Comparison Of Postoperative Analgesia In Landmark Guided Erector Spinae Plane Block And Subcostal Transversus Abdominis Plane Block In Laparoscopic Cholecystectomy; A Randomized Controlled Trial
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- VAS score
研究概览
简要总结
Postoperative pain after laparoscopic cholecystectomy remains clinically relevant. This double-blinded randomized controlled trial compares the analgesic efficacy of landmark-guided Erector Spinae Plane Block (ESPB) and subcostal transversus abdominis plane (STAP) block in 60 adult patients. Postoperative pain will be evaluated using the Visual Analogue Scale at multiple time points, along with rescue analgesic requirements and time to first analgesic request, to assess the effectiveness of these techniques in resource-limited settings.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
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 are both men and women.
- •Patients aged 18 to
- •Patients are scheduled for a laparoscopic cholecystectomy.
- •Patients with ASA Physical Status I or II. Finally, III.
- •Give consent.
排除标准
- •Hypersensitivity to local anesthesia.
- •Infection at the block site.
- •Coagulation disorders.
- •BMI above 40kg/m
- •Patients with pregnancy.
- •Converted to open surgery.
- •Drain placement.
- •Neurological or psychiatric disorders that impair cooperation.
- •Patients are unwilling to cooperate.
研究组 & 干预措施
Experimental: Landmark-guided Erector Spinae Plane Block
Patients will receive a landmark-guided erector spinae plane block on the right side at the T9 level with 30 mL of 0.25% ropivacaine after induction of general anesthesia.
干预措施: Landmark guided Erector Spinae Block (Drug)
landmark-guided Subcostal Transversus Abdominis Plane Block
Patients will receive a landmark-guided Subcostal Transversus Abdominis Plane Block on the right side with 30 mL of 0.25% ropivacaine after induction of general anesthesia.
干预措施: Landmark guided Transversus Abdominis Plane Block (Drug)
结局指标
主要结局
VAS score
时间窗: From arrival in the post-anesthesia care unit (PACU) through 24 hours postoperatively, assessed at 30 minutes in PACU, and at 6 hours, 12 hours, and 24 hours after surgery.
Postoperative pain intensity measured using the Visual Analog Scale (VAS), a 10-cm scale ranging from 0 to 10, where 0 = no pain and 10 = worst imaginable pain. Higher scores indicate worse pain.
次要结局
- need for rescue analgesia and time for first analgesic request.(From completion of surgery through 24 hours postoperatively.)
研究者
Kulsoom Mehmood
FCPS Resident, Department of Anaesthesiology
Patel Hospital, Pakistan