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| Name | Class |
|---|---|
| Benha University | OTHER |
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This double-blind randomized controlled trial aimes to compares two ultrasound-guided regional techniques-lateral quadratus lumborum block versus combined ilio-inguinal/ilio-hypogastric/genitofemoral (II-IH-GFN) block-for postoperative analgesia after elective unilateral open inguinal hernia repair under spinal anesthesia in adults.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 (Quadratus lumborum block) | Active Comparator | Ultrasound-guided lateral quadratus lumborum block. Local anesthetic: 30 ml of (Ropivacaine 0.2%) is injected at the appropriate fascial level. |
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| Group 2 ( Ilio-inguinal and ilio-hypogastric block) | Active Comparator | Ultrasound-guided ilio-inguinal and ilio-hypogastric block. Local anesthesia: 20 ml of 0.2% ropivacaine for ilio-inguinal and ilio-hypogastric block + 10 ml of 0.2% ropivacaine for genitofemoral anaesthesia, total injection volume = 30 ml. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound-guided lateral quadratus lumborum block | Procedure | Ultrasound-guided lateral quadratus lumborum block. Local anesthetic: 30 ml of (Ropivacaine 0.2%) is injected at the appropriate fascial level. |
| Measure | Description | Time Frame |
|---|---|---|
| Cumulative opioid consumption in the first 24 hours postoperatively | Measures the total amount of opioid analgesics (expressed as morphine milligram equivalents, MME) consumed during the first postoperative 24 hours. It reflects overall analgesic efficacy of the two block techniques. | 24 hours after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity (VAS pain scores at rest ) | Assesses the level of postoperative pain at rest using the Visual Analogue Scale (VAS), where 0 = no pain and 10 = worst imaginable pain. | 24 hours postoperatively. |
| Pain intensity (VAS pain scores at movement) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Neveen A. Kohaf, Ph.D | Contact | 01060383012 | nevenabdo@azhar.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Al Azhar University | Cairo | Egypt | 11865 | Egypt |
Data can be shared upon a reasonable request from the corresponding author
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| Combined ilio-inguinal/ilio-hypogastric/genitofemoral (II-IH-GFN) block | Procedure | Ultrasound-guided ilio-inguinal and ilio-hypogastric block. Local anesthesia: 20 ml of 0.2% ropivacaine for ilio-inguinal and ilio-hypogastric block + 10 ml of 0.2% ropivacaine for genitofemoral anaesthesia, total injection volume = 30 ml. |
|
Assesses the level of postoperative pain during movement using the Visual Analogue Scale (VAS), where 0 = no pain and 10 = worst imaginable pain. |
| 24 hours postoperatively. |
| Time to first analgesic request | Determines the duration of effective analgesia provided by each block, defined as the interval from completion of the block to the first patient request for additional analgesia. | 24 hours. |
| Proportion of patients requiring rescue opioid analgesia | Percentage of patients who required additional opioid analgesics beyond the planned postoperative regimen, indicating inadequate analgesia from the primary block. | 24 hours. |
| Incidence of postoperative block-related complications | Evaluates safety of the blocks by recording complications such as hematoma, local anesthetic toxicity, or impaired mobility. | 24 hours. |
| Patient satisfaction score | Patient satisfaction with postoperative pain control will be evaluated using a 5-point Likert scale, allowing a simple yet reliable measure of the patient's overall analgesic experience. Each participant will rate their satisfaction as follows: 1 for "very dissatisfied," indicating poor pain relief and marked discomfort; 2 for "dissatisfied," reflecting inadequate but tolerable pain control; 3 for "neutral," representing acceptable analgesia without a clear sense of satisfaction; 4 for "satisfied," denoting good pain relief and minimal discomfort; and 5 for "very satisfied," corresponding to excellent pain control and full contentment with the postoperative analgesia regimen. | Assessed at 24 hours postoperatively. |
| Post-anesthesia care unit (PACU) stay duration | Measures the time spent in the PACU | 24 hours |
| Total hospital stay duration | Measures total length of hospital stay. | 24 hours |
| ID | Term |
|---|---|
| D003766 | Dental Occlusion |
| ID | Term |
|---|---|
| D003813 | Dentistry |
| D009063 | Dental Physiological Phenomena |
| D055688 | Digestive System and Oral Physiological Phenomena |
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