Trial Outcomes & Findings for Transversus Abdominis Plane Block Versus Erector Spinae Plane Block (NCT NCT03989570)

NCT ID: NCT03989570

Last Updated: 2020-06-30

Results Overview

the pain will be assisted based on the time for the first dose of rescue analgesia

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

100 participants

Primary outcome timeframe

24 hours

Results posted on

2020-06-30

Participant Flow

7 patient refuse to participate

Participant milestones

Participant milestones
Measure
Group I (A Group)
31 patients Will undergo ESP block with 40 ml bupivacine 0.25% (20 ml on each side), and TAP block with 40 ml saline 0.9% (20 ml on each side). erector spinae plane block: The ESP block will be performed into a fascial plane between the deep surface of erector spinae muscle and the transverse processes
Group II (B Group)
31patients Will undergo TAP block with 40 ml bupivacine 0.25% (20 ml on each side), and ESP block with 40 ml saline 0.9% (20 ml on each side). transversus abdominis plane block: The TAP block will be performed laterally behind the midaxillary line between the iliac crest and the most inferior extent of the ribs. The plane between the internal oblique and transversus abdominis muscle will be located around the midaxillary line with the probe transverse to the abdomen. Anteriorly,The needle will be passed to come in plane with the ultrasound beam and placed between transversus and internal oblique posterior to the midaxillary line then, the local anesthetic will be injected
Group III (C Group)
31 patients anesthetized with the protocol followed by Minia University Hospital control group: placebo
Overall Study
STARTED
31
31
31
Overall Study
COMPLETED
31
31
31
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Transversus Abdominis Plane Block Versus Erector Spinae Plane Block

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group I (A Group)
n=31 Participants
31 patients Will undergo ESP block with 40 ml bupivacine 0.25% (20 ml on each side), and TAP block with 40 ml saline 0.9% (20 ml on each side). erector spinae plane block: The ESP block will be performed into a fascial plane between the deep surface of erector spinae muscle and the transverse processes
Group II (B Group)
n=31 Participants
31patients Will undergo TAP block with 40 ml bupivacine 0.25% (20 ml on each side), and ESP block with 40 ml saline 0.9% (20 ml on each side). transversus abdominis plane block: The TAP block will be performed laterally behind the midaxillary line between the iliac crest and the most inferior extent of the ribs. The plane between the internal oblique and transversus abdominis muscle will be located around the midaxillary line with the probe transverse to the abdomen. Anteriorly,The needle will be passed to come in plane with the ultrasound beam and placed between transversus and internal oblique posterior to the midaxillary line then, the local anesthetic will be injected
Group III (C Group)
n=31 Participants
31 patients anesthetized with the protocol followed by Minia University Hospital control group: placebo
Total
n=93 Participants
Total of all reporting groups
Age, Continuous
45.8 years
STANDARD_DEVIATION 14.9 • n=5 Participants
47.4 years
STANDARD_DEVIATION 11.8 • n=7 Participants
43.6 years
STANDARD_DEVIATION 13.7 • n=5 Participants
45.61 years
STANDARD_DEVIATION 13.46 • n=4 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
14 Participants
n=7 Participants
16 Participants
n=5 Participants
45 Participants
n=4 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
17 Participants
n=7 Participants
15 Participants
n=5 Participants
48 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
31 Participants
n=5 Participants
31 Participants
n=7 Participants
31 Participants
n=5 Participants
93 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
White
31 Participants
n=5 Participants
31 Participants
n=7 Participants
31 Participants
n=5 Participants
93 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
Egypt
31 participants
n=5 Participants
31 participants
n=7 Participants
31 participants
n=5 Participants
93 participants
n=4 Participants

PRIMARY outcome

Timeframe: 24 hours

the pain will be assisted based on the time for the first dose of rescue analgesia

