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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)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| erector spinae group | Active Comparator | Patients will receive erector spinae block |
|
| Control group | Placebo Comparator | Patients will receive bilateral sham ultrasound-guided ESPB |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diaphragmatic ultrasound | Device | diaphragmatic excursion will be conducted at baseline and at 2 and 24 hours postoperatively |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of diaphragmatic dysfunction in both groups | postoperative diaphragmatic excursion 10 mm at 2 hours after surgery | baseline and 2 hours after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Forced expiratory volume at one second | FEV1 (in liter) | at baseline, 2 and 24 hours postoperatively |
| numeric rating scale | score from zero to 10 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo University | Cairo | Cairo Governorate | 6890 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39174907 | Result | Helmy MA, Hasanin A, Milad LM, Mostafa M, Hamimy WI, Muhareb RS, Raafat H. Ability of parasternal intercostal muscle thickening fraction to predict reintubation in surgical patients with sepsis. BMC Anesthesiol. 2024 Aug 22;24(1):294. doi: 10.1186/s12871-024-02666-8. | |
| 34325186 | Result | Yildiz M, Kozanhan B, Iyisoy MS, Canitez A, Aksoy N, Eryigit A. The effect of erector spinae plane block on postoperative analgesia and respiratory function in patients undergoing laparoscopic cholecystectomy: A double-blind randomized controlled trial. J Clin Anesth. 2021 Nov;74:110403. doi: 10.1016/j.jclinane.2021.110403. Epub 2021 Jul 26. |
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IPD may not be shared due to privacy concerns, regulatory restrictions, and informed consent limitations.
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| at 24 hours after surgery |
| Forced vital capacity (in Liter) | FVC (in liter) | at baseline, 2 hours, and 24 hours after surgery |
| Peak expiratory flow rate (Liter/sec) | PEFR (Liter/sec) | baseline, 2 hours, and 24 hours |
| 33940248 | Result | Helmy MA, Magdy Milad L, Osman SH, Ali MA, Hasanin A. Diaphragmatic excursion: A possible key player for predicting successful weaning in patients with severe COVID-19. Anaesth Crit Care Pain Med. 2021 Jun;40(3):100875. doi: 10.1016/j.accpm.2021.100875. Epub 2021 Apr 30. No abstract available. |
| 40101564 | Result | Helmy MA, Mostafa L, El-Zayyat NS, Ali MA, Sabry R. Impaired diaphragmatic excursion following magnesium sulfate administration in patients with preeclampsia with severe features: a prospective observational study. Int J Obstet Anesth. 2025 May;62:104347. doi: 10.1016/j.ijoa.2025.104347. Epub 2025 Feb 28. |
| 33295128 | Result | Mostafa SF, Abdelghany MS, Abu Elyazed MM. Ultrasound-Guided Erector Spinae Plane Block in Patients Undergoing Laparoscopic Bariatric Surgery: A Prospective Randomized Controlled Trial. Pain Pract. 2021 Apr;21(4):445-453. doi: 10.1111/papr.12975. Epub 2021 Jan 22. |