Anesthesia
Conditions
Brief summary
The aim of this study is to compare the analgesic efficacy of erector spinae plane block and quadratus lumborum block after abdominal hysterectomy surgery and postoperative opioid consumption.
Interventions
ultrasound guided nerve block
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with American Society of Anesthesiologists (ASA) physical status 1-3. * scheduled for abdominal hysterectomy surgery.
Exclusion criteria
* History of allergy to the medications used in the study. * Contraindication to regional anesthesia as coagulopathy, local infection. * Severe hepatic impairment (child C). * Sever Renal dysfunction (creatinine clearance \< 30). * Psychiatric or mental disorder affecting patient ability to interpret VAS score. * Body mass index (BMI) ≥ 40 or ≤ 18 kg/m2. * ASA IV. * Patient refusal.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-operative pain | 24 hours | Post-operative pain severity assessed by visual analog scale (VAS) (range from 0-10., 0 no pain, 10 worst pain ). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cumulative post-operative opioid consumption | 24 hours | opioid consumption |
| The onset of 1st analgesic request | 24 hours | time needed for 1st request of rescue analgesia |
Other
| Measure | Time frame | Description |
|---|---|---|
| Incidence of complications | 24 hours | postoperative nausea and vomiting(PONV), hematoma, local anaesthetic toxicity (LAT) |
Countries
Egypt