External Oblique Intercostal Block Versus Paravertebral Block for Postoperative Analgesia in Laparoscopic Cholecystectomy Patients
试验速览
- 阶段
- 3 期
- 状态
- 尚未招募
- 入组人数
- 80
- 主要终点
- total morphine consumption
研究概览
简要总结
To compare external oblique intercostal block versus paravertebral block for post operative analgesia in patients undergoing laparoscopic cholecystectomy to decease post operative opioid consumption and use the least dose of local anesthesia.
详细描述
Paravertebral Block (PVB) involve injection of local anesthetic in a space immediately lateral to where the spinal nerves emerge from the intervertebral foramina. This technique is being used increasingly for not only intra-operative and post-operative analgesia but also as a sole anesthetic technique for carrying out various procedures. This popularity is mainly due to the ease of the technique and fewer complications.
The external oblique intercostal block is a novel motor- and opioid-sparing technique which blocks both the anterior and lateral cutaneous branches of the thoracoabdominal nerves which innervate the upper abdominal quadrant.
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
- 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 between 20-60 years old
- •Patients with ASA clinical status I\II
- •Patients schedule for laparoscopic cholecystectomy
排除标准
- •Patients refusal
- •Coagulopathy
- •Infection at site of injection
- •Allergy of local anesthesia
- •Sever cardiac disease
- •Patients with chest wall deformities
结局指标
主要结局
total morphine consumption
时间窗: first 24 hours postoperatively
次要结局
- Time of first rescue analgesia(hours)
- Visual analogue scale (VAS)(at 0.5 ,1,2,4,8,12,24 hours postoperatively)
研究者
Mohamed Adel Abdelkareem
Doctor
Assiut University