Ultrasound Guided Erector Spinae Plane Block Versus Retrolaminar Plane Block

NCT05705739 | Completed

• 1 other identifier: 544/2022
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Post Operative Pain; Analgesia

Outcome Measures

Primary Outcomes (1)

• Visual analogue pain scale

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

  24 hour

Secondary Outcomes (2)

• Time of first post operative analgesic request.

  24 hour

• Total analgesic consumption

  24 hour

Study Arms (2)

Retrolaminar plane block

EXPERIMENTAL

Procedure: retrolaminar block

ESPB

EXPERIMENTAL

Procedure: ESPB

Interventions

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

Retrolaminar plane block

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.

ESPB

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• Minia University: lead

Study Sites (1)

Minia University

Minya, Minya Governorate, 61511, Egypt

Location

MeSH Terms

Conditions

Pain, Postoperative; Agnosia

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms; Perceptual Disorders; Neurobehavioral Manifestations; Nervous System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lecturer of anesthesia and ICU

Study Record Dates

• First Submitted: January 20, 2023
• First Posted: January 31, 2023
• Study Start: February 10, 2023
• Primary Completion: July 1, 2023
• Study Completion: August 1, 2023
• Last Updated: October 13, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)