Ultrasound-guided Erector Spinae Plane Block Versus Transversus Abdominis Plane Block for Postoperative Analgesia of Adult Patients Undergoing Laparoscopic Appendectomy

Status: Completed
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Laparoscopic appendectomy is the most frequently performed surgery in patients who develop acute appendicitis. This surgical technique is more advantageous than an open appendectomy in terms of fewer complications, less postoperative pain, and a faster return to normal daily activities. Even though the laparoscopic technique is minimally invasive, postoperative pain is inevitable. Furthermore, it may affect the patients' mobility and cause them to stay in the hospital for a more extended period .The study aimed to compare the effectiveness and the safety of ultrasound-guided erector spinae plane block versus ultrasound-guided transversus abdominis plane block (TAP) as postoperative analgesia methods after laparoscopic appendectomy.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 50
Healthy Volunteers: t
View:

• Patients scheduled for laparoscopic appendectomy,

• Patients aged 18-50 years,

• American Society of Anaesthesiologists (ASA) physical status I or II.

Locations
Other Locations
Egypt
Ain shams university hospitals
Cairo
Time Frame
Start Date: 2024-01-29
Completion Date: 2025-07-08
Participants
Target number of participants: 72
Treatments
Active_comparator: Group A (ESP) block group
the first group (ESP) will be placed in the lateral decubitus position. The ultrasound probe will be placed in longitudinal orientation at the level of the T7 spinous process and then moved the probe 3 cm laterally from the midline. The ultrasound landmarks, which included the T7 transverse process and the overlying erector spinae muscle, will be identified. Under complete aseptic conditions, an 80-mm 21-gauge block needle will be inserted in plane at an angle of 30-40° in cranial-to-caudal direction until the tip contacted the T7 transverse process. After hydro-dissection with 3 mL of isotonic saline solution confirmed the correct needle tip position, 30 mL of 0.25% bupivacaine and dexamethasone 4mg will be injected deep to the erector spinae muscle. The same procedure will be repeated with 30 mL of 0.25% bupivacaine solution and dexamethasone 4mg on the contralateral side.
Active_comparator: Group B TAP block group
patients who will receive TAP block. A high-frequency ultrasound probe placed transversely, approximately midway between the iliac crest and costal margin shows the three muscle layers of the abdominal wall. A regional block needle can then be inserted anteriorly and slightly away from the probe and carefully advanced until it reaches the transversus plane. In this 'in-plane' technique. The needle and its tip are visualised throughout the procedure, as it enters the transversus plane after piercing the fascial layer below the internal oblique muscle. The needle will be directed toward the transversus abdominis fascia and injected 30 mL of 0.25% bupivacaine and dexamethasone 4mg between the rectus abdominis and transversus abdominis muscles. The same procedure will be repeated with 30 mL of 0.25% bupivacaine solution and dexamethasone 4mg on the contralateral side.
Sponsors
Leads: Ain Shams University

This content was sourced from clinicaltrials.gov