Comparison Between Erector Spinae Plane Block and Transversus Abdominis Plane Block on Postoperative Analgesia After Total Abdominal Hysterectomy

Uterine Diseases Clinical Trial

Official title:

Comparative Study Between Bilateral Ultrasound-Guided Erector Spinae Plane Block Versus Bilateral Ultrasound-Guided Transversus Abdominis Plane Block on Postoperative Analgesia After Total Abdominal Hysterectomy

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05533710
• Other study ID #: ainshamsU FAMSU
• Status: Recruiting
• Phase: N/A
• Start date: August 28, 2021
• Est. completion date: August 2023

Study information

• Verified date: September 2022
• Source: Ain Shams University
• Contact: israa ihab, MSc
• Phone: 01005461696
• Email: israa_ihab[@]med.asu.edu.eg
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study aims to compare the ultrasound-guided bilateral erector spinae block versus the ultrasound-guided bilateral transversus abdominis plane block on postoperative analgesia after total abdominal hysterectomy.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 40
• Est. completion date: August 2023
• Est. primary completion date: June 2023
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 40 Years to 60 Years

Eligibility

Inclusion Criteria:

1. Patients American Society of Anesthesiologists physical status (ASA) I and II.

2. Female sex.

3. Age between 40 to 60 years old.

4. Scheduled for elective total abdominal hysterectomy surgeries.

Exclusion Criteria:

1. Patient's refusal.

2. Patients who received long-acting opioids preoperatively.

3. Patients with bleeding disorders and coagulopathy.

4. Infection at the injection site.

5. Allergy to local anesthetics.

6. Patients with significant cognitive dysfunction.

7. Patients with diabetic neuropathy.

8. Patients with uncontrolled hypertension or diabetes.

9. Patients with advanced cardiac, respiratory, hepatic or renal disease.

10. Patients with viral hepatitis or HIV.

11. Surgeries which have been complicated or prolonged (more than 150 mins).

Related Conditions & MeSH terms

• Uterine Diseases

Intervention

Procedure:
• erector spinae plane block
Patients will receive ESB. In the lateral decubitus, after skin sterilization, ESP block will be performed at the level of T9
• transversus abdominis plane block
patients will receive TAP block in supine position after skin sterilization, TAP block will be performed between internal oblique and transversus abdominis muscles

Locations

Country	Name	City	State
Egypt	Ain Shams University	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	Total morphine consumption	Compare postoperative pain intensity using the total amount of morphine consumption in the first 24 hours after the operation, and the time for first call rescue analgesia	24 hours postoperative
Primary	Visual Analog Scale Score	Compare postoperative pain intensity using VAS score in the first 24 hours after the operation.The VAS score is a 10-cm line labeled with "worst pain imaginable" on the right border, and "no pain" on the left border (ranging from 0 by indicating no pain to 10 indicating extreme pain).	24 hours postoperative
Primary	The time for first call rescue analgesia	the time for first call rescue analgesia	24 hours postoperative
Secondary	Patient satisfaction	Measure patient satisfaction by asking the patient if he is satisfied or not "yes or no"	24 hours postoperative
Secondary	Recognize the adverse effects	Recognize the adverse effects	24 hours postoperative