperative pain following upper abdominal surgeries including open cholecystectomies can be controlled with systemic opioids ,epidural analgesia, NSAIDS,and peripheral nerve blocks like thoracic paravertebral or Oblique subcostal transversus block. Both block will be performed under USG guidance using high frequency probe covered with protective sheath. Patients will be assessed intraoperatively and postoperatively for 48 hr for analgesic and antiemetic requirement. Note will be made of number of doses of rescue analgesia and time for first rescue analgesia.

Detailed Description: Not available

Recruitment & Eligibility

Status: Open to Recruitment

Sex: All

Target Recruitment: 70

Inclusion Criteria

1)elective open cholecystectomy due to surgical indications ( previous abdominal surgery , 2) suspected GB mass, thickened wall of gall bladder) will be enrolled in the study.

Exclusion Criteria

1. patient refusal 2) intellectual disability 3) any contraindication for regional anesthesia like infection at puncture site 4) anatomical deformity such as kyphyscolisosis.
1. coagulation disorders.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
to compare analgesic efficacy of oblique subcostal TAP block with thoracic paravertebral block intraoperatively and postoperatively at 2,4,8,12,24 and 48 hrs by VAS scale at rest ,on movement and on coughing.The time for first rescue analgesia and the total number of doses of rescue analgesia required in 48 hrs will be noted.	At 2,4,8,12,24 and 48 hrs .

Secondary Outcome Measures

Name	Time	Method
to assess number of patients free of nausea or vomiting at the same predetermined time interval as used for pain assessment	At 2,4,8,12,24 and 48hrs.

Trial Locations

Locations (1): Guru Gobind Singh Medical College and Hospital.
🇮🇳
Faridkot, PUNJAB, India
Guru Gobind Singh Medical College and Hospital.
🇮🇳Faridkot, PUNJAB, India
Dr Seema jindal
Principal investigator
9646050485
jindalseema77@gmail.com