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NCT06048744 Clinical Trial

Ultrasound Guided Erector Spinae Plane Block vs External Oblique Intercostal Plane Block for Nephrectomy

Post Operative Pain Clinical Trial

— EOINBvsESB  

Official title:
Ultrasound Guided Erector Spinae Plane Block vs External Oblique Intercostal Plane Block for Postoperative Analgesia in Patients Undergoing Subcoastal Nephrectomy: A Randomised Trial

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT06048744
Other study ID # 9/2023ANET1-2
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date September 1, 2023
Est. completion date January 25, 2024

Study information
Verified date January 2024
Source Menoufia University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The patients will be randomly allocated into two equal groups using a computer program. Group A: will receive U S guided external oblique intercostal block after induction. Group B: Patients will receive US guided erector spine block after induction.

Description:

Patients will be premedicated with IV midazolam (0.05 mg/kg). Under standard monitoring including Electrocardiography, Non-Invasive Blood Pressure, and Pulse Oximetry. General Anesthesia will be induced with Fentanyl (1-2 μg/kg), Propofol (2-3 mg/kg), and Atracurium (0.5-0.8 mg/kg). Pressure controlled Volume guarantee Ventilation mode will be used to maintain O2 Saturation Above 98%. Anesthesia will be maintained with Isoflurane 1.2 Minimum Alveolar Concentration inhalation

Recruitment information / eligibility
Status Completed
Enrollment 25
Est. completion date January 25, 2024
Est. primary completion date December 20, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Eligible patients will be older than 21 years old with American society of anesthesiology ASA physical status I& II&III scheduled for elective (Subcostal) Nephrectomy Exclusion Criteria: - Patients who are: - Uncooperative. - Having allergy to any of the study drugs. - Known abuse of alcohol or medication. - Having Local infection at the site of injection or systemic infection. - Pregnancy. - With coagulation disorders or on anticoagulation therapy.

Study Design

Related Conditions & MeSH terms

Intervention

Procedure:
• external oblique intercostal block
U S guided external oblique intercostal block after induction.
• Erector Spine block
US guided erector spine block after induction

Locations
Country Name City State
Egypt Menoufia university Cairo Shibin Elkom

Sponsors (1)
Lead Sponsor Collaborator
Menoufia University

Country where clinical trial is conducted

Egypt, 

Outcome
Type Measure Description Time frame Safety issue
Primary time for first rescue analgesia hours day 0
Secondary visual analogue score VAS score (a scale from 0 to 10 where 0 is interpreted as no pain, 1-4 mild pain, 5-6 moderate pain, 7-10 severe pain) will be recorded 15 min after extubation (as soon as the patient will be alert enough to report pain) 24 hours
Secondary the number of rescue analgesics numbers' 24hours
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