Comparison Of Postoperative Analgesia In Landmark Guided Erector Spinae Plane Block And Subcostal Transversus Abdominis Plane Block In Laparoscopic Cholecystectomy; A Randomized Controlled Trial
Overview
- Phase
- Phase 3
- Status
- Completed
- Sponsor
- Patel Hospital, Pakistan
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- VAS score
Overview
Brief Summary
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •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.
Exclusion Criteria
- •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.
Arms & Interventions
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.
Intervention: 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.
Intervention: Landmark guided Transversus Abdominis Plane Block (Drug)
Outcomes
Primary Outcomes
VAS score
Time Frame: 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.
Secondary Outcomes
- need for rescue analgesia and time for first analgesic request.(From completion of surgery through 24 hours postoperatively.)
Investigators
Kulsoom Mehmood
FCPS Resident, Department of Anaesthesiology
Patel Hospital, Pakistan