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

Cairo University80 enrolled

Overview

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)

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

TRIPLE

Enrollment

Conditions

Diaphragmatic Dysfunction

Interventions

Diaphragmatic ultrasoundDEVICE

diaphragmatic excursion will be conducted at baseline and at 2 and 24 hours postoperatively

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

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

Locations (1)

Cairo University

Cairo, Cairo Governorate, Egypt

Outcomes

Primary Outcomes

Incidence of diaphragmatic dysfunction in both groups

postoperative diaphragmatic excursion 10 mm at 2 hours after surgery

Time frame: baseline and 2 hours after surgery

Secondary Outcomes

Forced expiratory volume at one second

FEV1 (in liter)

Time frame: at baseline, 2 and 24 hours postoperatively

numeric rating scale

score from zero to 10

Time frame: at 24 hours after surgery

Forced vital capacity (in Liter)

FVC (in liter)

Time frame: at baseline, 2 hours, and 24 hours after surgery

Peak expiratory flow rate (Liter/sec)

PEFR (Liter/sec)

Time frame: baseline, 2 hours, and 24 hours

Data from ClinicalTrials.gov

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