Analgesia
Conditions
Keywords
erector spinal plane block, analgesia, laparoscopic cholecystectomy
Brief summary
Purpose: to evaluate the efficacy and safety of erector spinal block (ESB) for analgesia in laparoscopic cholecystectomy(LC). Method: This study is a randomized, single-blind, controlled clinical trial. Pre-operative ultrasound-guided bilateral erector spinae plane block will be performed in the ESPB group. Vertebral side block will be performed in the VSB group. And the control group will receive local anaesthesia after the surgery. Intraoperative and postoperative analgesia effect and side effects will be compared between the three groups.
Interventions
After induction of general anesthesia, pre-operative ultrasound-guided bilateral erector spinae plane block/ vertebral side block will be performed in the ESPB/VSB group. Local block will be performed at the surgical incisions after the surgery under general anesthesia. All the intervention will be performed without patients' awareness.
Sponsors
Study design
Intervention model description
A randomized, single-blinded, controlled clinical trial
Eligibility
Inclusion criteria
* American Society of Anesthesiologists (ASA) physical status 1-3 * Scheduled for elective laparoscopic cholecystectomy surgery under general anesthesia
Exclusion criteria
* patient refusal * pregnancy * history of allergy to study drugs * neurological and cognitive disorders * coagulopathy * chronic pain disorders * infections at the injection site * history of abdominal surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity at rest(Hour 2) | Hour 2 | Using the Numeric Rating Scale (NRS) to evaluate the pain intensity at rest two hours after the surgery. |
| Pain intensity at rest (Hour 6) | Hour 6 | Using the Numeric Rating Scale (NRS) to evaluate the pain intensity at rest six hours after the surgery. |
| Pain intensity at rest (Hour 24) | Hour 24 | Using the Numeric Rating Scale (NRS) to evaluate the pain intensity at rest 24 hours after the surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The overall dose of remifentanil | During the surgery | The overall dose of remifentanil used in the surgery. |