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Completed

NCT Number: NCT05705739

Ultrasound Guided Erector Spinae Plane Block Versus Retrolaminar Plane Block

Retrolaminar block (RLB) and erector spinae plane block (ESPB) are alternative approaches to paravertebral block (PVB) and are advantageous in that they are easier and safer techniques compared with the traditional PVB. These blocks are considered to be compartment blocks or interfascial plane blocks. In these approaches, local anesthetics are assumed to penetrate the superior costotransverse ligament and reach the paravertebral space, although the needle tip is not advanced into the paravertebral space.

the study aim to evaluate and compare the analgesic efficacy of retrolaminar plane block and erector spinae plane block.

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Key information

Conditions

Post Operative Pain Agnosia Analgesia Nervous System Diseases Neurobehavioral Manifestations Neurologic Manifestations Pain Pain, Postoperative Pathologic Processes Pathological Conditions, Signs and Symptoms Perceptual Disorders Postoperative Complications Signs and Symptoms

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Minia University

Minya, Minya Governorate, 61511, Egypt

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age18-60.
  • Both genders.
  • hepatobiliary surgery.
  • ASA I-III.

Exclusion criteria

  • Drug allergy.
  • Morbid obesity (BMI >40 kg/m2).
  • Psychiatric disorder.
  • Opiod dependence.

Treatment and study plan

retrolaminar block

Procedure

curved probe will be placed 1-1.5 cm lateral to the target spinous process after identification of the lamina, the needle will be advanced caudally until it contacts the lamina

ESPB

Procedure

curved probe will be placed 2-3 cm lateral to the spine using a sagittal approach at the level of T8. After identification of erector spinae muscle and transverse processes, the needle will be inserted deeply into the erector spinae muscle.

Primary outcomes

  1. Visual analogue pain scale

    Time frame: 24 hour

    score from 0-10 (0 mean no pain and 10 the worst pain )

Secondary outcomes

  1. Time of first post operative analgesic request.

    Time frame: 24 hour

    time to demand rescue analgesia

  2. Total analgesic consumption

    Time frame: 24 hour

    total fentanyl consumption during the first day postoperative

Sponsors and collaborators

Lead sponsor

Minia University

Other

Registry information

Official study title

Comparison Between the Efficacy of Ultrasound Guided Erector Spinae Plane Block Versus Retrolaminar Plane Block for Postoperative Pain in Patients Undergoing Hepatobiliary Surgery

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Jan 31, 2023
Registry last updated
Oct 13, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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