Uterine Diseases
Conditions
Keywords
ESPB, TAP
Brief summary
This study aims to compare the ultrasound-guided bilateral erector spinae block versus the ultrasound-guided bilateral transversus abdominis plane block on postoperative analgesia after total abdominal hysterectomy.
Interventions
PROCEDUREerector spinae plane block
Patients will receive ESB. In the lateral decubitus, after skin sterilization, ESP block will be performed at the level of T9
PROCEDUREtransversus abdominis plane block
patients will receive TAP block in supine position after skin sterilization, TAP block will be performed between internal oblique and transversus abdominis muscles
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
1. Patients American Society of Anesthesiologists physical status (ASA) I and II. 2. Female sex. 3. Age between 40 to 60 years old. 4. Scheduled for elective total abdominal hysterectomy surgeries.
Exclusion criteria
1. Patient's refusal. 2. Patients who received long-acting opioids preoperatively. 3. Patients with bleeding disorders and coagulopathy. 4. Infection at the injection site. 5. Allergy to local anesthetics. 6. Patients with significant cognitive dysfunction. 7. Patients with diabetic neuropathy. 8. Patients with uncontrolled hypertension or diabetes. 9. Patients with advanced cardiac, respiratory, hepatic or renal disease. 10. Patients with viral hepatitis or HIV. 11. Surgeries which have been complicated or prolonged (more than 150 mins).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total morphine consumption | 24 hours postoperative | Compare postoperative pain intensity using the total amount of morphine consumption in the first 24 hours after the operation, and the time for first call rescue analgesia |
| Visual Analog Scale Score | 24 hours postoperative | Compare postoperative pain intensity using VAS score in the first 24 hours after the operation.The VAS score is a 10-cm line labeled with worst pain imaginable on the right border, and no pain on the left border (ranging from 0 by indicating no pain to 10 indicating extreme pain). |
| The time for first call rescue analgesia | 24 hours postoperative | the time for first call rescue analgesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction | 24 hours postoperative | Measure patient satisfaction by asking the patient if he is satisfied or not yes or no |
| Recognize the adverse effects | 24 hours postoperative | Recognize the adverse effects |
Countries
Egypt
Contacts
Primary Contactisraa ihab, MSc
Outcome results
None listed