Ultrasound Guided Erector Spinae Plane Block on Post-operative Pain and Diaphragmatic Dysfunction in Epigastric Hernia

Tanta University

Status: Completed

Conditions: Diaphragmatic Dysfunction; Erector Spinae Plane Block; Epigastric Hernia Repair; Post Operative Pain

Treatments: Procedure: The erector spinae plane block group; Procedure: Control group

Study type: Interventional

Funder types: Other

Identifiers

NCT05516901

34579/3/21

Details and patient eligibility

About

The aim of this study is to assess the efficacy of ultrasound guided erector Spinae plane block on postoperative pain score and diaphragmatic dysfunction in obese patients undergoing Epigastric hernia repair.

Full description

Ventral hernia repair is an operation associated with significant postoperative pain. There is a lot of modalities of pain control including regional anesthesia, intravenous opioids, and non-opioid analgesics. Regional anesthesia is often helpful in improving respiratory function and analgesia.

The dysfunction of the respiratory muscles, especially the diaphragm, caused by the upper abdominal surgery is a major cause of postoperative pulmonary complications, such as atelectasis and pneumonia. Sonografic evaluation of diaphragm is an accepted qualitative method of assessing diaphragmatic motion.

The erector spinae plane block is a paraspinal fascial plane block in which local anesthetic is administered between the erector spinae muscle and the transverse processes, blocking the dorsal and ventral rami of the thoracic and abdominal spinal nerves.

According to previous studies, erector spinae plane block provide lower postoperative pain score and decrease consumption of both postoperative and intraoperative analgesia for patients undergoing Epigastric hernia repair.

Enrollment: 50 patients

Sex: All

Ages: 21 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Fifty obese patient BMI (30-40).
• Aged (21-65) years ASA (ІΙ and ΙΙІ)
• scheduled for elective Epigastric hernia repair

Exclusion criteria

• Patient refusal to continue the study.
• History of allergy to local anesthetics.
• Local infection at the site of the block.
• Patients with bleeding and coagulation disorders.
• Patients with renal, hepatic, cardiac dysfunction, or spine deformities.
• Patients with cognitive disorders.
• Patients with chronic pulmonary disease.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups, including a placebo group

The erector spinae plane block group

Experimental group

Description:

The erector spinae plane block group: Patients will receive general anesthesia plus bilateral ultrasound guided ESP block.

Treatment:

Procedure: The erector spinae plane block group

Control group

Placebo Comparator group

Description:

Control group (group І): Patients will receive general anesthesia alone.

Treatment:

Procedure: Control group