Health TrialsbyHealthPanel

Erector Spinae Plane Block Versus External Oblique Intercostal Plane Block for Analgesia in Open Cholecystectomy

ConditionsCholecystectomyPostoperative PainErector Spinae Plane BlockRegional Anesthesia
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorSohag University

About this trial

This randomized controlled trial aims to compare the analgesic efficacy of bilateral ultrasound-guided erector spinae plane block (ESPB) versus bilateral external oblique intercostal plane (EOI) block in patients undergoing open cholecystectomy.

Patients will be randomly allocated into two groups to receive either ESPB or EOI block in addition to standard general anesthesia. The primary outcome is postoperative pain score assessed using the Numerical Rating Scale (NRS) at 2 hours after surgery. Secondary outcomes include intraoperative opioid consumption, postoperative nalbuphine requirements, time to first analgesic request, and hemodynamic changes.

This study seeks to determine the more effective regional anesthesia technique for improving perioperative analgesia in open cholecystectomy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult patients aged 18-65 years.

Patients scheduled for elective open cholecystectomy.

American Society of Anesthesiologists (ASA) physical status I-II.

Patients who provide informed consent.

Disqualifiers

Patient refusal.

Known allergy to local anesthetics.

Coagulopathy or anticoagulant therapy.

Infection at the site of injection.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Erector Spinae Plane Block

    Procedure/Surgery

    Bilateral erector spinae plane block will be performed under ultrasound guidance using local anesthetic prior to surgical incision to provide postoperative analgesia.

  • External Oblique Intercostal Plane Block

    Procedure/Surgery

    Bilateral external oblique intercostal plane block will be performed under ultrasound guidance using local anesthetic prior to surgical incision to provide postoperative analgesia.

Treatment groups

66 Participants
are divided into 2 treatment groups
Group A: Erector Spinae Plane Block GroupExperimental treatment 1 intervention
Group B: External Oblique Intercostal Plane Block GroupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Postoperative Pain Score (VAS)

Postoperative pain will be assessed using the Visual Analog Scale (VAS) at rest and during movement.

Time frame
Within the first 24 hours postoperatively

Secondary outcomes

1

Total Opioid Consumption

Total opioid consumption in the first 24 hours after surgery measured in morphine equivalents.

Time frame
First 24 hours postoperatively
2

Time to First Analgesic Request

Time elapsed from the end of surgery to the first request for analgesia.

Time frame
Within 24 hours postoperatively
3

Postoperative Complications

Incidence of postoperative complications including nausea, vomiting, and respiratory complications.

Time frame
Within 24 hours postoperatively

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Sohag University

Lead sponsor

Cairo University

Collaborator

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: