Combined Ultrasound Guided Bilateral Rectus Sheath and Erector Spinae Plain Blocks Versus Erector Spinae Plain Block for Intra and Postoperative Analgesia in Elective Abdominoplastic Surgeries. a Randomized Controlled Double Blinded Trial.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Primary outcome
研究概览
简要总结
The goal of this clinical trail is to determine if bilateral erector spinae plane block alone can provide good perioperative analgesia for abdominoplastic surgery patients or it is better to give combined bilateral rectus sheath and erector spinae plane blocks to achieve effective intraoperative and postoperative analgesia with minimal morphine consumption in such operations in which there is an extensive surgical dissection and a high risk of respiratory problems.
详细描述
This study is randomized controlled trail in which 40 adult patients (male or female) scheduled for elective abdominoplastic surgeries during the study duration will be randomized into to equal groups to investigate the efficacy of erector spinae plane block alone versus the efficacy of combine use of erector spinae and rectus sheath plane block for intra and postoperative analgesia in abdominoplastic surgery patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Diagnostic
- 盲法
- Double (Participant, Care Provider)
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
- •patients Age from 21 to 60 years ,Male and female patients ,ASA I, II patients scheduled for elective abdominoplastic surgeries during the study duration.
排除标准
- •Patient refusal, Age less than 21 and above 60 years old, ASA III, IV patients., Infection at the site of injection, Opioid addiction, Allergy to any used substances (lidocaine, bupivacaine)., Preexisting severe or uncontrolled respiratory, renal or cardiac disease. , INR more than 1.5 and platelets less than 100000.
研究组 & 干预措施
Group A
20 Adult patients scheduled for elective abdominoplastic surgeries under general anethesia
干预措施: Erector spinae plane block (Procedure)
Group A
20 Adult patients scheduled for elective abdominoplastic surgeries under general anethesia
干预措施: Rectus sheath block (Procedure)
Group B
20 Adult patients scheduled for elective abdominoplastic surgeries under general anethesia
干预措施: Erector spinae plane block (Procedure)
结局指标
主要结局
Primary outcome
时间窗: one hour
Visual Analogue Scale (VAS) measures pain intenesity one hour after extubation
次要结局
- Secondary Outcome(During opration)
- Secondary Outcome(first 24 hours postoperative)
研究者
Hassan Mohamed Ali
Professor of Anesthesia
Cairo University