Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: We will include adult (=18 years) patients, either sex, child Turcotte Pugh score A or B with a scheduled ultrasound-guided PRFA of primary or secondary focal right lobe hepatic tumors (single lesion <5cm, or two lesions each of them < 3 cm). .
Exclusion criteria
Exclusion criteria: patient refusal, allergy to bupivacaine, psychiatric or behavioral disorders, or infection at the injection site. Patients suffered from chest wall or spine deformities, with bleeding or coagulation disorders, or platelet count less than 50000/mm3 or INR > 1.5 will be also excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the success of RISS block as a sole anesthetic; defined as (VAS < 4 without using propofol throughout the procedure). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Intraoperative analgesic consumption. 2. Time of the first post-operative analgesic dose. 3. Post-operative analgesic consumption. 4. Pain scores measured postoperatively by VAS at rest and on movement at 1, 2, 6, 12, and 24 hours. 5. Patient and Radiologist satisfaction 7. Procedure-related side effects | — |
Countries
Egypt
Contacts
Lecturer of Anesthesia and Surgical ICU. Faculty of Medicine. Mansoura University