Efficacy of Pre-emptive Ultrasound guided bilateral Erector Spinae Plane Block for Post-operative analgesia followingLaparoscopic Surgeries
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Plane Block(ESPB) with bupivacaine for post-operative analgesia in patients
研究概览
简要总结
Pain in the post operative period is one of the major complaints which impedes
recovery of the patient from anaesthesia and surgery. The components of post
operative pain include- Somatic pain, Visceral pain, Referred pain.
Laparoscopic surgery is a minimally invasive surgery. Although minimally
invasive, the amount of pain the patient suffers from in the immediate post-operative
period is quite significant.
Techniques like Thoracic Epidural Analgesia (TEA), Thoracic paravertebral
block, Quadratus lumborum block, Rectus sheath block (RSB) have been previously
used for providing post-operative analgesia following Laparoscopic
Cholecystectomy. However, these techniques are associated with major
complications.
Erector Spinae Plane Block (ESPB) is a interfascial plane block. A feature
unique to Erector Spinae Plane Block is that no nerve or plexus needs to be
identified to administer the block. This block targets the space between Erector
Spinae Sheath and Transverse process of the vertebra. The local anaesthetic
injected spreads craniocaudally blocking multiple vertebral levels. The drug also
spreads anteriorly blocking the dorsal rami, ventral rami and also the rami
communicates.
In this background the research question of the present study is to
evaluate the efficacy of ultrasound guided bilateral erector spinae plane block
using bupivacaine for post operative analgesia following laparoscopic surgeries.
研究设计
- 研究类型
- Interventional
- 分配方式
- Not Applicable
- 盲法
- Not Applicable
入排标准
- 年龄范围
- 18.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients posted for elective laparoscopic surgeries.
- •Age 18 years and more
- •American society of Anaesthesiologists class I and II.
排除标准
- •Patietnts with history of known allergy to bupivacaine
- •Alcoholism, drug abuse, psycological or other emotional problems that are likely to invalidate the informed consent.
结局指标
主要结局
Plane Block(ESPB) with bupivacaine for post-operative analgesia in patients
时间窗: From the time of block till the time of request of the first dose of rescue analgesia by the patient(within 24 hours)
To assess the efficacy of pre-emptive ultrasound guided bilateral Erector Spinae
时间窗: From the time of block till the time of request of the first dose of rescue analgesia by the patient(within 24 hours)
undergoing laparoscopic surgeries
时间窗: From the time of block till the time of request of the first dose of rescue analgesia by the patient(within 24 hours)
次要结局
- To see for the presence of post operative nausea and vomiting, time to(ambulation(able to walk with or without support) and the total need of rescue)