About this trial
This prospective randomized controlled trial aims to compare the analgesic efficacy and effects on diaphragmatic function of bilateral erector spinae plane (ESP) block and bilateral rhomboid intercostal-subserratus plane (RISS) block in patients undergoing elective laparoscopic cholecystectomy. Postoperative pain scores, opioid consumption, diaphragmatic excursion, pulmonary function, and recovery outcomes will be evaluated.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age between 18 and 75 years
ASA physical status I-III
Scheduled for elective laparoscopic cholecystectomy under general anesthesia
Provision of written informed consent
Disqualifiers
Coagulation disorders or anticoagulant therapy
Known allergy to local anesthetics
Infection at the block application site
Pregnancy or lactation
Trial design
Parallel
Treatments tested in this trial
Erector Spinae Plane Block
Procedure/SurgeryBilateral ultrasound-guided erector spinae plane block performed before laparoscopic cholecystectomy for postoperative analgesia.
Rhomboid Intercostal-Subserratus Plane Block
Procedure/SurgeryBilateral ultrasound-guided rhomboid intercostal-subserratus plane block performed before laparoscopic cholecystectomy for postoperative analgesia.
Treatment groups
Trial outcomes
Primary outcomes
Total Postoperative Tramadol Consumption
Total tramadol consumption during the first 24 hours after laparoscopic cholecystectomy.
Secondary outcomes
Postoperative Pain Scores
Postoperative pain scores assessed using the Numeric Rating Scale (NRS).
Time to First Rescue Analgesia
Time from the end of surgery to first rescue analgesic requirement.
Intraoperative Remifentanil Consumption
Total remifentanil consumption during surgery.
Opioid-Related Adverse Events
Incidence of nausea, vomiting, pruritus and other opioid-related adverse events.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Ferit Yetik
Lead sponsor
Bursa Yuksek Ihtisas Training and Research Hospital
Sponsor institution
Bursa City Hospital
Collaborator