Perioperative Opioid-sparing Effect of Retrosuperior Costotransverse Ligament Block Versus Erector Spinae Block in Laparoscopic Cholecystectomy

Zagazig University

Status: Enrolling

Conditions: Perioperative Analgesia

Treatments: Procedure: Retrosuperior costotransverse ligament block group; Procedure: Erector spinae block group

Study type: Interventional

Funder types: Other

Identifiers

NCT07276646

1783

Details and patient eligibility

About

This study aims to compare the analgesic effect of retro superior costotransverse ligament space block vs erector spinae plane block to Achieve high-quality perioperative opioid-sparing effect and postoperative analgesia after laparoscopic cholecystectomy with optimum hemodynamic stability and high patient and surgeon satisfaction

Full description

This study aims to compare between retro superior costotransverse ligament space block vs erector spinae plane block

• To compare the analgesic outcomes (time to first analgesic request, total amount of analgesic consumption and pain scores by NRS)
• To assess the block performance time required to perform each technique .
• To compare intraoperative parameters (hemodynamics and intraoperative fentanyl consumption)
• To assess patient, surgeon satisfaction and complications of the block.

Enrollment: 80 estimated patients

Sex: All

Ages: 21 to 64 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. patient acceptance
2. Age: 21-64 years old.
3. Sex: both sexes.
4. Physical status: ASA I & II.
5. Body mass index (BMI): 18.5 - 30 kg/m2.
6. Type of operations: elective laparoscopic cholecystectomy.
7. Duration of surgery not more than 2 hours.

Exclusion criteria

1. Known hypersensitivity to lidocaine or bupivacaine.
2. Patients with respiratory insufficiency.
3. Coagulation disorders or taking drugs affect surgical hemostasis.

7. Patients with pre-existing neurological deficits. 8. Uncooperative patient or with altered mental status. 9. Patient with advanced cardiovascular or respiratory diseases

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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80 participants in 2 patient groups

Retrosuperior costotransverse ligament block group

Active Comparator group

Description:

The patient will receive retrosuperior costotransverse ligament block

Treatment:

Procedure: Retrosuperior costotransverse ligament block group

Erector spinae block group

Active Comparator group

Description:

The patient will receive erector spinae block.

Treatment:

Procedure: Erector spinae block group