U.S. Guided Erector Spinae Block for Postoperative Pain Management in Paraumbilical Hernia Repair Patients

Assiut University

Status: Not yet enrolling

Conditions: Regional Anesthesia

Treatments: Drug: Bubpivacaine; Drug: dexamethasone; Drug: fentanyl

Study type: Observational

Funder types: Other

Identifiers

NCT06120088

US-ESB for Postop Pain Control

Details and patient eligibility

About

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. Although opioids are commonly used for analgesia after paraumbilical hernia, they can lead to side effects, such as nausea and vomiting, constipation, pruritus, and life-threatening respiratory depression. Regional anesthetic techniques are commonly used to prevent or minimize these side effects. The objective of this study is to assess the effectiveness of erector spinae plane block (ESPB) and standard medical (no block) pain management after paraumbilical hernia.

Enrollment: 300 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age group : 18-60 years old
• Both genders
• Patient scheduled for paraumbilical hernia surgeries

Exclusion criteria

• Allergy to medications used in this study
• Patient's refusal to participate in this study
• Recurrent cases
• Any complications to local blocks
• Emergency surgical procedures

Trial design

300 participants in 3 patient groups

The Bupivacaine

Description:

Patients in this group received bilateral ultrasound-guided erector spinae plane block at the level of T7 transverse process using 20 mL of bupivacaine 0.25% on each side + 1ml saline placebo.

Treatment:

Drug: Bubpivacaine

The Bubpivacaine and dexamethasone

Description:

Patients in this group received bilateral ultrasound-guided erector spinae plane block at the level of T7 transverse process using 20 mL of bupivacaine 0.25% plus 1ml dexamethasone on each side

Treatment:

Drug: dexamethasone

Drug: Bubpivacaine

The Bubpivacaine and fentanyl

Description:

Patients in this group received bilateral ultrasound-guided erector spinae plane block at the level of T7 transverse process using 20 mL of bupivacaine 0.25% in addition to calculated dose of fentanyl on each side

Treatment:

Drug: fentanyl

Drug: Bubpivacaine