External Oblique Intercostal Plane Block Versus Subcostal Transversus Abdominis Plane Block in Supra-umbilical Surgical Incisions
- Conditions
- Pain, Postoperative
- Registration Number
- NCT05432557
- Lead Sponsor
- Benha University
- Brief Summary
Various newer techniques have been proposed to enhance analgesia in upper abdominal region. The subcostal transverse abdominis plane (SCTAP) block is the deposition of local anesthetic in the transverse abdominis plane inferior and parallel to the costal margin. There is a growing consensus that the SCTAP block provides better analgesia for upper abdominal incisions than the traditional transverse abdominis plane block.
The External oblique intercostal plane (EOIP) block is a novel technique reported by Hamilton et al. performed EOPB by administering LA superior or deep of the external oblique muscle from the sixth intercostal space leading to the blockage of thoracoabdominal nerves at T6-T10. It has several attractive aspects such as easy sono-anatomy ribs one strip of muscle so easy to demonstrate even in obese patients, there is a bony backstop, easy expandable fascial plane that can accommodate a catheter and it is shallow block with no big vessels nearby.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 60
- American Society of Anesthesiologists (ASA) physical status grade I -II,
- Scheduled to undergo elective supra-umbilical surgeries under GA (epigastric herniotomy- gastrectomy- open cholecystectomy- nephrectomy).
- Allergy to local anesthetics,
- Infection at the site of injection,
- Coagulopathy,
- Chronic pain syndromes,
- Prolonged opioid medication,
- Patients who received any analgesic 24 h before surgery.
- Chronic liver disease, chronic renal disease, and cognitive impairment.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method amount of postoperative morphine consumed 24 hours postoperatively First postoperative analgesics request 24 hours postoperatively
- Secondary Outcome Measures
Name Time Method Postoperative pain score at 1, 2,4 , 8, 16 and 24 hours postoperatively pain evaluated by VAS (visual analogue score).
incidence of complications related to the block 24 hours postoperatively agitation, dizziness, tinnitus, tremors, and numbness.
Incidence of Postoperative nausea & vomiting (PONV) 24 hours postoperatively Number of patients developing PONV
Related Research Topics
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Trial Locations
- Locations (1)
Samar Rafik Amin
🇪🇬Banhā, Qalubia, Egypt
Samar Rafik Amin🇪🇬Banhā, Qalubia, Egypt