Erector Spinae Plane Block Versus Opioid Based General Anesthesia During Laparoscopic Bariatric Surgery

• Status: Completed
• Trial end date: 2019-09-30
• Target enrollment: 0
• Participant gender: All

Summary

bilateral continuous erector spinae plane blockade may represent a valuable alternatives to thoracіc epidurals analgaesіa in treatment of thoracic neuropathic pain.

There were 3 cases reported in 2017 suggested that the erector spinae plane block provides visceral abdominal analgesia in bariatric surgery and at end of the report they recommended further clinical investigation. The investigators hypothesіzed that performing the erector spinae plane (ESP) block at T7 would provide effective abdominal analgaesіa іn patients undergone laparoscopic bariatric surgery. The investigators aimed to compare the analgesic effect of erector spinae plane block and opioid based general anesthesia for laparoscopic bariatric surgeries.

• Phase: N/A
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Cairo University
• Treatments: Anesthetics; Nalbuphine

Criteria

Inclusion Criteria:

• Patient age >18 <60

• Obese patients 40˂ Body mass index(BMI) ˂50

• Both sexes

• American Society of Anesthesiologists(ASA) physical status classes II and III

• Patients scheduled for laparoscopic bariatric surgery i.e. sleeve gastrectomy and/or Roux-en-Y gastric bypass (RYGB)surgeries

Exclusion Criteria:

• Refusal of regional block

• Patients with neurological, psychological disorders or those lacking cooperation

• Patients scheduled for concomitant laparoscopic cholecystectomy or paraumbilical hernia repair or those with history of previous bariatric surgery or obstructive sleep apnea

• Patients with anatomic abnormalities at site of injection, skin lesions or wounds at site of proposed needle insertion.

• Patients with bleeding disorders defined as (INR >2) and/ or (platelet count <100,000/µL)

• Patients with hepatic disease e.g. liver cell failure or hepatic malignancy or hepatic enlargement.

• Patients who are allergic to amide local anesthetics.

• Cases converted to open surgery will also be excluded from the study