Post-operative Analgesia Clinical Trial
Official title:
Bilateral Ultrasound Guided Erector Spinae Plane Block Versus Transversus Abdominis Plane Block on Post-operative Analgesia After Total Abdominal Hysterectomy
NCT number | NCT03965156 |
Other study ID # | 5423 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | June 13, 2019 |
Est. completion date | October 11, 2019 |
Verified date | October 2019 |
Source | Zagazig University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
- Abdominal hysterectomy is an open surgical procedure associated with considerable
post-operative pain. Narcotics are often required during patient recovery but can result
in adverse side effects. Transversus abdominis plane block(TAP block) is a regional
anesthetic technique that is found to be effective as post-operative analgesia after
total abdominal hysterectomy. Recently, erector spinae plane block(ESP)block is found to
be safe, and simple regional anesthetic technique that decrease total opioid consumption
in patient undergoing breast, or abdominal surgery.
- The aim is to compare the efficacy of bilateral erector spinae plane block, and
bilateral transversus abdominis plane block on postoperative analgesia in patients after
abdominal hysterectomy under general anesthesia, and their need for opioid.
Hypothesis
- Null hypothesis (H0): No difference between the analgesic effects of bilateral erector
spinae plane block, and bilateral transversus abdominis plane block in patients after
abdominal hysterectomy under general anesthesia.
- Alternative hypothesis (H1): There are difference between the analgesic effects of
bilateral erector spinae plane block, and bilateral transversus abdominis plane block in
patients after abdominal hysterectomy under general anesthesia.
Status | Completed |
Enrollment | 48 |
Est. completion date | October 11, 2019 |
Est. primary completion date | October 1, 2019 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 40 Years to 60 Years |
Eligibility |
Inclusion Criteria: - Female Patient. - Patient acceptance. - Age (40-60) years old. - American Society of Anaesthesiologist (ASA) I / II - Elective total abdominal hysterectomy under general anesthesia. - patient With Body Mass Index (BMI) (25-35kg/m²) Exclusion Criteria: - Patient refusal. - Local infection at site of puncture. - Altered mental status. - History of allergy to study drugs ( bupivacaine, morphine). - Patients with chronic pain. - Patients with severe hepatic or kidney impairment. - Patients having a history of hematological disorders, including coagulation abnormality. |
Country | Name | City | State |
---|---|---|---|
Egypt | Zagazig University Hospitsals | Zagazig |
Lead Sponsor | Collaborator |
---|---|
Zagazig University |
Egypt,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The total amount of morphine given to each patient | The total amount of morphine given to each patient during the first 24h of postoperative period | the first 24 hours postoperative. | |
Primary | The time to first call to analgesia (morphine) | morphine (rescue analgesic) will be given if VAS>3. | first call to morphine up to 24 hours postoperative. | |
Primary | Pain intensity using Visual analogue Scale (VAS) (McCormack et al., 1988). | 1- Pain intensity using Visual analogue Scale (VAS) (McCormack et al., 1988). A commonly used visual analog scale is a 10-cm line labeled with "worst pain imaginable" on the right border and "no pain" on the left border. The patient is instructed to make a mark along the line to represent the intensity of pain currently being experienced. VAS score will be assessed at 30 minutes, 2hs, 4hs, 6hs, 12hs, and 24hs postoperative and IV increment of 3mg morphine (rescue analgesic) will be given if VAS>3. | at 30 minutes postoperative. | |
Primary | Pain intensity using Visual analogue Scale (VAS) | visual analogue scale is a 10-cm line labeled with "worst pain imaginable" on the right border and "no pain" on the left border. | at 2 hours postoperative. | |
Primary | Pain intensity using Visual analogue Scale (VAS) | visual analogue scale is a 10-cm line labeled with "worst pain imaginable" on the right border and "no pain" on the left border. | at 4 hours postoperative. | |
Primary | Pain intensity using Visual analogue Scale (VAS) | visual analogue scale is a 10-cm line labeled with "worst pain imaginable" on the right border and "no pain" on the left border. | at 6 hours postoperative. | |
Primary | Pain intensity using Visual analogue Scale (VAS) | visual analogue scale is a 10-cm line labeled with "worst pain imaginable" on the right border and "no pain" on the left border. | at 12 hours postoperative. | |
Primary | Pain intensity using Visual analogue Scale (VAS) | visual analogue scale is a 10-cm line labeled with "worst pain imaginable" on the right border and "no pain" on the left border. | at 24 hours postoperative. | |
Primary | "Number of Participants with nausea, Vomiting, nausea or vomiting, hypotension, bradycardia, or any other complication" | "Number of Participants with nausea, Vomiting, nausea or vomiting, hypotension, bradycardia, or any other complication" | Up to 24 hours postoperative. | |
Secondary | Over all patient satisfaction | Over all patient satisfaction:The patients will be asked to rate the overall degree of satisfaction of the analgesia using a 1-3 verbal scale (1 = unsatisfactory analgesia, 2 = satisfactory analgesia, and 3 = excellent analgesia) (Ross et al., 2009). | all over 24 hours postoperative |
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