Ultrasound Guided Rhomboid Intercostal Plane Block Versus Thoracic Erector Spinae Plane Block in Upper Abdominal Surgery

Tanta University

Status: Enrolling

Conditions: Thoracic Erector Spinae Plane Block; Rhomboid Intercostal Plane Block; Upper Abdominal Surgery; Ultrasound

Treatments: Other: Erector spinae plane block; Other: Control group; Drug: Rhomboid intercostal plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT06654635

36264MD87/5/23

Details and patient eligibility

About

The aim of the work is to evaluate the analgesic efficacy of ultrasound guided rhomboid intercostal plane block versus ultrasound guided thoracic erector spinae block in patients undergoing upper abdominal surgery.

Full description

Abdominal surgery is one of the most definitive and mainstay treatment options for abdominal pathologies in clinical practice. Acute postoperative pain is a major challenge in the postoperative period.

The improved safety and efficacy that ultrasound brings to regional anesthesia helped promote its use and realize the benefits that regional anesthesia has over general anesthesia, such as decreased morbidity and mortality, superior postoperative analgesia, cost-effectiveness, decrease postoperative complications and an improved postoperative course .

Enrollment: 60 estimated patients

Sex: All

Ages: 21 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged 21-65 years.
• Both gender.
• American Society of Anesthesiologists (ASA) classification I-II.
• Presented for elective upper abdominal surgery.

Exclusion criteria

• Patients refused to participate.
• Patients with known or suspected allergy to the used medication.
• Patients with preoperative chronic pain.
• Patients with major cardiac, renal, respiratory, or hepatic disease.
• Patients with potential risk of coagulopathy.
• Obese patients with body mass index (BMI) >35.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 3 patient groups

Rhomboid intercostal plane block group

Experimental group

Description:

The patients in this group will receive ultrasound -guided rhomboid intercostal plane block after induction of general anesthesia. The rhomboid intercostal block will be performed at the T6 levels, bilaterally.

Treatment:

Drug: Rhomboid intercostal plane block

Erector spinae plane block group

Experimental group

Description:

The patients in this group will receive ultrasound -guided Erector spinae plane block after induction of general anesthesia. ESP block will be performed at the level of T9 bilaterally.

Treatment:

Other: Erector spinae plane block

Control group

Experimental group

Description:

No block will be performed, and patient will receive general anesthesia (GA) only.

Treatment:

Other: Control group