Serratus Intercostal Block Versus Epidural Analgesia in Eventration: Prospective Observational Study

Hospital del Rio Hortega

Status: Completed

Conditions: Eventration; Abdominal Hernia; Epidural; Anesthesia; Regional Anesthesia

Treatments: Device: ultrasound; Drug: Local anesthetic; Procedure: undergo

Study type: Observational

Funder types: Other

Identifiers

NCT06014749

22-EO132

Details and patient eligibility

About

Adequate pain control, rehabilitation and early postoperative recovery are currently the model to follow according to the recommended guidelines.In this project the main objective is to evaluate 2 different analgesic strategies both intraoperatively and postoperatively, one based on 1. Epidural analgesia and the other 2. Echoguided serratus intercostal block prior to surgical intervention in eventration or abdominal wall repair interventions.

We conducted an observational study with a low level of intervention. Epidural analgesia prior to general anesthesia and serratus-intercostal block prior to general anesthesia) following the criteria applied in each case according to the operating room anesthesiologist until reaching the sample size and fulfilling the criteria of: abdominal eventration repair, over 18 years of age, ASA I-III. Signature of the IC.

Full description

Adequate pain control, rehabilitation and early postoperative recovery are currently model to follow according to the recommended guidelines.In this project the main objective is to evaluate 2 different analgesic strategies both intraoperatively and postoperatively, one based on 1. Epidural analgesia and the other 2. Echoguided serratus intercostal block prior to surgical intervention in eventration or abdominal wall repair interventions.

The investigators conducted an observational study with a low level of intervention. Epidural analgesia prior to general anesthesia and serratus-intercostal block prior to general anesthesia) following the criteria applied in each case according to the operating room anesthesiologist until reaching the sample size and fulfilling the criteria of: abdominal eventration repair, over 18 years of age, ASA I-III. Signature of the IC.

We will assess the analgesia provided by both techniques and to compare the results.

Enrollment: 80 patients

Sex: All

Ages: 18 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• abdominal eventration repair,
• over 18 years old,
• ASA I-III.
• Signature of the IC.

Exclusion criteria

• Allergy to Local anesthetic

Trial design

80 participants in 2 patient groups

Patient under serratus intercostal plane block

Description:

patients who will undergo a modified bilateral ultrasound-guided BRILMA block (SIPB) using a high-frequency linear probe (6-15 Hz) and 80 mm needle.

Treatment:

Procedure: undergo

Drug: Local anesthetic

Device: ultrasound

patient under epidural analgesia

Description:

patients who undergo Epidural Analgesia prior to General Anesthesia and fentanyl 1 mcg/kg approx according to characteristics and needs and upon arrival at the URPA is connected to the PC Levobupi 0.125% at 6 ml / h + rescue boluses of Levobupi 0.125% 4 ml if needed in the 1st hours.

Treatment:

Procedure: undergo

Drug: Local anesthetic

Device: ultrasound