Retrolaminar Block Versus Subcostal Transversus Abdominis Plane Block in Patients Undergoing Open Liver Resection Surgery

Status: Recruiting
Location: See location...
Intervention Type: Procedure, Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Adequate pain control improves postoperative outcomes and is imperative for enhanced recovery after surgery (ERAS) . Open liver resection surgery is associated with intraoperative blood loss, hypotension, coagulopathy, pulmonary complications, liver impairment, and renal impairment, making perioperative pain management challenging . Multimodal analgesic strategies employing regional techniques decrease postoperative pain and opioid consumption following liver resections. Thoracic epidural analgesia (TEA) is considered the 'gold standard' for open thoracic and abdominal surgical procedures .

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 65
Healthy Volunteers: f
View:

• Physical status American Society of Anesthesiologists (ASA)II, III. Body mass index (BMI): 20-35 kg/m2.

Locations
Other Locations
Egypt
Cairo University
RECRUITING
Cairo
Contact Information
Primary
sayed M abed, MD degree
sydabed2020@outlook.com
1226806532
Time Frame
Start Date: 2024-10-01
Estimated Completion Date: 2025-11-01
Participants
Target number of participants: 90
Treatments
Experimental: • Group R: Retrolaminar block (RLB)
Patients will receive bilateral ultrasound guided retrolaminar block with injection of 20 ml bupivacaine 0.25% in each side.
Experimental: Group T. Subcostal transversus abdominis plane block (STAP)
Patients will receive bilateral Ultrasound guided subcostal TAP with injection of 20 ml bupivacaine 0.25% in each side.
Experimental: Epidural
By loss of resistant technique and catheter insertion at the level of thoracic vertebrae (7-10)
Sponsors
Leads: Cairo University

This content was sourced from clinicaltrials.gov