Optimizing Postoperative Pain Control After Laparoscopic Colorectal Surgery

Ain Shams University120 enrolled

Overview

Erector spinae plane block (ESPB) is a novel regional block technique that was proven to have superior outcomes in relieving postoperative pain in colorectal surgeries.Ketamine enhances the impact of local anaesthetics by reducing the duration and extent of motor block while shortening the onset of sensory and motor block.Transdermal Fentanyl Patch (TFP) was better than transdermal buprenorphine in postoperative analgesia following abdominal surgeries.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

120

Conditions

Postoperative Pain

Interventions

Bupivacaine and ketamineOTHER

Bilateral erector spinae plane block (bupivacaine and ketamine)

Bupivacaine and transdermal fentanyl patchOTHER

Bilateral erector spinae plane block (bupivacaine) and transdermal fentanyl patch

BupivacainOTHER

Bilateral erector spinae plane block (bupivacaine)

Eligibility

Sex: ALLMin age: 21 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients undergoing laparoscopic colorectal surgery. * American Society of Anesthesiologists (ASA) physical status I or II. Exclusion Criteria: * Known allergy to one of the study medications. * Skin infections at the site of the needle puncture. * Hepatic, renal or cardiac dysfunction. * Patients diagnosed with obstructive sleep apnoea

Locations (1)

Ain-Shams University Hospitals

Cairo, Egypt

Outcomes

Primary Outcomes

The time to first rescue analgesia after surgery (hour)

Time frame: The first 48 hours after surgery

Data from ClinicalTrials.gov

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