Efficacy of Ultrasound Guided Erector Spinae Plane Block

Minia University

Status: Completed

Conditions: Postoperative Pain; Hemodynamic Instability; Patient Satisfaction; Regional Block

Treatments: Other: control; Procedure: Erector spinae plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT04371705

Efficacy of ESPB

Details and patient eligibility

About

Thoracic epidural and paravertebral blocks are the most widely regional technique used for postoperative analgesia after surgery, but they are difficult to perform and carry a risk of serious complication. In this study, investigator asses the efficacy of ultrasound ESPB on intraoperative and postoperative hemodynamics and patient satisfaction

Full description

This prospective, double-blinded, randomized, controlled study was conducted at the period from October 2018 to December 2019. Sixty adults' patients ASA I-III, their ages ranged from 25-60 years undergoing abdominal surgery under general anesthesia. Each patient assigned written informed consent before the block performance.

Patients refused, known allergy to the used drugs, with history of coagulopathy, major organ failure and obesity (BMI>40 kg/m2) were excluded from the study.

Patients were randomly allocated into two equal groups by a computerized randomization table: ESPB group, and control group. The patient and the staff providing the postoperative care were blinded to the group assignment.

ESPB group: Will undergo ESP block with 40 ml bupivacaine 0.25% (20 ml on each side) control group: anesthetized with the protocol followed by Minia University Hospital.

Anesthetic technique was standardized for all patients.

Enrollment: 65 patients

Sex: All

Ages: 25 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Age18-70 .

2. Both gender.

3. ASA I-III .

Exclusion criteria

1. patient refuse
2. Drug allergy.
3. Morbid obesity (BMI >40 kg/m2).
4. Psychiatric disorder.
5. Opioid dependence .

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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65 participants in 2 patient groups, including a placebo group

ESPB group

Experimental group

Description:

31 patients Will undergo ultrasound guided ESP block with 40 ml bupivacaine 0.25% (20 ml on each side).

Treatment:

Procedure: Erector spinae plane block

control group

Placebo Comparator group

Description:

31 patients anesthetized with the protocol followed by Minia University Hospital

Treatment:

Other: control