Post Operative Pain
Conditions
Brief summary
Ithe study will evaluate the analgesic efficacy of external oblique intercostal block for patients undergoing upper abdominal surgeries
Detailed description
Patients will be randomly divided into two equal groups using SPSS. Group A: will receive US-guided external oblique intercostal block after induction Group B: will receive postoperative morphine on patient request. Study design: prospective controlled randomized study.
Interventions
After induction of general anesthesia, external oblique intercostal block will be performed (8) under ultrasonographic guidance with transportable ultrasound device ( Sonosite ,superficial probe ,14-15 MHz). the patient will be positioned supine, and a linear ultrasound transducer will be placed in the sagittal plane between the midclavicular and anterior axillary lines at the level of sixth rib. 20 ml of bupivacaine 0.25% will be injected between the plane of the external oblique and the intercostal muscles. The drug will be injected after a negative aspiration. The contralateral side block will be performed in a same manner.
Sponsors
Study design
Eligibility
Inclusion criteria
* Selected patients will be more than 21 years old with ASA physical status I & II scheduled for upper abdominal surgeries
Exclusion criteria
Uncooperative patients. * Patients who have allergy to any of the used drugs. * Patients who are on opioids. * Known abuse of alcohol or medication. * Local infection at the site of injection or systemic infection. * Pregnancy * Patients with coagulation disorders or on anticoagulation therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual analogue pain scale . | 24 hours | postoperative pain that evaluated by visual analogue pain scale(a scale from 0 to 10 where 0 is interpreted as no pain, 1-4 mild pain, 5-6 moderate pain, 7-10 severe pain) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| total perioperative analgesics requirements | 24 hours | Milligram |
Countries
Egypt