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Retrolaminar block (RLB) and erector spinae plane block (ESPB) are alternative approaches to paravertebral block (PVB) and are advantageous in that they are easier and safer techniques compared with the traditional PVB. These blocks are considered to be compartment blocks or interfascial plane blocks. In these approaches, local anesthetics are assumed to penetrate the superior costotransverse ligament and reach the paravertebral space, although the needle tip is not advanced into the paravertebral space.
the study aim to evaluate and compare the analgesic efficacy of retrolaminar plane block and erector spinae plane block.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Retrolaminar plane block | Experimental |
| |
| ESPB | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| retrolaminar block | Procedure | curved probe will be placed 1-1.5 cm lateral to the target spinous process after identification of the lamina, the needle will be advanced caudally until it contacts the lamina |
| Measure | Description | Time Frame |
|---|---|---|
| Visual analogue pain scale | score from 0-10 (0 mean no pain and 10 the worst pain ) | 24 hour |
| Measure | Description | Time Frame |
|---|---|---|
| Time of first post operative analgesic request. | time to demand rescue analgesia | 24 hour |
| Total analgesic consumption | total fentanyl consumption during the first day postoperative |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Minia University | Minya | Minya Governorate | 61511 | Egypt |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ESPB | Procedure | curved probe will be placed 2-3 cm lateral to the spine using a sagittal approach at the level of T8. After identification of erector spinae muscle and transverse processes, the needle will be inserted deeply into the erector spinae muscle. |
|
| 24 hour |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009422 | Nervous System Diseases |