Bilateral RSB vs TEA Epidural Analgesia for Postoperative Pain Control After Open Gastrectomy: A Randomized Controlled Trial

Igors Ivanovs60 enrolled

Overview

Patients indicated for elective open gastrectomy were screened, enrolled, and randomised between October 2021 and September 2023. The patients were randomised to either Group A (intervention-continuous bupivacaine) or Group B (control-NaCl saline). The primary outcome measures were the quantity of an opioid analgesic administered during the initial 72 h post-surgery and the level of postoperative pain as indicated by the visual analogue scale (VAS

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

Conditions

Bilateral Rectus Sheath Block Thoracic Epidural Analgesia

Interventions

Bilateral Rectus Sheath Block and Thoracic Epidural Analgesia for Postoperative Pain Control After Open Gastrectomy.PROCEDURE

The surgical procedure involved an upper middle laparotomy. Prior to the surgery, standard preoperative monitoring was conducted, including venous access placement, pulse oximetry, electrocardiography, and automated non-invasive arterial blood pressure measurement. General anesthesia was administered through both intravenous and endotracheal methods following standard protocols.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * (ASA) Grades I to III. * all adult patients (≥18 years) scheduled for elective open gastrectomy Exclusion Criteria: * those requiring acute gastric surgery, * individuals with known bupivacaine allergies * and patients who declined analgesia via RSB catheters and continuous bupivacaine infusions.

Locations (1)

Riga East Clinical University Hospital

Riga, Riga, Latvia

Outcomes

Primary Outcomes

Postoperative Pain Assessment

VAS

Time frame: 12 weeks

Secondary Outcomes

Postoperative Recovery

Postoperative bowel movement

Time frame: 12 weeks

Rescue Pain Management and Analgesia

Use of additional NSAIDs

Time frame: 12 weeks

Postoperative recovery

Postoperative days

Time frame: 12 weeks

Opioids

Use of opioids postoperatively

Time frame: 12 weeks

Data from ClinicalTrials.gov

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