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临床试验/NCT07022600
NCT07022600已完成不适用

Erector Spinae Plane Block and Its Impact on Postoperative Diaphragmatic Dysfunction in Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy, A Double-blind Randomized Control Trial.

Cairo University2 个研究点 分布在 1 个国家目标入组 80 人开始时间: 2025年5月27日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
80
试验地点
2
主要终点
Incidence of diaphragmatic dysfunction in both groups

研究概览

简要总结

postoperative diaphragmatic dysfunction is critical especially in morbidly obese patients

详细描述

Investigators aimed to evaluate the impact of erector spinae plane block on the incidence of postoperative diaphragmatic dysfunction in morbidly obese patients (Body mass index more than or equal 40)

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Triple (Participant, Care Provider, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •morbidly obese (body mass index> 40)
  • •undergoing sleeve gastrectomy

排除标准

  • •allergy to bupivacaine
  • •respiratory comorbidities
  • •preoperative diaphragmatic dysfunction
  • •Patient refusal
  • •inability to adequately visualize diaphragm

研究组 & 干预措施

erector spinae group

Active Comparator

Patients will receive erector spinae block

干预措施: Diaphragmatic ultrasound (Device)

Control group

Placebo Comparator

Patients will receive bilateral sham ultrasound-guided ESPB

干预措施: Diaphragmatic ultrasound (Device)

结局指标

主要结局

Incidence of diaphragmatic dysfunction in both groups

时间窗: baseline and 2 hours after surgery

postoperative diaphragmatic excursion 10 mm at 2 hours after surgery

次要结局

  • Forced expiratory volume at one second(at baseline, 2 and 24 hours postoperatively)
  • numeric rating scale(at 24 hours after surgery)
  • Forced vital capacity (in Liter)(at baseline, 2 hours, and 24 hours after surgery)
  • Peak expiratory flow rate (Liter/sec)(baseline, 2 hours, and 24 hours)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Mina Adolf Helmy

Lecturer of anesthesia and critical acre

Cairo University

研究点 (2)

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