Colorectal Cancer Clinical Trial
Official title:
A Comparative Study of Analgesic Effect of Ultrasound Guided Erector Spinae Plane Block Versus Quadratus Lumborum Block for Open Colorectal Cancer Surgeries
NCT number | NCT03803267 |
Other study ID # | MD.18.11.106 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | May 1, 2019 |
Est. completion date | April 1, 2020 |
Verified date | April 2020 |
Source | Mansoura University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Colorectal cancer is the third most common cancer worldwide. These patients usually undergo
open surgical resection of cancer under general anaesthesia.
The aim of this study is to detect whether the Erector spinae plan block or Quadratus
lumborum block will provide the most ideal analgesia for these patients. Erector spinae plan
block is a novel analgesic technique that provides both visceral and somatic analgesia due to
its communication with the paravertebral space. Quadratus lumborum block is a truncal nerve
block usually used for intra-abdominal surgeries. Ultrasound guidance increases the accuracy
and safety of both techniques. A local anaesthetic mixture of Bupivacaine 0.25% and
dexamethasone will be used for both techniques.
Status | Completed |
Enrollment | 68 |
Est. completion date | April 1, 2020 |
Est. primary completion date | January 1, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 40 Years to 60 Years |
Eligibility |
Inclusion Criteria: - American Society of Anesthesiologists physical status I or II - Body mass index from 18.5 to 35 Kg/m2 Exclusion Criteria: - Body mass index more than 35 Kg/m2. - Severe or uncompensated cardiovascular disease. - Severe renal disease. - Severe hepatic disease. - Severe endocrinal disease. - Pregnancy. - Postpartum. - Lactating females - Allergy to one of the agents used. - Refusal to participate in the study. |
Country | Name | City | State |
---|---|---|---|
Egypt | Amer A Attieh | Mansourah | DK |
Lead Sponsor | Collaborator |
---|---|
Mansoura University |
Egypt,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Postoperative pain score | The intensity of pain indicated by a segmented numeric scale in which a respondent selects a whole number (0-100 integers) that best reflects his/her pain as 0-30 for mild pain, 30-60 for moderate pain and 60-100 for sever pain | From 1 day before the surgery to the 2 days after surgery | |
Secondary | Systolic Blood Pressure | The pressure in the arteries during contraction of the heart | One hour before induction of general anesthesia, every 10 minutes till end of surgery, every 4 hours till end of the first 24 hours postoperatively, then every 8 hours till end of the next 24 hours | |
Secondary | Mean Blood Pressure | : The average pressure in the arteries during one cardiac cycle. It is a better indicator for vital organs' perfusion than the systolic pressure | One hour before induction of general anesthesia, every 10 minutes till end of surgery, every 4 hours till end of the first 24 hours postoperatively, then every 8 hours till end of the next 24 hours | |
Secondary | Heart rate | The number of heart beats per minute. A lower heart rate at rest implies a more efficient heart function, better cardiovascular fitness and less stress | One hour before induction of general anesthesia, every 10 minutes till end of surgery, every 4 hours till end of the first 24 hours postoperatively, then every 8 hours till end of the next 24 hours | |
Secondary | Time to first rescue analgesic request | The time elapsed from termination of performing each block till the patient's request for analgesia. It resembles the duration of analgesia | Up to 48 postoperative hours | |
Secondary | Peripheral oxygen saturation | An estimate of oxygenated hemoglobin concentration in blood. It is measured by pulse oximeter device | One hour before induction of general anesthesia, every 10 minutes till end of surgery, every 4 hours till end of the first 24 hours postoperatively, then every 8 hours till end of the next 24 hours | |
Secondary | Total amount of rescue analgesic consumption | The total amount of morphine consumed by the patient for pain relief over the 48 hours postoperatively | From the time of first analgesic request till the end of the first 24 hours, then till the end of the next 24 hours postoperatively | |
Secondary | Postoperative nausea and vomiting intensity score | Postoperative Nausea and Vomiting Intensity Scale: A scale that evaluates postoperative nausea and vomiting. It equals severity of nausea (1=mild, 2= moderate, 3= sever) x pattern of nausea (1=varying, 2= constant) x duration of nausea (in hours). At any time, if it is < 50 or vomiting occurs once or twice, it is clinically unimportant (good outcome). If it is =50 or vomiting occurs 3 or more times, it is clinically important (bad outcome). The sum of all values will quantify the entire period of the study. | Immediately after recovery, every 4 hours till end of the first 24 hours postoperatively, then every 8 hours till end of the next 24 hours | |
Secondary | Cortisol | A steroid hormone secreted by adrenal cortex in response to stress and hypoglycemia | At 9 Am, 1 hour after induction of general anesthesia, 1st, 24th and 48th hours postoperatively | |
Secondary | Serum C-reactive protein (CRP) | A protein synthetized by hepatocytes in response to systemic inflammation or tissue damage | On hospital admission, 1 hour after induction of general anesthesia, 1st, 24th and 48th hours postoperatively |
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