Ultrasound Guided Erector Spinae Plane Block Versus Retrolaminar Plane Block

NCT ID: NCT05705739

Last Updated: 2023-10-13

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 50 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-02-10
• Study Completion Date: 2023-08-01

Brief Summary

Retrolaminar block (RLB) and erector spinae plane block (ESPB) are alternative approaches to paravertebral block (PVB) and are advantageous in that they are easier and safer techniques compared with the traditional PVB. These blocks are considered to be compartment blocks or interfascial plane blocks. In these approaches, local anesthetics are assumed to penetrate the superior costotransverse ligament and reach the paravertebral space, although the needle tip is not advanced into the paravertebral space.

the study aim to evaluate and compare the analgesic efficacy of retrolaminar plane block and erector spinae plane block.

Conditions

Post Operative Pain; Analgesia

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: DOUBLE

Study Groups

Retrolaminar plane block

Group Type: EXPERIMENTAL

retrolaminar block

Intervention Type: PROCEDURE

curved probe will be placed 1-1.5 cm lateral to the target spinous process after identification of the lamina, the needle will be advanced caudally until it contacts the lamina

ESPB

Group Type: EXPERIMENTAL

ESPB

Intervention Type: PROCEDURE

curved probe will be placed 2-3 cm lateral to the spine using a sagittal approach at the level of T8. After identification of erector spinae muscle and transverse processes, the needle will be inserted deeply into the erector spinae muscle.

Interventions

retrolaminar block

curved probe will be placed 1-1.5 cm lateral to the target spinous process after identification of the lamina, the needle will be advanced caudally until it contacts the lamina

Intervention Type: PROCEDURE

ESPB

curved probe will be placed 2-3 cm lateral to the spine using a sagittal approach at the level of T8. After identification of erector spinae muscle and transverse processes, the needle will be inserted deeply into the erector spinae muscle.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

1. Age18-60.

2. Both genders.

3. hepatobiliary surgery.

4. ASA I-III.

Exclusion Criteria

1. Drug allergy.

2. Morbid obesity (BMI >40 kg/m2).

3. Psychiatric disorder.

4. Opiod dependence.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Minia University

OTHER

Sponsor Role: lead

Responsible Party

Hassan Mokhtar Elshorbagy Hetta

lecturer of anesthesia and ICU

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Minia University

Minya, Minya Governorate, Egypt

Countries

Egypt

Other Identifiers

544/2022

Identifier Type: -

Identifier Source: org_study_id