Ultrasound Guided ESP Block Versus Intrathecal Morphine for Postoperative Analgesia in Major HPB Surgery.

Assiut University

Status: Completed

Conditions: Postoperative Pain

Treatments: Procedure: Erector Spinae Plane Block; Procedure: Intrathecal morphine

Study type: Interventional

Funder types: Other

Identifiers

NCT04635644

ABC-4-DE

Details and patient eligibility

About

To compare the efficacy of USG-guided bilateral Erector spinae plane block (ESPB) with intrathecal morphine (ITM) for postoperative analgesia after major hepatopancreaticobiliary surgery (HPB)

Enrollment: 40 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age between 18 and 65 years with a body mass index (BMI) of 18-35 kg/m2,
• patients with the American Society of Anesthesiologists (ASA) physical status I - II,
• Patients scheduled for elective major hepatopancreaticobiliary surgery for benign or malignant disease; major surgery is defined as an operation of anticipated duration of more than one hour.

Exclusion criteria

• Patient's refusal
• Allergy or contraindications to the study drugs,
• Infection at the site of injection,
• Coagulopathy,
• Psychiatric disorders
• Severely co-morbid patients,
• Chronic pain syndromes,
• Prolonged opioid medication,

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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40 participants in 2 patient groups

Erector Spinae Plane Block

Active Comparator group

Description:

Patients will receive Erector spinae plane block.

Treatment:

Procedure: Erector Spinae Plane Block

Intrathecal morphine ITM

Active Comparator group

Description:

Patients will receive Intrathecal morphine.

Treatment:

Procedure: Intrathecal morphine