Bilateral External Oblique Intercostal Plane Block in Post Operative Pain Management in Hepatectomy

Launched by SHERIF ALAA EMBABY · Feb 11, 2025

Keywords

ClinConnect Summary

This clinical trial is studying a new method for managing pain after liver surgery (hepatectomy). It compares two pain relief techniques: a special nerve block called the Bilateral External Oblique Intercostal Plane Block (EOI block) and a system where patients can control their own pain medication, known as patient-controlled analgesia (PCA). The goal is to see which method is more effective at reducing pain and limiting the use of strong pain medications, especially since liver surgery can complicate how the body processes these drugs.

To be part of this study, participants should be between 18 and 65 years old and scheduled for hepatectomy surgery. They need to have a body weight that falls within a specific range (BMI of 18.5 to 30.0). However, some people won't be eligible, such as those with certain health conditions or those who have had other surgeries at the same time. If you join this trial, you can expect to receive one of the two pain relief methods after your surgery and be monitored closely to see how well it works for your recovery.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age ≥ 18 and ≤ 65 Years.
• • Both sexes.
• • Patients will be scheduled for hepatectomy surgery.
• • Body mass index (BMI) 18.5-30.0 /m 2 .
• Exclusion Criteria:
• • Extension of the surgical incision beyond coverage of T12 dermatome.
• • Prolonged time of surgery \> 5 hours.
• • Hepatectomy surgery combined with another organ resection.
• • Patients with hypersensitivity to local anesthetics.
• • History of psychiatric problems.
• • Recent history of analgesic drugs including opioid abuse or addiction.
• • Coagulopathy (International normalized ratio \[INR\] \> 1.4).
• • Localized infection at the block site.
• • Morbidly obese patients.