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NCT05141955 Clinical Trial

Ultrasound Guided Erector Spinae Plane Block Versus Quadratus Lumborum Block for Postoperative Analgesia in Patients Undergoing Laparoscopic Sleeve Gastrectomy

Post Operative Pain Clinical Trial

Official title:
A Randomized Controlled Trial for Postoperative Analgesia in Patients Undergoing Laparoscopic Sleeve Gastrectomy: Ultrasound Guided Erector Spinae Plane Block Versus Quadratus Lumborum Block

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT05141955
Other study ID # FMASU MS 705/ 2021
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date December 15, 2021
Est. completion date June 15, 2022

Study information
Verified date June 2022
Source Ain Shams University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Postoperative pain control is a significant challenge in medical practice. Inadequate pain control could decrease patient's satisfaction, delay postoperative ambulation, increase the incidence of pulmonary and cardiac complications and cause the development of chronic postoperative pain. Laparoscopic surgical techniques could decrease postoperative pain and opioid consumption. The addition of regional techniques to general anesthesia showed better pain management and less consumption of opioids compared to the traditional techniques. The aim of this study is to compare the effectiveness of ultrasound guided erector spinae plane block versus quadratus lumborum block regarding postoperative analgesia in patients undergoing laparoscopic sleeve gastrectomy.

Recruitment information / eligibility
Status Completed
Enrollment 120
Est. completion date June 15, 2022
Est. primary completion date June 15, 2022
Accepts healthy volunteers No
Gender All
Age group 21 Years to 60 Years
Eligibility Inclusion Criteria: - Patients with free medical history or controlled hypertension and/ or diabetes scheduled for elective laparoscopic sleeve gastrectomy. - BMI > 35 kg/ m2 Exclusion Criteria: - Patients unfit for surgery or refuse to sign the consent of regional block. - Patients with known coagulation defects. - Patients with known hypersensitivity to bupivacaine. - Patients with infection at the site of injection. - Conversion of laparoscopic surgery to laparotomy

Study Design

Related Conditions & MeSH terms

Intervention

Other:
• Group Erector Spinae Plane Block (ESPB)
Patients will receive general anesthesia initially then bilateral ESPB with a total volume of (0.3-0.4 ml/kg LBW) of bupivacaine 0.25% will be performed (not exceeding toxic dose) 150 mg "
• Group Quadratus Lumborum Block (QLB)
Patients will receive general anesthesia initially then bilateral QLB with a total volume of (0.3-0.4 ml/kg LBW) of bupivacaine 0.25% will be performed "not exceeding toxic dose150 mg "
• Group (C) (Control group)
Where patients will be operated under general anesthesia.

Locations
Country Name City State
Egypt Ain-Shams University Hospitals Cairo

Sponsors (1)
Lead Sponsor Collaborator
Ain Shams University

Country where clinical trial is conducted

Egypt, 

Outcome
Type Measure Description Time frame Safety issue
Primary Time to first requested rescue analgesia(Minutes) Time to first requested rescue analgesia(Minutes) 24 hours postoperatively
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