Erector Spinae Plane Block for Pain Control After Open Abdominal Surgery

N/AActive Not RecruitingNCT07479069

Fatima Memorial Hospital46 enrolled

Overview

his randomized controlled trial aims to evaluate the efficacy of the bilateral erector spinae plane (ESP) block in reducing postoperative opioid consumption in patients undergoing open abdominal surgeries under general anesthesia

Patients undergoing abdominal surgeries experience severe postoperative pain. Conventional pain management methods, including opiates, may pose significant side effects. This study addresses the imperative need for optimizing postoperative pain management by systematically investigating the analgesic effects and complications associated with the bilateral ESP block. The study involves 46 patients allocated into two groups using a lottery method: a control group receiving standard pain control treatment, and an erector spinae block group receiving a bilateral ESP block in addition to standard pain control treatment. Pain intensity will be evaluated using a visual analogue scale (VAS) at 4, 8, 12, and 24 hours after the operation.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Postoperative Pain Open Abdominal Surgery

Interventions

Bilateral Erector Spinae Plane (ESP) BlockPROCEDURE

Administered after the induction of general anesthesia and before the surgical incision. Local anesthetic (0.25% ropivacaine or 0.25% bupivacaine) will be injected for a total of 20-40 mL

Standard Postoperative AnalgesiaDRUG

Patients receive 1000 mg of IV paracetamol every 6 hours postoperatively. If a patient experiences a Visual Analogue Score (VAS) of more than five at any time, they receive rescue analgesia in the form of nalbuphine 4mg

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * American Society of Anesthesiology (ASA) stage I-II. * Scheduled for abdominal surgery due to any indication. Exclusion Criteria: * History of Diabetes * History of neuropathic diseases * History of gastrointestinal bleeding, peptic ulcer, or inflammatory bowel disease * History of long-term nonsteroidal anti-inflammatory * History of chronic opioid analgesic use * History of severe hepatic or renal failure

Locations (1)

Department of Anesthesia, Fatima Memorial Hospital

Lahore, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Postoperative Opioid Consumption

Assessed by the percentage of patients requiring rescue opioid analgesia. The need for rescue analgesia is determined by a Visual Analogue Score (VAS) greater than five

Time frame: Within the first 24 hours after surgery

Data from ClinicalTrials.gov

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