A Comparative Study Between Ultrasound Guided External Oblique Intercostal Plane (EOIP) Block and Erector Spinae Plane (ESP) Block for Postoperative Analgesia in Upper Abdominal Surgeries
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 75
- 主要终点
- amount of total 24 hour pethidine consumption (mg) .
研究概览
简要总结
Upper abdominal incisions, such as the oblique subcostal laparotomy, can cause severe pain and can lead to significant respiratory impairment.
Erector spinae plane (ESP) block is the deposition of local anaesthetic (LA) in the interfascial plane at the paraspinal region. It provides effective visceral and somatic analgesia.
External oblique intercostal plane (EOIP) block is a newly described block at which local anaesthetic (LA) is deposited in the interfascial plane deep to external oblique muscle at the sixth intercostal space. It provides blockade of the thoracoabdominal nerves at the level of T6 to T10.
In this study, the investigators compare between ultrasound (US) guided external oblique intercostal plane block and erector spinae plane block, in providing postoperative analgesia for upper abdominal surgeries
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Triple (Participant, Care Provider, Investigator)
入排标准
- 年龄范围
- 20 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with American Society of Anesthesiologists physical status (ASA) I and II.
- •Both sex.
- •20 to 60 years old patients.
- •upper abdominal surgeries.
排除标准
- •Refusal of the patient to consent.
- •Patients with ASA status III or IV
- •Patients with bleeding disorders and coagulopathy (INR≥1.6 & PTT≥50 sec).
- •Infection at the injection site.
- •Allergy to local anesthetics.
- •Patients with ages less than 20 or more than 60
- •Patients with pre-existing myopathy or neuropathy.
- •Patients with chronic pain syndromes.
- •Patients with history of long acting opioids or steroids preoperatively.
结局指标
主要结局
amount of total 24 hour pethidine consumption (mg) .
时间窗: 24 hours postoperatively
to measure total 24 hour pethidine consumption postoperatively.
次要结局
- visual analogue scale (VAS) at rest and movement.(24 hours postoperatively)
- mean arterial blood pressure (MAP)(24 hours postoperatively)
- heart rate (HR)(24 hours postoperatively)
- time to start mobilization(24 hours postoperatively)
- incidence of postoperative complications (nausea and vomiting)(24 hours postoperatively)