Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1-Age: Patients age 18–65 years, of both sexes. 2- Cirrhotic candidates for hepatic resection with Child-Pugh classification (A).
Exclusion criteria
Exclusion criteria: 1- Patient refusal to participate in the study. 2- Patients with severe coagulation disorders and those on anticoagulants. 3- Body mass index higher than 40 kg/m2 4- Patients with pacemakers and cardiac arrythmia. 5- Patients with skin infection at puncture site. 6- Patients who are allergic to any of the study drugs, those with opioid addiction. 7- Patients who will develop major intraoperative events (eg, severe hemodynamic instability, massive blood loss and massive blood transfusion.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| assessment of pain by visual analogue scale (VAS) | — |
Secondary
| Measure | Time frame |
|---|---|
| time to first request of analgesia, postoperative consumption of additional opioids within the first 24 hours after surgery, correlation between Analgesia Nociception Index (ANI) measurements and hemodynamic variables (HR, MAP and cardiometry derived variables), and any post operative complications as postoperative nausea and vomiting (PONV) . | — |
Countries
Egypt
Contacts
lecturer of anasthesia