Post Operative Pain
Conditions
Keywords
Rhomboid Intercostal Block, Retrolaminar Block, Regional Analgesia
Brief summary
Background: Although thoracoscopic sympathectomy is made via small incisions, it is associated with severe postoperative pain. Both Rhomboid intercostal block (RIB) and Retrolaminar block (RLB) are recent techniques used for pain control after such procedures Objectives: To compare the effectiveness of RIB and RLB in providing postoperative analgesia after thoracoscopic sympathectomy in adult patients and their impact on the patient's outcomes. Patients and Methods: This prospective, randomized (1:1), double-blind clinical trial; will be carried out on 60 patients scheduled for elective thoracoscopic sympathectomy under general anesthesia at our hospital. Patients will be randomly allocated into two equal groups (30 patients each) and will receive: in group A; general anesthesia with intraoperative ipsilateral ultrasound-guided RIB, whereas in group B; general anesthesia with intraoperative ipsilateral ultrasound-guided RLB.
Interventions
PROCEDURERhomboid Intercostal Block (RIB)
Intraoperative Ipsilateral Ultrasound-guided RIB
PROCEDURERetrolaminar Block (RLB)
Intraoperative Ipsilateral Ultrasound-guided RLB
Sponsors
Damanhour Teaching Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* American Society of Anesthesiologists (ASA) physical status ≤ II * Age from 18 to 60 years * Body Mass Index (BMI) \< 35 kg/m²
Exclusion criteria
* American Society of Anesthesiologists (ASA) physical status \> II * Age \< 18 years or \> 60 years * Body Mass Index (BMI) ≥ 35 * Local infection at the puncture site * Altered mental status * Pregnant women * Allergy to study drugs * Chronic pain * Coagulation abnormalities or on anticoagulants * Severe hepatic or kidney disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean and Standard deviation of time to the first request of postoperative rescue analgesic (minutes) (mean±SD) | 24 hours after the end of surgery | The time interval between the block performance and the first request of postoperative analgesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean and Standard deviation of Numeric Pain Rating Scale (NPRS) score (mean±SD) | 24 hours after the end of surgery | NPRS measures the severity of postoperative pain, it is a 11 point scale from 0-10; where 0=No pain and 10=Worst possible pain (At PACU, 1h, 3h, 6h, 12h, 18h, 24h) after the end of surgery |
| Mean and Standard deviation of the total dose of the rescue analgesic consumed (milligrams) (mean±SD) | 24 hours after the end of surgery | The total dose of the rescue analgesic consumed in the first 24 hours after the end of surgery |
Countries
Egypt
Contacts
Primary ContactAhmed M Shaat, MD
Outcome results
None listed