Comparative Effects of ESP Block and EOIP Block on Postoperative Respiratory Recovery Following Liver Resection

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorMenoufia University

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

116 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Menoufia University

Lead sponsor

National Liver Institute, Egypt

Collaborator