A clinical trial to study effects of two techniques, epidural and rectus sheath block for post operative pain relief in patients with midline incision abdominal surgeries

Comparison Of Postoperative Analgesia & Opioid Requirement With Epidural Infusion Versus Continuous Rectus Sheath Block In Midline Incision Laparotomies under General Anaesthesia- A Prospective Controlled Randomized Study.

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2018/03/012609

Enrollment

Registered

2018-03-16

Start date

Unknown

Completion date

Unknown

Last updated

2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: null- midline incision elective laparotomy patients

Interventions

Intervention1: Continuous Rectus Sheath Block: General Anesthesia will be given as per institutional protocol. At the end of the surgery and prior to extubation, rectus sheath catheters will be insert

Eligibility

Inclusion criteria

Inclusion criteria: 1. ASA 1 to 3 2. Planned open major abdominal surgery with midline incision 3. Willing and able to give consent

Exclusion criteria

Exclusion criteria: 1. ASA >3 2.Contraindications to regional anaesthesia techniques (allergic to local anesthetic agent, infection around site of block, coagulation disorder) 3. Consent refused for either TEA or RSC 4.Difficulty with communication 5.Planned transverse or oblique incisional approach 6.Any drug addiction 7.Extensive existing midline abdominal scarring/ previous laparotomy scar. 8. Peripheral neuropathies

Design outcomes

Primary

Measure	Time frame
Opioid consumptions (in mg) in both groups on Postoperative day 0,1 and 2.Timepoint: 2 days postoperatively	—

Secondary

Measure	Time frame
Number of top ups of ropivacaine both groups on postoperative day 0, 1 and 2.Timepoint: 2 days postoperatively;Ropivacaine consumption (in ml) in both groups on postoperative day 0, 1 and 2.Timepoint: 2 days postoperatively	—

Countries

India

Contacts

Public ContactDrNandita Gupta

MBBS, MD Anesthesiology

dramitnagpal@yahoo.com9815607478

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026