Erector Spinae Plane Versus Transversus Abdominis Plane Block for Pain Control

Al-Azhar University

Status: Not yet enrolling

Conditions: Cesarean Section Complications

Treatments: Device: Ultrasound Machine; Procedure: Ultrasound-guided pain block

Study type: Interventional

Funder types: Other

Identifiers

NCT06292832

MSR/AZAST/AIP029/22/222/8/2023

Details and patient eligibility

About

The present stratified randomized study aimed to compare the analgesic efficacy and safety profile of ESPB and TAPB used for postoperative pain management in obese and morbidly obese women undergoing CS.

Full description

The present stratified randomized study aimed to compare the analgesic efficacy and safety profile of ESPB and TAPB used for postoperative pain management in obese and morbidly obese women undergoing CS. The present study will include ASA I-II women scheduled for elective CS under intrathecal anesthesia. Patients will be excluded if they had local infection, bleeding disorder or known allergy to any of the study medications. This study defines obesity as body mass index (BMI) ≥ 30 kg/m2 while morbid obesity is defined as BMI ≥ 40 kg/m2 assessed in the last pre-pregnancy visit (Sagi-Dain et al., 2021). The study will include normal weight women (n=86), obese women (n=86) and morbidly obese women (n=86).

Enrollment: 68 estimated patients

Sex: All

Ages: 20 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASA I-II women scheduled for elective CS under intrathecal anesthesia.

Exclusion criteria

• had local infection, bleeding disorder or known allergy to any of the study medications

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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68 participants in 4 patient groups

Obese Spinae Plane Block

Active Comparator group

Description:

Spinae Plane Block for pain control

Treatment:

Device: Ultrasound Machine

Procedure: Ultrasound-guided pain block

Obese Transversus Abdominis Plane Block

Active Comparator group

Description:

Transversus Abdominis Plane Block for pain control.

Treatment:

Device: Ultrasound Machine

Procedure: Ultrasound-guided pain block

Morbidly Obese Spinae Plane Block

Active Comparator group

Description:

Spinae Plane Block for pain control

Treatment:

Device: Ultrasound Machine

Procedure: Ultrasound-guided pain block

Morbidly Obese Transversus Abdominis Plane Block

Active Comparator group

Description:

Transversus Abdominis Plane Block for pain control.

Treatment:

Device: Ultrasound Machine

Procedure: Ultrasound-guided pain block