Regional Anesthesia
Conditions
Brief summary
Abdominal surgery is one of the most definitive and mainstay treatment options for abdominal pathologies in clinical practice. Acute postoperative pain is a major challenge in the postoperative period. Although opioids are commonly used for analgesia after paraumbilical hernia, they can lead to side effects, such as nausea and vomiting, constipation, pruritus, and life-threatening respiratory depression. Regional anesthetic techniques are commonly used to prevent or minimize these side effects. The objective of this study is to assess the effectiveness of erector spinae plane block (ESPB) and standard medical (no block) pain management after paraumbilical hernia.
Interventions
DRUGBubpivacaine
Bupivacaine is a long-acting local anesthetic commonly used to provide pain relief by blocking nerve signals in a specific area. It's often utilized for various medical procedures and surgeries, offering prolonged numbing effects.
DRUGdexamethasone
Dexamethasone is a potent corticosteroid with anti-inflammatory properties. It's frequently employed as an adjunct in medical treatments to reduce inflammation and swelling, and in some cases, to prevent nausea and vomiting associated with certain medications or procedures.
DRUGfentanyl
Fentanyl is a powerful synthetic opioid pain reliever. It acts on the central nervous system to alleviate severe pain. Fentanyl is significantly potent and is used in medical settings for acute pain management, such as during surgeries or for chronic pain in cases where other opioids may not be as effective.
Sponsors
Assiut University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Inclusion criteria
* Age group : 18-60 years old * Both genders * Patient scheduled for paraumbilical hernia surgeries
Exclusion criteria
* Allergy to medications used in this study * Patient's refusal to participate in this study * Recurrent cases * Any complications to local blocks * Emergency surgical procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| first analgesic request | baseline | signifies the initial instance when a patient asks for pain relief, commonly occurring post-surgery or during medical care, marking the first acknowledgment or complaint of discomfort prompting the need for pain medication or management. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| VAS score | baseline | a quantitative measure used in healthcare to assess and quantify pain levels. It involves a patient marking their perceived pain intensity on a 10-point or 100-point scale, typically from no pain to worst pain imaginable, providing a straightforward and subjective representation of pain severity. |
Contacts
Primary ContactRehab Ahmed, master
Backup ContactMahmoud Mohammed, prof
Outcome results
None listed