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This study aims to compare the ultrasound-guided bilateral erector spinae block versus the ultrasound-guided bilateral transversus abdominis plane block on postoperative analgesia after total abdominal hysterectomy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A : erector spinae block. | Experimental | patients will receive bilateral ultrasound guided erector spinae block. |
|
| Group B : transversus abdominis plane block. | Experimental | patients will receive bilateral ultrasound guided transversus abdominis plane block. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| erector spinae plane block | Procedure | Patients will receive ESB. In the lateral decubitus, after skin sterilization, ESP block will be performed at the level of T9 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Total morphine consumption | Compare postoperative pain intensity using the total amount of morphine consumption in the first 24 hours after the operation, and the time for first call rescue analgesia | 24 hours postoperative |
| Visual Analog Scale Score | Compare postoperative pain intensity using VAS score in the first 24 hours after the operation.The VAS score is a 10-cm line labeled with "worst pain imaginable" on the right border, and "no pain" on the left border (ranging from 0 by indicating no pain to 10 indicating extreme pain). | 24 hours postoperative |
| The time for first call rescue analgesia | the time for first call rescue analgesia | 24 hours postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction | Measure patient satisfaction by asking the patient if he is satisfied or not "yes or no" | 24 hours postoperative |
| Recognize the adverse effects | Recognize the adverse effects |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| israa ihab, MSc | Contact | 01005461696 | +2 | israa_ihab@med.asu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| ossama mansour, professor | Ain Shams University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams University | Recruiting | Cairo | 11591 | Egypt |
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| transversus abdominis plane block | Procedure | patients will receive TAP block in supine position after skin sterilization, TAP block will be performed between internal oblique and transversus abdominis muscles |
|
| 24 hours postoperative |
| ID | Term |
|---|---|
| D014591 | Uterine Diseases |
| ID | Term |
|---|---|
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
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