Ultrasound Guided Erector Spinae Plane Block on Post-operative Pain and Diaphragmatic Dysfunction in Epigastric Hernia
NCT ID: NCT05516901
Last Updated: 2022-08-26
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
50 participants
INTERVENTIONAL
2021-07-01
2022-07-30
Brief Summary
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Detailed Description
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The dysfunction of the respiratory muscles, especially the diaphragm, caused by the upper abdominal surgery is a major cause of postoperative pulmonary complications, such as atelectasis and pneumonia. Sonografic evaluation of diaphragm is an accepted qualitative method of assessing diaphragmatic motion.
The erector spinae plane block is a paraspinal fascial plane block in which local anesthetic is administered between the erector spinae muscle and the transverse processes, blocking the dorsal and ventral rami of the thoracic and abdominal spinal nerves.
According to previous studies, erector spinae plane block provide lower postoperative pain score and decrease consumption of both postoperative and intraoperative analgesia for patients undergoing Epigastric hernia repair.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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The erector spinae plane block group
The erector spinae plane block group: Patients will receive general anesthesia plus bilateral ultrasound guided ESP block.
The erector spinae plane block group
The probe should then slowly be moved laterally until the transverse process is visible. The 100 mm, 25-gauge needle should be inserted using an in-plane approach in the cephalad to caudal direction and advanced under ultrasound guidance towards the transverse process; once the needle tip is below the erector spinae muscle, a small bolus of local anesthetic should be given. The erector spinae muscle should be visualized, separating from the transverse process. After aspiration the local anesthetic (20 ml of 0.25% bupivacaine was injected. Technique was repeated on the other side.
Control group
Control group (group І): Patients will receive general anesthesia alone.
Control group
Patients in this group will receive general anesthesia alone.
Interventions
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The erector spinae plane block group
The probe should then slowly be moved laterally until the transverse process is visible. The 100 mm, 25-gauge needle should be inserted using an in-plane approach in the cephalad to caudal direction and advanced under ultrasound guidance towards the transverse process; once the needle tip is below the erector spinae muscle, a small bolus of local anesthetic should be given. The erector spinae muscle should be visualized, separating from the transverse process. After aspiration the local anesthetic (20 ml of 0.25% bupivacaine was injected. Technique was repeated on the other side.
Control group
Patients in this group will receive general anesthesia alone.
Eligibility Criteria
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Inclusion Criteria
* Aged (21-65) years ASA (ІΙ and ΙΙІ)
* scheduled for elective Epigastric hernia repair
Exclusion Criteria
* History of allergy to local anesthetics.
* Local infection at the site of the block.
* Patients with bleeding and coagulation disorders.
* Patients with renal, hepatic, cardiac dysfunction, or spine deformities.
* Patients with cognitive disorders.
* Patients with chronic pulmonary disease.
21 Years
65 Years
ALL
Yes
Sponsors
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Tanta University
OTHER
Responsible Party
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Asmaa Ragab Mohamed
Principal Investigator
Locations
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Tanta University
Tanta, Gharbia Governorate, Egypt
Countries
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Other Identifiers
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34579/3/21
Identifier Type: -
Identifier Source: org_study_id
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