Ultrasound-guided Ipsilateral Transverse Abdominis Plane and Ilioinguinal Iliohypogastric Nerve Block.
NCT ID: NCT04553328
Last Updated: 2020-09-17
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
60 participants
INTERVENTIONAL
2019-09-01
2020-06-02
Brief Summary
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Detailed Description
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Standard monitoring was used throughout the surgery; heart rate (HR), non-invasive mean arterial blood pressure (MAP), respiratory rate (RR) and oxygen saturation (SpO2)documented at baseline before the block then at 5-min intervals intraoperative , then during the immediate postoperative period at 15 and 30 min, and at discharge from the PACU.
A nasal prong was applied and supplemental oxygen at 3 l/min of fresh gas flow was given throughout the procedure. It was explained clearly to the patients that any pain, discomfort, or anxiety would be managed by the administration of local anesthetic (LA) infiltration with bupivacaine 0.25% during the operation or by conversion to general anesthesia (GA) if needed.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
SINGLE
Study Groups
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Group T
Group (T) received ultrasound guided (US) combined ipsilateral transverse abdominis plane (TAB) and ilioinguinal- iliohypogastric (ILIH) nerve block
Us guided nerve blocks
The ILIH nerves were identified and located in the fascia compartment between the internal oblique and the transverse abdominis or external oblique muscles, a 20 G needle was advanced between the aponeurosis of the internal oblique and transverses abdominis muscles then 30 ml bupivacaine 0.25% was injected with intermittent aspiration,then 10 ml bupivacaine 0.25% was injected around the nerves.
Group I
Group (I) received US guided ipsilateral illioinguinal- illiohypogastric nerve block only.
Us guided nerve blocks
The ILIH nerves were identified and located in the fascia compartment between the internal oblique and the transverse abdominis or external oblique muscles, a 20 G needle was advanced between the aponeurosis of the internal oblique and transverses abdominis muscles then 30 ml bupivacaine 0.25% was injected with intermittent aspiration,then 10 ml bupivacaine 0.25% was injected around the nerves.
Interventions
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Us guided nerve blocks
The ILIH nerves were identified and located in the fascia compartment between the internal oblique and the transverse abdominis or external oblique muscles, a 20 G needle was advanced between the aponeurosis of the internal oblique and transverses abdominis muscles then 30 ml bupivacaine 0.25% was injected with intermittent aspiration,then 10 ml bupivacaine 0.25% was injected around the nerves.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* All patients have liver cirrhosis having a Child-Pugh classification of liver disease (3) class B with a score ≤ 8/15,
* Moemen modified classification of liver disease (4) class B,
* an international normalized ratio (INR)≤1.5.
Exclusion Criteria
* INR≥ 1.5,
* Grade 3 ascites,
* Serum sodium ≤120 meq/l,
* Recurrent hernia, or bilateral hernia,
* Body mass index (BMI) ≥ to 40 kg/m 2,
* known allergy to any of the medicines used
* Any renal or cardiovascular dysfunction, bronchial asthma, hematological disorders (other than secondary to chronic liver disease),
* Patient refusal.
40 Years
70 Years
ALL
No
Sponsors
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Ain Shams University
OTHER
Responsible Party
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Dina Salah Eldin Mahmoud Badre
Clinical Professor
Principal Investigators
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Dina Badre, PHD
Role: PRINCIPAL_INVESTIGATOR
Associate professor of Anesthesia and ICU, Ain Shams University
Locations
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Ain Shams University Hospitals
Cairo, Abbasia, Egypt
Countries
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Other Identifiers
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FMASU R 48/2019
Identifier Type: -
Identifier Source: org_study_id
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