Outcome measures

Outcome measures
Measure
Group I (A Group)
n=31 Participants
31 patients Will undergo ESP block with 40 ml bupivacine 0.25% (20 ml on each side), and TAP block with 40 ml saline 0.9% (20 ml on each side). erector spinae plane block: The ESP block will be performed into a fascial plane between the deep surface of erector spinae muscle and the transverse processes
Group II (B Group)
n=31 Participants
31patients Will undergo TAP block with 40 ml bupivacine 0.25% (20 ml on each side), and ESP block with 40 ml saline 0.9% (20 ml on each side). transversus abdominis plane block: The TAP block will be performed laterally behind the midaxillary line between the iliac crest and the most inferior extent of the ribs. The plane between the internal oblique and transversus abdominis muscle will be located around the midaxillary line with the probe transverse to the abdomen. Anteriorly,The needle will be passed to come in plane with the ultrasound beam and placed between transversus and internal oblique posterior to the midaxillary line then, the local anesthetic will be injected
Group III (C Group)
n=31 Participants
31 patients anesthetized with the protocol followed by Minia University Hospital control group: placebo
Time of First Post Operative Analgesic Request
14.9 Hour
Standard Deviation 5.7
6.5 Hour
Standard Deviation 2.2
2.8 Hour
Standard Deviation 1.6

PRIMARY outcome

Timeframe: 24 hours

The total amount of postoperative fentanyl in milligram was given to the patient as rescue analgesia during 24 hours

Outcome measures

Outcome measures
Measure
Group I (A Group)
n=31 Participants
31 patients Will undergo ESP block with 40 ml bupivacine 0.25% (20 ml on each side), and TAP block with 40 ml saline 0.9% (20 ml on each side). erector spinae plane block: The ESP block will be performed into a fascial plane between the deep surface of erector spinae muscle and the transverse processes
Group II (B Group)
n=31 Participants
31patients Will undergo TAP block with 40 ml bupivacine 0.25% (20 ml on each side), and ESP block with 40 ml saline 0.9% (20 ml on each side). transversus abdominis plane block: The TAP block will be performed laterally behind the midaxillary line between the iliac crest and the most inferior extent of the ribs. The plane between the internal oblique and transversus abdominis muscle will be located around the midaxillary line with the probe transverse to the abdomen. Anteriorly,The needle will be passed to come in plane with the ultrasound beam and placed between transversus and internal oblique posterior to the midaxillary line then, the local anesthetic will be injected
Group III (C Group)
n=31 Participants
31 patients anesthetized with the protocol followed by Minia University Hospital control group: placebo
Postoperative Total Fentanyl Requirement
40.3 Milligram
Standard Deviation 26.7
111 Milligram
Standard Deviation 38.1
175 Milligram
Standard Deviation 38.9

SECONDARY outcome

Timeframe: 5 days

adverse events related to technique or drugs

Outcome measures

Outcome measures
Measure
Group I (A Group)
n=31 Participants
31 patients Will undergo ESP block with 40 ml bupivacine 0.25% (20 ml on each side), and TAP block with 40 ml saline 0.9% (20 ml on each side). erector spinae plane block: The ESP block will be performed into a fascial plane between the deep surface of erector spinae muscle and the transverse processes
Group II (B Group)
n=31 Participants
31patients Will undergo TAP block with 40 ml bupivacine 0.25% (20 ml on each side), and ESP block with 40 ml saline 0.9% (20 ml on each side). transversus abdominis plane block: The TAP block will be performed laterally behind the midaxillary line between the iliac crest and the most inferior extent of the ribs. The plane between the internal oblique and transversus abdominis muscle will be located around the midaxillary line with the probe transverse to the abdomen. Anteriorly,The needle will be passed to come in plane with the ultrasound beam and placed between transversus and internal oblique posterior to the midaxillary line then, the local anesthetic will be injected
Group III (C Group)
n=31 Participants
31 patients anesthetized with the protocol followed by Minia University Hospital control group: placebo
Incidence of Any Adverse Events
0 participants
0 participants
0 participants

Adverse Events

Group I (A Group)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group II (B Group)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group III (C Group)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Hassan Elshorbagy

Minia university

Phone: 1204427271

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place