Transversus Abdominis Plane Block Versus Paravertebral Block for Post Operative Pain Relief in Open Renal Surgeries

Assiut University

Status: Completed

Conditions: Postoperative Pain

Treatments: Procedure: Transversus abdominis plane block; Procedure: Thoracic paravertebral block

Study type: Interventional

Funder types: Other

Identifiers

NCT04697420

AHAAssiut

Details and patient eligibility

About

Pain relief after renal surgeries is essential as it may lead to reduction in the incidence of many post operative complications .

There are a lot of regional anesthetic techniques to provide analgesia postoperatively as paravertebral block (PVB) and transversus abdominis plane (TAP) block.

TAP block has been used to provide postoperative analgesia in a lot of abdominal surgeries including upper abdominal surgeries.It is safer technique than PVB, but the effectiveness of TAP block is unknown in comparison with PVB in post operative analgesia after renal surgeries .

Full description

Pain relief after renal surgeries is essential as it may lead to reduction in the incidence of post operative respiratory complications . A lot of patients presented to these operations may have comorbidities as impaired renal function and respiratory problems , conditions like these may contraindicate aministration of systemic analgesia as opioids .

There are a lot of techniques to provide analgesia postoperatively as paravertebral block (PVB) and transversus abdominis plane (TAP) block .

Paravertebral block is effective technique for post operative analgesia for upper abdominal surgeries , but it may be associated with some complications as : pneumothorax , spread of local anesthetic to the epidural space and paravertebral blood vessels , and this may lead to systemic toxicity of local anesthetic .

TAP block has been used to provide postoperative analgesia in a lot of abdominal surgeries including upper abdominal surgeries , but it is safer technique than PVB , but the effectiveness of TAP block is unknown in comparison with PVB in post operative analgesia after renal surgeries .

Enrollment: 60 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Aged 18 - 60 years
• ASA I-II class

Exclusion criteria

• Patient refusal
• Any contraindication of regional anesthesia block (Coagulopathy,infection at the needle insertion site)
• Patients with allergy to amide local anesthetics or medication included in the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

Group (P)

Experimental group

Description:

the patients were received paravertebral block to control pain postoperatively.

Treatment:

Procedure: Thoracic paravertebral block

Group (T)

Experimental group

Description:

the patients were received transversus abdomins plane (TAP) block to control pain postoperatively.

Treatment:

Procedure: Transversus abdominis plane block