Efficacy of pre operative Bilateral Erector Spinae Plane Block for post operative pain relief following laparoscopic surgeries

Not yet recruiting

Brief Summary: 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.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Patietnts with history of known allergy to bupivacaine 2.
Alcoholism, drug abuse, psycological or other emotional problems that are likely to invalidate the informed consent.

Primary Outcome Measures

Name	Time	Method
Plane Block(ESPB) with bupivacaine for post-operative analgesia in patients	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	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	From the time of block till the time of request of the first dose of rescue analgesia by the patient(within 24 hours)

Secondary Outcome Measures

Name	Time	Method
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

Locations (1): DR. B R AMBEDKAR MEDICAL COLLEGE AND HOSPITAL
🇮🇳
Bangalore, KARNATAKA, India
DR. B R AMBEDKAR MEDICAL COLLEGE AND HOSPITAL
🇮🇳Bangalore, KARNATAKA, India
DR ANKITHA J HIREMATH
Principal investigator
9980741849
anku3025@gmail.com