Abdominal Hernia, Epidural; Anesthesia, Eventration, Regional Anesthesia
Conditions
Keywords
Intercostal nerves, epidural,abdominal hernia
Brief summary
Adequate pain control, rehabilitation and early postoperative recovery are currently the model to follow according to the recommended guidelines.In this project the main objective is to evaluate 2 different analgesic strategies, open and laparoscopic surgeries, both intraoperatively and postoperatively, one based on 1. Epidural analgesia and the other 2. Echoguided serratus intercostal block prior to surgical intervention in eventration or abdominal wall repair interventions. or 3 port infiltration and 4 SIPB in laparoscopy We conducted an prospective non inferiority study with a low level of intervention. Epidural analgesia prior to general anesthesia and serratus-intercostal block prior to general anesthesia) following the criteria applied in each case according to the operating room anesthesiologist until reaching the sample size and fulfilling the criteria of: abdominal eventration repair, over 18 years of age, ASA I-III. Signature of the IC. in laparoscopic surgery both techiques are applied after induction of general anaesthesia
Detailed description
Adequate pain control, rehabilitation and early postoperative recovery are currently model to follow according to the recommended guidelines.In this project the main objective is to evaluate 2 different analgesic strategies both intraoperatively and postoperatively, one based on 1. Epidural analgesia and the other 2. Echoguided serratus intercostal block prior to surgical intervention in eventration or abdominal wall repair interventions. or 3 port infiltration and 4 SIPB in laparoscopy The investigators conducted an non inferiority study with a low level of intervention. Epidural analgesia , serratus-intercostal block and port infiltration prior to general anesthesia) following the criteria applied in each case according to the operating room anesthesiologist until reaching the sample size and fulfilling the criteria of: abdominal eventration repair, over 18 years of age, ASA I-III. Signature of the IC. We will assess the analgesia provided by the techniques in both techniques and to compare the results.
Interventions
regional anesthesia
ultrasound guided
local anesthetic
Sponsors
Study design
Eligibility
Inclusion criteria
* abdominal eventration repair, * over 18 years old, * ASA I-III. * Signature of the IC.
Exclusion criteria
* Allergy to Local anesthetic
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative pain management | 24h | Pain control. NRS scale at O,6, 12 and 24 h in postoperative time |
| postoperative quality of recovery | 24h | Quality of recovery, QoR15 scale, that includes physical and psicological item. That scale will be fill by the patient 24 h after surgery |
Countries
Spain
Contacts
Hospital del Rio Hortega