Erector Spinae Plane Block, Laparoscopic Abdominal Surgeries, Postoperative Analgesia
Conditions
Brief summary
This study aims to evaluate the efficacy of the erector spinae plane block (ESPB) on postoperative analgesia in patients undergoing laparoscopic abdominal surgeries.
Detailed description
Laparoscopic surgery is associated with less pain, fewer wound infections, reduced hospital stay, reduced morbidity and mortality, and early return to work and improved overall quality of life. The role of ESPB as a better analgesic modality in reducing 24-hour opioid consumption has recently been established for post-operative analgesia in breast surgeries, video-assisted thoracoscopic surgery, and cardiothoracic surgeries.
Interventions
OTHERErector spinae plane block
Patients will receive an ultrasound-guided erector spinae plane block.
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥ 18 years. * Both sexes. * American Society of Anesthesiologists (ASA) physical status I-II. * Body mass index (BMI) between 20-30 kg/m2. * Patients undergoing laparoscopic abdominal surgeries under general anesthesia.
Exclusion criteria
* Bleeding or coagulation disorders. * Having local sepsis, pre-existing. * Peripheral neuropathies. * Chronic pain conditions. * Having any contraindication to regional anesthesia administration. * Opioid dependency. * Hypertension. * Uncontrolled diabetes mellitus.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to the 1st rescue analgesia | 24 hours postoperatively | Time to the first request for the rescue analgesia (time from the end of surgery to first dose of morphine administrated). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total morphine consumption | 24 hours postoperatively | Rescue analgesia of morphine will be given as 3 mg bolus if the Visual Analogue Scale (VAS) \> 3 to be repeated after 30 min if pain persists until the VAS \< 4. |
| Mean arterial pressure | Till the end of surgery (Up to 2 hours) | Mean arterial pressure will be recorded before skin incision, one minute after skin incision and then recorded regularly every 10 minutes. |
| Heart rate | Till the end of surgery (Up to 2 hours) | Heart rate will be recorded before skin incision, one minute after skin incision and then recorded regularly every 10 minutes. |
| Degree of pain | 24 hours postoperatively | Each patient will be instructed about postoperative pain assessment with the Visual Analogue Scale (VAS). VAS (0 represents no pain while 10 represents the worst pain imaginable). VAS will be assessed at 0, 4, 6, 8, 12, and 24 h postoperatively. |
| Incidence of adverse events | 24 hours postoperatively | Incidence of adverse events such as bradycardia, hypotension, nausea, vomiting, respiratory depression, or any other complication were recorded. |
Countries
Egypt
Contacts
Primary ContactBahaa G Saad, MD
Outcome results
None listed