Ultrasound Guided Erector Spinae Plane Block Versus Retrolaminar Plane Block

Analgesia Clinical Trial

Official title:

Comparison Between the Efficacy of Ultrasound Guided Erector Spinae Plane Block Versus Retrolaminar Plane Block for Postoperative Pain in Patients Undergoing Hepatobiliary Surgery

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05705739
• Other study ID #: 544/2022
• Status: Completed
• Phase: N/A
• Start date: February 10, 2023
• Est. completion date: August 1, 2023

Study information

• Verified date: October 2023
• Source: Minia University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Retrolaminar block (RLB) and erector spinae plane block (ESPB) are alternative approaches to paravertebral block (PVB) and are advantageous in that they are easier and safer techniques compared with the traditional PVB. These blocks are considered to be compartment blocks or interfascial plane blocks. In these approaches, local anesthetics are assumed to penetrate the superior costotransverse ligament and reach the paravertebral space, although the needle tip is not advanced into the paravertebral space.

the study aim to evaluate and compare the analgesic efficacy of retrolaminar plane block and erector spinae plane block.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50
• Est. completion date: August 1, 2023
• Est. primary completion date: July 1, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

1. Age18-60.

2. Both genders.

3. hepatobiliary surgery.

4. ASA I-III.

Exclusion Criteria:

1. Drug allergy.

2. Morbid obesity (BMI >40 kg/m2).

3. Psychiatric disorder.

4. Opiod dependence.

Related Conditions & MeSH terms

• Analgesia
• Pain, Postoperative
• Post Operative Pain

Intervention

Procedure:
• retrolaminar block
curved probe will be placed 1-1.5 cm lateral to the target spinous process after identification of the lamina, the needle will be advanced caudally until it contacts the lamina
• ESPB
curved probe will be placed 2-3 cm lateral to the spine using a sagittal approach at the level of T8. After identification of erector spinae muscle and transverse processes, the needle will be inserted deeply into the erector spinae muscle.

Locations

Country	Name	City	State
Egypt	Minia University	Minya	Minia

Sponsors (1)

Lead Sponsor	Collaborator
Minia University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Visual analogue pain scale	score from 0-10 (0 mean no pain and 10 the worst pain )	24 hour
Secondary	Time of first post operative analgesic request.	time to demand rescue analgesia	24 hour
Secondary	Total analgesic consumption	total fentanyl consumption during the first day postoperative	24 hour