Analgesic Efficacy of Erector Spinae Plane Block vs External Oblique Intercostal Plane Block in S… (NCT06519708) | Clinical Trial Compass
CompletedNot Applicable
Analgesic Efficacy of Erector Spinae Plane Block vs External Oblique Intercostal Plane Block in Subcostal Cancer Surgeries
Egypt70 participantsStarted 2024-07-25
Plain-language summary
This study aims to evaluate the impact of ultrasound-guided erector spinae plane block compared to ultrasound-guided external oblique intercostal plane block regarding management of postoperative acute pain in patients undergoing above Umbilical surgical procedure.
Who can participate
Age range
18 Years – 65 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Age (18-65) Years.
* Both sexes.
* Body mass index (BMI): (20-40) kg/m2.
* American Society of Anesthesiology (ASA) physical status II, III.
* Type of surgery; unilateral subcostal incision in hepatectomy and nephrectomy.
Exclusion Criteria:
* Patient refusal.
* Subcostal incisions that are crossing the midline or midline incision.
* Age \<18 years or \>65 years
* BMI \<20 kg/m2 and \>40 kg/m2
* Known sensitivity or contraindication to drugs used in the study
* Contraindication to regional anesthesia e.g. local infection at the site of introduction, pre-existing peripheral neuropathies, and coagulopathy.
* Pregnancy.
* Physical status ASA IV
* patients on chronic analgesic therapy (daily morphine ≥30 mg or equivalent dose of other opioids or tramadol or any medication for neuropathic pain)
* patients with a history of drug abuse
* patients with neuropsychiatric diseases; patients with a history of chronic pain syndromes that may enhance sensitivity to pain, for example, fibromyalgia
* All patients who are going to have severe intra- or post-operative bleeding or will require postoperative mechanical ventilation are also excluded from the study.
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1This trial compared two different nerve block techniques — the erector spinae plane block and the external oblique intercostal plane block — for pain control after subcostal cancer surgery, so can you tell me which of these two approaches you typically use and why you'd choose one over the other for my specific operation?
2Since this study measured total morphine consumption as its main outcome, what did the results suggest about how much pain medication patients needed with each block, and does that change how you'd plan my post-operative pain management?
3This trial is now completed but results may not yet be widely published — have you seen any findings from it, and how do they compare to what you already know about pain control after this type of cancer surgery?
4Both of these nerve block techniques are regional anesthesia approaches, so are there situations — based on my health history or the exact location of my surgery — where one of them might not be suitable or safe for me?
5Beyond just reducing morphine use, how would the choice of nerve block affect my overall recovery experience, like how soon I'd be able to move around or leave the hospital after subcostal cancer surgery?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.