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Ultrasound-Guided Abdominal Wall Block

Combined subcostal and posterior transversus abdominis plane block for postoperative pain relief after abdominoplasty

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
TCTR
Registry ID
TCTR20200602001
Enrollment
Unknown
Registered
2020-06-02
Start date
2017-04-23
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

patients undergoing abdominoplasty surgery Abdominoplasty&#44

Interventions

58 patients&#44
undergoing elective abdominoplasty&#44
received general anesthesia. Patients were randomly assigned to two equal groups of 29 patients each. Preoperatively&#44
the patients were educated to the use of the spirometry and visual analog scale (VAS) to monitor their pain postoperatively (where 0 represented no pain&#44
and 10 meant the worst possible pain). In arm 1 the non&#45
blocked group on arrival at the operating theatre&#44
the patients were monitored by electrocardiography&#44
non‑invasive blood pressure&#44
and pulse oximetry. Intravenous infusion of warm ringer’s lactate solution was initiated. All patients received general anesthesia
midazolam 0.03 to 0.05 mg/kg was given intravenously. After adequate pre&#45
oxygenation&#44
anesthesia was induced by IV fentanyl 1 to 2 μg/kg&#44
propofol 1.5 to 2mg/kg&#44
and cisatracurium 0.15 to 0.2 mg/kg. Tracheal intubation was done and ventilator settings were adjusted to maintain the end‑tidal carbon dioxide tension at 30 to 35 mm Hg. Anesthesia was maintained
oxygen–nitrous oxide mixture&#44
and IV cisatracurium incremental doses. Incremental doses of morphine 0.01 to 0.03 mg/kg were given intraoperatively with an interval of 30 min between each dose. After finishing&#44
isoflurane was discontinued&#44
Neuromuscular blockade was antagonized with 0.025 to 0.05 mg/kg neostigmine and 0.01 to 0.02 mg/kg atropine&#44
and then extubation was done for all patients. In PACU patient&#39
s ECG&#44

Sponsors

Al Kindi Specialised Hospital, Bahrain
Lead Sponsor
Hospital Medical Director
Collaborator

Eligibility

Sex/Gender
All
Age
21 Years to 62 Years

Inclusion criteria

Inclusion criteria: patients undergoing elective abdominoplasty surgery with rectus sheath plication and ASA (I-II) patients.

Exclusion criteria

Exclusion criteria: patient’s refusal, patients with a history of known hypersensitivity to local anesthesia and psychiatric disorders, or use of psychiatric medications.

Design outcomes

Primary

MeasureTime frame
postoperative pain postoperative patient admission period degree of pain

Secondary

MeasureTime frame
opioids consumption postoperative patient admission period drug dose

Countries

Bahrain

Contacts

Public ContactHaytham Mohamed

Al Kindi Specialised Hospital, Bahrain

Dr_hytham_anesthesia@yahoo.com+97335190436

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 9, 2026