Efficacy of Bilateral Modified Thoracoabdominal Nerve Block as an Analgesic Technique in Comparison With Bilateral Thoracic Erector Spinae Plane Block in Abdominoplasty Operations
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 48
- 试验地点
- 1
- 主要终点
- Total opioid consumption
研究概览
简要总结
This study aimed to compare the analgesic effect of bilateral ultrasound-guided modified thoracoabdominal nerve block with bilateral ultrasound-guided erector spinae plane block in abdominoplasty surgery.
详细描述
Abdominoplasty is an extra-peritoneal surgery devoid of visceroperitoneal component of pain, most of pain is initially related to the abdominal wall's facial plication in addition to pain generated from the abdominal wall incision.
Ultrasound guided erector spinae plane block (ESPB) is considered relative an effective block that can be used to provide postoperative analgesia in abdominoplasty (Tulgar et al., 2018). Erector spinae plane block (ESPB) is an interfascial plane block was used to relieve chest neuropathic pain.
The modified thoracoabdominal nerve block through the perichondral approach (M-TAPA) is a novel regional nerve block that can provide optimal analgesia for both the lateral and anterior abdominal wall. It can provide wide range of analgesic coverage of the trunk (i.e., T7-T12) by a single puncture per side and has been initially reported to provide a longacting analgesia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 21 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 21 and 60 years.
- •Both sexes.
- •American Society of Anesthesiologists physical status grade I and grade II.
- •Elective abdominoplasty operation.
排除标准
- •Patient refusal.
- •Local skin infection and sepsis at site of the block.
- •Known allergy to local anesthetic drugs.
- •Coagulopathy.
- •Psychiatric diseases.
- •Central or peripheral neurological disease.
结局指标
主要结局
Total opioid consumption
时间窗: 24 hours postoperatively
Intravenous pethidine (0.5mg/kg) was taken every 12 hours as rescue analgesia.
次要结局
- Duration of analgesia(24 hours postoperatively)
- Degree of pain(24 hours postoperatively)
- Cortisol level(24 hours postoperatively)
- C-reactive protein (CRP) level(24 hours postoperatively)
- Incidence of complications(24 hours postoperatively)
研究者
Fatma Othman Ibrahim Yossef
Assistant Lecturer of Anesthesia and Surgical Intensive Care, Mansoura University, Egypt.
Mansoura University