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The aim of this study is to compare between the efficacy of ultrasound guided erector spinae plane block and ultrasound guided quadratus lumborum block in managing acute postoperative pain in patients undergoing laparoscopic cholecystectomy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | Placebo Comparator | patients will receive general anesthesia only. |
|
| Erector spinae plane block group | Experimental | patients will receive general anesthesia and bilateral ultrasound guided erector spinae plane block (20ml Bupivacaine 0.25%) |
|
| Quadratus lumborum block group | Experimental | patients will receive general anesthesia and bilateral ultrasound guided quadratus lumborum block (20 ml Bupivacaine 0.25%) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Control group | Other | patients will receive general anesthesia only. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The degree of postoperative pain in the first 24 hours post-operative | Postoperative pain will be assessed by the numerical rating scale (NRS); 0 no pain while 10 is the maximum pain) after discharge to the ward ,and at 6, 12, 18, 24 hours. | first 24 hours post-operative |
| Measure | Description | Time Frame |
|---|---|---|
| Time to first analgesic requirement | Intravenous morphine 2 mg will be given when the numerical rating scale (NRS) equal or above 4 | first 24 hours post-operative |
| Total dose of intraoperative consumption of fentanyl |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mai E Hamada, MBBCH | Contact | 00201285851295 | mai154450_pg@med.tanta.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Mai E Hamada, MBBCH | Resident of Anesthesiology, Surgical Intensive Care and Pain Medicine | Principal Investigator |
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Data are available upon reasonable request from the principal investigator
6 months after the end of study For 2 years
Data are available upon reasonable request from the principal investigator
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Patients and medical personnel collecting data and conducting follow-up will be blinded to the group of the patient. All blocks will be performed by one anesthesiologist who will not participate in data collection or analysis.
| Erector spinae plane block group | Procedure | patients will receive general anesthesia and bilateral ultrasound guided erector spinae plane block (20ml Bupivacaine 0.25%) |
|
|
| Quadratus lumborum block group | Procedure | patients will receive general anesthesia and bilateral ultrasound guided quadratus lumborum block (20 ml Bupivacaine 0.25%) |
|
|
Fentanyl 0.5 μg/kg will be given if there was increase in heart rate or mean arterial blood pressure more than 20% (after exclusion of other causes than pain).
| intraoperative |
| Total dose of rescue analgesia in the first 24hr postoperative | Total morphine consumption 24 hours after surgery will be recorded. Intravenous morphine 2 mg will be given when the numerical rating scale (NRS) equal or above 4 | first 24 hours post-operative |
| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
| D008722 | Methods |
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