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Comparison of Erector Spinae Plane Block and Rectus Sheath Block

B

Bursa Uludag University

Status

Completed

Conditions

Postoperative Pain, Acute

Treatments

Other: bupivacaine

Study type

Interventional

Funder types

Other

Identifiers

NCT05225766
TurkishARD

Details and patient eligibility

About

In study, The investigators aimed to compare the intraoperative and postoperative analgesic efficacy of erector spinae plane block and rectus sheath block, which investigators routinely perform in surgeries with abdominal lover midline-upper midline incision, morphine consumption with patient-controlled analgesia, as well as patient and surgeon satisfaction.

Full description

Following ethics committee approval and written consent from the patients, the study was conducted on 60 patients aged between 18-75 years in American Society of Anesthesiologists (ASA) classes I-III, who were to undergo midline incisions. The demographic data of the patients were recorded and after routine monitoring and general anesthesia induction, they were divided into two groups as the ESPB group and RSB group. Hemodynamic data of all patients were recorded before induction, one minute after induction, and intraoperatively in 30-minute periods. Patient-controlled analgesia (PCA) prepared with morphine was administered to all patients. Patients' intraoperative hemodynamic data and administered opioid doses, postoperative visual analog scales (VAS) at rest and during coughing, time to first PCA dose, postoperative morphine consumption, need for rescue analgesics, duration time until first mobilization, opioid side effects, and patient and surgeon satisfaction were evaluated.

Enrollment

60 patients

Sex

All

Ages

18 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Aged 18-75 years
  • American Society of Anesthesiologists (ASA) classes I-III

Exclusion criteria

  • Local anesthetic allergy
  • Coagulopathy
  • Injection site infection
  • History of abdominal surgery
  • Severe neurological or psychiatric disorder
  • Severe cardiovascular disease, liver failure, renal failure (glomerular filtration rate <15 ml/min/1.73 m2)
  • chronic opioid use

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

60 participants in 2 patient groups

Group ESPB
Active Comparator group
Description:
Erector spinae plane block
Treatment:
Other: bupivacaine
Group RSB
Active Comparator group
Description:
Rectus sheath block
Treatment:
Other: bupivacaine

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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