Erector Spinae Plane Block in Radical Cystectomy

Erector Spinae Plane Block Clinical Trial

Official title: Ultrasound-Guided Erector Spinae Plane Block in Radical Cystectomy: A Randomized Controlled Study

Status Completed

Clinical Trial Summary

The aim of this research is to study and compare the efficacy and safety of bilateral single injection erector spinae plane block (ESPB) compared with intravenous patient-controlled analgesia (IV-PCA) in managing postoperative pain after radical cystectomy.

Clinical Trial Description

Radical cystectomy (RC) is one of the most challenging surgical techniques in Urology. Acute postsurgical pain is frequently detrimental in a patient's recovery and quality of life.

Intravenous patient-controlled analgesia (IV-PCA) is one of the most commonly used strategies in clinical practice for controlling postoperative pain. It involves continuous administration of a programmed dose of analgesics, while also allowing patients to receive additional, need-based doses.

One such avenue is the erector spinae plane block (ESPB), a novel analgesic technique first described in 2016 by Forero et al. Although the mechanism of action of the ESPB is unknown, a proposed mechanism is via blockade of the dorsal and ventral rami of thoracic/lumbar spinal nerves. ESPB has been used as analgesia in rib fractures and other thoracic procedures as well as in abdominal surgeries. ;

Related Conditions & MeSH terms

• Erector Spinae Plane Block
• Radical Cystectomy

• NCT number: NCT06422182
• Study type: Interventional
• Source: Kafrelsheikh University
• Status: Completed
• Phase: N/A
• Start date: July 25, 2021
• Completion date: January 15, 2024