Ultrasound Guided Erector Spinae Plane Block Versus Quadratus Lumborum Block for Postoperative Analgesia in Patients Undergoing Laparoscopic Sleeve Gastrectomy

Ain Shams University

Status: Completed

Conditions: Post Operative Pain

Treatments: Other: Group Quadratus Lumborum Block (QLB); Other: Group Erector Spinae Plane Block (ESPB); Other: Group (C) (Control group)

Study type: Interventional

Funder types: Other

Identifiers

NCT05141955

FMASU MS 705/ 2021

Details and patient eligibility

About

Postoperative pain control is a significant challenge in medical practice. Inadequate pain control could decrease patient's satisfaction, delay postoperative ambulation, increase the incidence of pulmonary and cardiac complications and cause the development of chronic postoperative pain. Laparoscopic surgical techniques could decrease postoperative pain and opioid consumption.

The addition of regional techniques to general anesthesia showed better pain management and less consumption of opioids compared to the traditional techniques.

The aim of this study is to compare the effectiveness of ultrasound guided erector spinae plane block versus quadratus lumborum block regarding postoperative analgesia in patients undergoing laparoscopic sleeve gastrectomy.

Enrollment: 120 patients

Sex: All

Ages: 21 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with free medical history or controlled hypertension and/ or diabetes scheduled for elective laparoscopic sleeve gastrectomy.
• BMI > 35 kg/ m2

Exclusion criteria

• Patients unfit for surgery or refuse to sign the consent of regional block.
• Patients with known coagulation defects.
• Patients with known hypersensitivity to bupivacaine.
• Patients with infection at the site of injection.
• Conversion of laparoscopic surgery to laparotomy

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

120 participants in 3 patient groups

Group Erector Spinae Plane Block (ESPB)

Active Comparator group

Treatment:

Other: Group Erector Spinae Plane Block (ESPB)

Group Quadratus Lumborum Block (QLB)

Active Comparator group

Treatment:

Other: Group Quadratus Lumborum Block (QLB)

Group (C) (Control group)

Other group

Treatment:

Other: Group (C) (Control group)