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Ultrasound-Guided RSCTL vs EOIP Block for Analgesia in Sleeve Gastrectomy

ConditionPatient Satisfaction
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorBeni-Suef University

About this trial

The aim of this study is to compare the effect of ultrasound-guided retro-SCTL space block and EOI block on opioid consumption within 24 hours after LSG.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Patients aged between 18 to 65 years

Both genders

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

Body mass index (BMI) > 40 kg m-2,

Disqualifiers

Obesity secondary to an endocrine disorder

known allergic diathesis to any drugs used in the study

Presence of serious systemic illness (e.g., severe cardiac, pulmonary, renal, or hepatic dysfunction),

Coagulation dysfunction

Trial design

Design model

Parallel

Treatments tested in this trial

  • ultrasound-guided Retro superior costotransverse ligament space block

    Procedure/Surgery

    Participants will receive ultrasound-guided Retro superior costotransverse ligament space block after intubation. Following hydrodissection with 2 ml of 0.9% saline to confirm the correct needle tip position, 20 ml 0.25% bupivacaine was injected. The same procedure was then repeated with 20 ml 0.25% bupivacaine on the contralateral side.

  • ultrasound-guided External Oblique Intercostal Plane Block

    Procedure/Surgery

    Participants will receive ultrasound-guided External Oblique Intercostal Plane Block after intubation.Following hydrodissection with 2 ml of 0.9% saline to confirm the correct needle tip position, 20 ml 0.25% bupivacaine was injected. The same procedure was then repeated with 20 ml 0.25% bupivacaine on the contralateral side.

Treatment groups

90 Participants
are divided into 2 treatment groups
Group A: retro-SCTL blockActive comparator 1 intervention
Group B: EOI blockActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

cumulative morphine consumption within the first 24 hours.

cumulative morphine consumption within the first 24 hours.

Time frame
24 hours post operative

Secondary outcomes

1

Visual analogue scale (VAS) score for pain

The VAS is a pain rating scale. Scores are based onself-reported measures of symptoms that are recorded witha single handwritten mark placed at one point along thelength of a 10-cm line that represents a continuum betweenthe two ends of the scale-"no pain" on the left end (0 cm) ofthe scale and the "worst pain" on the right end of the scale(10 cm).Visual analogue scale (VAS) score: will be assessed at rest and during movement at 30 min, 1, 3, 6, 12, 24 h postoperatively. A score ≤ 3 will be considered acceptable for pain relief. Supplementary rescue analgesia will be administered in the form of morphine IV 2 mg (at VAS ≥ 4), which may be repeated after 20 minutes.

Time frame
30 minutes, 1, 3, 6, 12, 24 hours postoperatively
2

A Sedation scale

A Sedation scale will be applied to determine the sedation scores (0 = awake, 1 = drowsy, 2 = asleep but arousable, and 3 = deeply asleep). A sedation score of \> 0 indicates being sedated at any time throughout the initial postoperative 24 hours

Time frame
Initial 24 hours postoperatively

Other outcomes

Sponsors and contacts

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

Beni-Suef University

Lead sponsor

Source ClinicalTrials.gov
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