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

NCT ID: NCT05141955

Last Updated: 2022-06-28

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-15

Study Completion Date

2022-06-15

Brief Summary

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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.

Detailed Description

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Conditions

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Post Operative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Group Erector Spinae Plane Block (ESPB)

Group Type ACTIVE_COMPARATOR

Group Erector Spinae Plane Block (ESPB)

Intervention Type OTHER

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)

Group Type ACTIVE_COMPARATOR

Group Quadratus Lumborum Block (QLB)

Intervention Type OTHER

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)

Group Type OTHER

Group (C) (Control group)

Intervention Type OTHER

Where patients will be operated under general anesthesia.

Interventions

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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 "

Intervention Type OTHER

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 "

Intervention Type OTHER

Group (C) (Control group)

Where patients will be operated under general anesthesia.

Intervention Type OTHER

Eligibility Criteria

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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
Minimum Eligible Age

21 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ain Shams University

OTHER

Sponsor Role lead

Responsible Party

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Dr.Ibrahim Mamdouh Esmat

Assistant Professor of Anesthesia and Intensive Care Department, Faculty of Medicine, Ain- shams University, Cairo, Egypt.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ain-Shams University Hospitals

Cairo, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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FMASU MS 705/ 2021

Identifier Type: -

Identifier Source: org_study_id

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