Erector Spinae Plane Block and Its Impact on Postoperative Diaphragmatic Dysfunction in Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy

Erector Spinae Plane Block and Its Impact on Postoperative Diaphragmatic Dysfunction in Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy, A Double-blind Randomized Control Trial.

postoperative diaphragmatic dysfunction is critical especially in morbidly obese patients

Investigators aimed to evaluate the impact of erector spinae plane block on the incidence of postoperative diaphragmatic dysfunction in morbidly obese patients (Body mass index more than or equal 40)

Inclusion Criteria:

• morbidly obese (body mass index> 40)
• undergoing sleeve gastrectomy

Exclusion Criteria:

• allergy to bupivacaine
• respiratory comorbidities
• preoperative diaphragmatic dysfunction
• Patient refusal
• inability to adequately visualize diaphragm