About this trial
This study evaluates respiratory recovery as a multidimensional construct using clinically relevant and measurable parameters, including LUS, diaphragmatic excursion, oxygen requirement, and PPCs.
The investigators hypothesize that bilateral ESP block improves postoperative respiratory function compared with EOIP block following open hepatic surgery. The investigators further hypothesize that this improvement is mediated, in part, by superior analgesia.
Eligibility criteria
Qualifiers
Adult patients aged 18-75 years
Adult with American Society of Anesthesiologists (ASA) physical status I-III
Scheduled for elective hepatic surgery via upper abdominal incisions will be eligible.
All participants will be required to understand the Numeric Rating Scale (NRS) and provide informed consent.
Disqualifiers
Patient refusal
Coagulopathy (INR>1.4 or platelet count<8 x 104)
Contraindications to fascial plane blocks
Infection at the puncture site
Trial design
Treatments tested in this trial
- Ultrasound-guided bilateral external oblique intercostal plane (EOIP) block
- Ultrasound-guided bilateral erector spinae plane (ESP) block
Treatment groups
Sponsors and collaborators
Menoufia University
Lead sponsor
National Liver Institute, Egypt
Collaborator