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This study aims to compare the analgesic effect of retro superior costotransverse ligament space block vs erector spinae plane block to Achieve high-quality perioperative opioid-sparing effect and postoperative analgesia after laparoscopic cholecystectomy with optimum hemodynamic stability and high patient and surgeon satisfaction
This study aims to compare between retro superior costotransverse ligament space block vs erector spinae plane block
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Retrosuperior costotransverse ligament block group | Active Comparator | The patient will receive retrosuperior costotransverse ligament block |
|
| Erector spinae block group | Active Comparator | The patient will receive erector spinae block. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Retrosuperior costotransverse ligament block group | Procedure | The patient will receive retrosuperior costotransverse ligament block |
|
| Measure | Description | Time Frame |
|---|---|---|
| The time to first call to rescue analgesia | The time to first call to rescue analgesia( the interval between the block injection till the NRS more than or equal 4) (naluphine) will be recorded | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| To assess block characteristics (block performance time) | To assess block characteristics (block performance time) in minutes | 1 hour |
| Total intraoperative fentanyl consumption | Total intraoperative fentanyl required other than the induction dose in micrograms |
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Inclusion Criteria:
Exclusion Criteria:
7. Patients with pre-existing neurological deficits. 8. Uncooperative patient or with altered mental status. 9. Patient with advanced cardiovascular or respiratory diseases
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dina Salem, MD | Contact | 01099333513 | 002 | |
| Marwa Medhat, MD | Contact | 01002828937 | 002 |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of human medicine, Zagazig university, Zagazig | Recruiting | Zagazig | Egypt |
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Achievement of high-quality perioperative opioid-sparing effect and postoperative analgesia for laparoscopic cholecystectomy with optimum hemodynamic stability and high patient and surgeon satisfaction by comparing retrosuperior costotransverse ligament block and erector spinae block in laparoscopic cholecystectomy
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anesthesiologist not sharing in the study will assess outcomes
| Erector spinae block group | Procedure | The patient will receive erector spinae block. |
|
| duration of surgery (up to 2 hours) |
| Pain intensity by Numerical Rating Scale | Analgesic parameters (Pain intensity at rest and at movement) by using Numerical Rating Scale (NRS) which will explained to patient as follows:0=no pain and 10= worst pain | 30 minutes after arrival to post anesthesia care unit , 2hours, 4hours, 6hours, 8hours, 12hours, 18 hours and 24hours postoperative |
| total amount of rescue analgesia | total amount of rescue analgesia if NRSā„4. in the first 24 hours. | 24 hours |
| Intraoperative hemodynamics (Heart Rate and Mean Arterial Pressure) | Intraoperative hemodynamics every 5 minutes in the first 30 minutes then every 10 minutes till the end of surgery | every 5 minutes in the first 30 minutes then every 10 minutes till the end of surgery |
| Patient's satisfaction | all patient's satisfaction: The patients will be asked to rate the overall degree of satisfaction of the analgesia by using a 5-points likert-like verbal scale (1 = very dissatisfied analgesia, 2 = dissatisfied analgesia, and 3 = neutral, 4=satisfied analgesia, and 5=very satisfied analgesia) | 24 hours |
| complication of the block | complication of the block( heamatoma,local anesthetic toxicity,infection) | 24 hours |