Erector Spinae Plane Block Versus Oblique-Subcostal Transversus Abdominis Plane Block in Emergency Abdominal Surgery with Midline Incision

Launched by KASR EL AINI HOSPITAL · Jun 3, 2024

Keywords

ClinConnect Summary

This clinical trial is studying two different methods of pain relief for patients undergoing emergency abdominal surgery, which involves making a cut (incision) down the middle of the abdomen. The two methods being compared are called the Erector Spinae Plane Block (ESPB) and the Oblique-Subcostal Transversus Abdominis Plane Block (OS-TAPB). Both techniques aim to reduce pain after surgery, but they work in different ways and may have different effects, especially in emergency situations where patients often experience more intense pain and stress.

To participate in this trial, patients must be adults over 18 years old who are having emergency surgery with a midline incision. However, certain individuals cannot join, such as those with severe health issues, allergies to the study drugs, or specific conditions like chronic pain. Participants in the study can expect careful monitoring and pain management during their recovery, and their experiences will help researchers understand which pain relief method is more effective in emergency surgery settings. This information could lead to better pain management strategies for future patients.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • adult patients (\>18 years), undergoing emergency abdominal surgery with midline incision
• Exclusion Criteria:
• • American society of anesthesiologist-physical status \>III,
• • patients with a history of allergy to any of the study drugs,
• • a body mass index (BMI) \<18 or ≥ 40 kg/m2,
• • coagulopathy
• • local infection,
• • history of chronic pain or regular opioid use;
• • inability to comprehend the Numeric Rating Scale (NRS),
• • pregnant or lactating women. Patients on vasopressor infusion,
• • patients with high shock index (heart rate / systolic blood pressure \>1)
• • patients requiring postoperative mechanical ventilation will be excluded from the study.