Erector Spinae Plane Block and Its Impact on Postoperative Diaphragmatic Dysfunction in Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy
NCT ID: NCT07022600
Last Updated: 2025-09-18
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
80 participants
INTERVENTIONAL
2025-05-27
2025-07-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
TRIPLE
Study Groups
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erector spinae group
Patients will receive erector spinae block
Diaphragmatic ultrasound
diaphragmatic excursion will be conducted at baseline and at 2 and 24 hours postoperatively
Control group
Patients will receive bilateral sham ultrasound-guided ESPB
Diaphragmatic ultrasound
diaphragmatic excursion will be conducted at baseline and at 2 and 24 hours postoperatively
Interventions
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Diaphragmatic ultrasound
diaphragmatic excursion will be conducted at baseline and at 2 and 24 hours postoperatively
Eligibility Criteria
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Inclusion Criteria
* undergoing sleeve gastrectomy
Exclusion Criteria
* respiratory comorbidities
* preoperative diaphragmatic dysfunction
* Patient refusal
* inability to adequately visualize diaphragm
18 Years
65 Years
ALL
No
Sponsors
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Cairo University
OTHER
Responsible Party
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Mina Adolf Helmy
Lecturer of anesthesia and critical acre
Locations
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Cairo University
Cairo, Cairo Governorate, Egypt
Countries
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References
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Helmy MA, Hasanin A, Milad LM, Mostafa M, Hamimy WI, Muhareb RS, Raafat H. Ability of parasternal intercostal muscle thickening fraction to predict reintubation in surgical patients with sepsis. BMC Anesthesiol. 2024 Aug 22;24(1):294. doi: 10.1186/s12871-024-02666-8.
Yildiz M, Kozanhan B, Iyisoy MS, Canitez A, Aksoy N, Eryigit A. The effect of erector spinae plane block on postoperative analgesia and respiratory function in patients undergoing laparoscopic cholecystectomy: A double-blind randomized controlled trial. J Clin Anesth. 2021 Nov;74:110403. doi: 10.1016/j.jclinane.2021.110403. Epub 2021 Jul 26.
Helmy MA, Magdy Milad L, Osman SH, Ali MA, Hasanin A. Diaphragmatic excursion: A possible key player for predicting successful weaning in patients with severe COVID-19. Anaesth Crit Care Pain Med. 2021 Jun;40(3):100875. doi: 10.1016/j.accpm.2021.100875. Epub 2021 Apr 30. No abstract available.
Helmy MA, Mostafa L, El-Zayyat NS, Ali MA, Sabry R. Impaired diaphragmatic excursion following magnesium sulfate administration in patients with preeclampsia with severe features: a prospective observational study. Int J Obstet Anesth. 2025 May;62:104347. doi: 10.1016/j.ijoa.2025.104347. Epub 2025 Feb 28.
Mostafa SF, Abdelghany MS, Abu Elyazed MM. Ultrasound-Guided Erector Spinae Plane Block in Patients Undergoing Laparoscopic Bariatric Surgery: A Prospective Randomized Controlled Trial. Pain Pract. 2021 Apr;21(4):445-453. doi: 10.1111/papr.12975. Epub 2021 Jan 22.
Other Identifiers
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ESPB and its impact on DD
Identifier Type: -
Identifier Source: org_study_id
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