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 range18 Years – 65 Years
SexALL
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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.