Health Condition 1: C168- Malignant neoplasm of overlappingsites of stomach
Conditions
Interventions
Intervention1: External Oblique Intercostal Block: Bilateral ultrasound guided EOIB will be given in the postoperative period if the patient complains of pain with an NRS greater than 3 using a linear
Sponsors
Nivedhyaa
Eligibility
Inclusion criteria
Inclusion criteria: All patients who report moderate to severe upper abdominal pain, defined as a pain score on the numerical rating scale (NRS) of 0-10 as 4 or above for the first three days (POD 0,1,2 and 3) at rest or due to movement or spirometry, in the postoperative period will be included both elective and emergency surgeries 2.Patient who have given informed consent for the procedure. 3.Age of 18 and above 4, Surgeries with upper abdominal incisions including gastric surgeries, splenectomy, cholecystectomy, hepatectomy will be included for the study.
Exclusion criteria
Exclusion criteria: 1.renal diseases with elevated serum creatinine level more than 1.5mg% 2.Local skin site infection at the site of epidural or at the site of the EOIPB as identified before surgery 3.Patient refusal to give consent for epidural or blocks 4.History of known allergies to local anaesthetics or morphine .Suspected bowel obstruction : in this case we cannot use opioids 6.Patient would get discharged in less than 24 hours. 7.Drowsy patient who cannot tell about the pain score appropriately 8.Patients in whom epidural catheter will not be placed (as known preoperatively due to low platelet count or altered coagulation profile) 9.Patients who have been treated with tablet morphine in the preoperative period for pain
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean requirement of intravenous morphine in either groups as rescue analgesicTimepoint: Mean requirement of intravenous morphine in either groups as rescue analgesic upto 24 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain Intensity Difference Side Effects Sum of the pain intensity differenceTimepoint: 24 hours | — |
Countries
India
Contacts
Public ContactNivedhyaa S
Cancer Institute (WIA),Adyar
Outcome results
None listed