Comparison of the efficacy and outcomes between ultrasound guided transversus abdominis plane TAP block and epidural block for postoperative analgesia in patients undergoing lower abdominal surgeries under spinal anesthesia
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- To evaluate the efficacy of ultrasound-guided bilateral transversus abdominis plane(TAP) block as an analgesic technique compared to epidural analgesia and the time required for first rescue analgesia.
研究概览
简要总结
For patients undergoing lower abdominal surgeries under spinal anesthesia, epidural block offers superior and longer-lasting analgesia but comes with a higher incidence of side effects and longer recovery times. TAP block provides effective analgesia with fewer side effects,shorter recovery, and higher patient satisfaction, making it a suitable alternative, especially when epidural analgesia is contraindicated or not preferred. Ultimately, the choice between these techniques should be individualized based on patient factors, surgical considerations, and institutional resources.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Double
入排标准
- 年龄范围
- 18.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •Adult patients aged between 18 and 60 years.
- •Patients of ASA grade I and II.
- •Patients undergoing elective lower abdominal surgeries under general anesthesia.
排除标准
- •Patients not giving written and informed consent.
- •ASA grade III and above.
- •Pregnant patients.
- •Coagulation disorders and thrombocytopenia with a platelet count of less than 150,000
- •Infection at the site of injection and insertion of the needle
- •Use of opioids or alpha-2 agonists for sedation, premedication, or postoperative analgesia except for tramadol.
- •Patients having cardiovascular abnormalities.
- •adverse reaction to local anesthetic.
结局指标
主要结局
To evaluate the efficacy of ultrasound-guided bilateral transversus abdominis plane(TAP) block as an analgesic technique compared to epidural analgesia and the time required for first rescue analgesia.
时间窗: To evaluate the efficacy of ultrasound-guided bilateral transversus abdominis plane(TAP) block as an analgesic technique compared to epidural analgesia and the time required for first rescue analgesia assesments will be done at 1 2 4 and 6th hourly postoperatively
次要结局
- 1 To compare the postoperative analgesic requirements following transversus abdominis plane(TAP) block and epidural analgesia.(2 To compare the hemodynamic changes postoperatively between ultrasound-guided bilateral transversus abdominis plane(TAP) block and epidural analgesia.)
研究者
Dr Vinay Kumar Beniwal
Pacific Medical College and Hospital