Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The aim of this work was to compare the effect of using oblique subcostal transversus abdominis plane (OSTAP) block and erector spinae plane (ESP) block as a part of multi-modal analgesia technique in patients undergoing laparoscopic cholecystectomy.
Laparoscopic cholecystectomy is a commonly performed surgery and requires multi-modal analgesia for better control of pain. Untreated post-operative pain has many consequences, including patient dissatisfaction, transition into chronic pain, delayed discharge from the hospital, and increased healthcare costs.
Many inter-fascial plane blocks like oblique subcostal transversus abdominis plane (OSTAP) block and recently, erector spinae plane (ESP) block have been utilized as a part of multi modal analgesia technique in many abdominal surgeries.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Erector spinae plane block group | Active Comparator | Patients received ultrasound-guided erector spinae plane block. |
|
| Oblique subcostal transversus abdominis plane block group | Experimental | Patients received ultrasound-guided oblique subcostal transversus abdominis plane block. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Erector spinae plane block | Other | Patients received ultrasound-guided erector spinae plane block. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Degree of pain intensity | The degree of pain intensity was assessed using the Visual Analogue Scale (VAS). Each patient was instructed about postoperative pain assessment with the VAS. VAS(0 represents "no pain" while 10 represents "the worst pain imaginable"). It was assessed at 30 minutes, 2, 4, 6, 8, 12, 16, 20, and 24 hours postoperatively. | 24 hours postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Time to first rescue analgesia | Time to first rescue analgesia was assessed from the end of surgery to the first dose of morphine administrated | 24 hours postoperatively |
| Total amount of morphine consumption |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Helwan University | Helwan | Cairo Governorate | 11795 | Egypt |
The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
After the end of study for one year.
The data will be available upon a reasonable request from the corresponding author.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Oblique subcostal transversus abdominis plane block | Other | Patients received ultrasound-guided oblique subcostal transversus abdominis plane block. |
|
When a patient complains of pain equivalent to the Visual Analogue Scale (VAS) ≥ 3, rescue analgesia is given in the form of morphine (0.05mg/kg) intravenous increments, as needed.
| 24 hours postoperatively |
| Morphine-related side effects | Morphine-related side effects such as incidence of nausea and vomiting, respiratory depression (respiratory rate < 8 breaths/min), bradycardia (heart rate decreases by > 20% of basal reading), pruritus, and urine retention were recorded. | 24 hours postoperatively |
| Local anesthetics-related side effects | Local anesthetics-related side effects such as lightheadedness, circumoral numbness, tongue paresthesia, drowsiness, irritability, muscle twitches, convulsions, bradycardia, hypotension (mean arterial blood pressure decreases by > 20% of basal reading), hypoventilation and cardiac arrest were recorded. | 24 hours postoperatively |
| Incidence of adverse effects of the block technique | Signs of adverse effects of the block techniques, such as local site infection, hematoma formation, bowel perforation, or pneumothorax, were recorded. | 24 hours postoperatively |