Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • All patients within the age range of 18 to 65 years old. • American Society of Anesthesiologists physical status classes I or II. • Scheduled for midline laparotomy.
Exclusion criteria
Exclusion criteria: • Refusal of the patient to give informed consent. • Allergy or contraindication to any of the study drugs. • Renal, cardiovascular, central nervous system, respiratory, gastrointestinal diseases. • Infection at the block site. • Fibromyalgia, chronic pain and those taking opioid analgesics.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative pain intensity using Visual Analog Scale (VAS) score. The VAS of the postoperative pain will be recorded as static (during rest) and dynamic (during forceful cough) measurements. | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to first postoperative analgesia requirement (minutes);Intraoperative fentanyl (mic) and postoperative (ibuprofen and morphine) (mg) analgesic requirements. ;Mean arterial pressure and heart rate;Adverse effects (e.g., nausea, vomiting, Itching), patient satisfaction and Block related complications Such as, block failure (VAS =7 at PACU admission), LAST, dizziness, hypotension, were recorded.;Overall patient satisfaction at the end of 24 hours postoperatively: all patients will be asked to rate the overall degree of satisfaction of analgesia using a 1 to 3 verbal scale (1 = unsatisfactory analgesia, 2 = satisfactory analgesia, and 3 = excellent analgesia) | — |
Countries
Egypt
Contacts
assistant professor of anesthesia