A prospective randomised trial comparing postoperative pain relief between bilateral external oblique intercostal plane block and intravenous morphine in patients after upper abdominal surgeries - NI

ivedhyaa0 个研究点目标入组 0 人开始时间: 待定最近更新: 2024年1月22日

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•All patients who report moderate to severe upper abdominal pain, defined as a pain score on the numerical rating scale (NRS) of 0-10 as 4 or above for the first three days (POD 0,1,2 and 3) at rest or due to movement or spirometry, in the postoperative period will be included both elective and emergency surgeries
•2.Patient who have given informed consent for the procedure.
•3.Age of 18 and above
•4, Surgeries with upper abdominal incisions including gastric surgeries, splenectomy, cholecystectomy, hepatectomy will be included for the study.

•1.renal diseases with elevated serum creatinine level more than 1.5mg%
•2.Local skin site infection at the site of epidural or at the site of the EOIPB as identified before surgery
•3.Patient refusal to give consent for epidural or blocks
•4.History of known allergies to local anaesthetics or morphine
•.Suspected bowel obstruction : in this case we cannot use opioids
•6.Patient would get discharged in less than 24 hours.
•7.Drowsy patient who cannot tell about the pain score appropriately
•8.Patients in whom epidural catheter will not be placed (as known preoperatively due to low platelet count or altered coagulation profile)
•9.Patients who have been treated with tablet morphine in the preoperative period for pain

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