An interventional study of external oblique intercostal plain block (EOIP) and subcostal transversus abdominis plane block (SCTAP) in Pain, Postoperative, sponsored by Benha University. Completed at 1 site in Egypt. Open to participants aged 20 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-12-19.
Sponsored by Benha University · Not applicable, Interventional, and Treatment
Various newer techniques have been proposed to enhance analgesia in upper abdominal region. The subcostal transverse abdominis plane (SCTAP) block is the deposition of local anesthetic in the transverse abdominis plane inferior and parallel to the costal margin. There is a growing consensus that the SCTAP block provides better analgesia for upper abdominal incisions than the traditional transverse abdominis plane block.
The External oblique intercostal plane (EOIP) block is a novel technique reported by Hamilton et al. performed EOPB by administering LA superior or deep of the external oblique muscle from the sixth intercostal space leading to the blockage of thoracoabdominal nerves at T6-T10. It has several attractive aspects such as easy sono-anatomy ribs one strip of muscle so easy to demonstrate even in obese patients, there is a bony backstop, easy expandable fascial plane that can accommodate a catheter and it is shallow block with no big vessels nearby.
5,093 studies on the registry are indexed under Pain, Postoperative; 1,140 are open to participants now.
This study's enrollment of 60 is below the median of 75 across 4,344 interventional studies indexed under Pain, Postoperative.
Browse Pain, Postoperative studies →Benha University is the lead sponsor of 356 studies on the registry; 68 are open to participants now.
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Exclusion Criteria:
patients will receive ultrasound guided external oblique intercostal plain block.
Procedure: external oblique intercostal plain block (EOIP)
patients will receive ultrasound guided subcostal transversus abdominis plane block.
Procedure: subcostal transversus abdominis plane block (SCTAP)
patients won't receive LA injection
Other: control group
A high-frequency linear ultrasound probe will be placed in a longitudinal parasagittal orientation at the sixth intercostal space in the anterior midaxillary line. A 21G 10 cm needle will be inserted using an in plane approach. The tip of the needle will be placed into the fascial plane on the deep aspect of the external oblique muscle. A volume of 20 mL of LA mixture (10 mL of bupivacaine 0.5%, 5 mL of lidocaine 2% and 5 mL of normal saline to make a mixture totaling 20 ml.) will be injected.
The US probe will be placed immediately below the costal margin on oblique plane toward the lateral close to midline to identify the rectus abdominis muscle. The transversus abdominis muscle will be identified lying posterior to the rectus muscle. An 8cm 22-gauge block needle will be inserted using an in- plane approach. transversus abdominis plane will be accessed by placing the needle adjacent to costal margin but medial to linea semilunaris. The needle will be advanced slowly in-plane to promote hydrodissection along the oblique subcostal line. A volume of 20 mL of LA mixture (10 mL of bupivacaine 0.5%, 5 mL of lidocaine 2% and 5 mL of normal saline to make a mixture totaling 20 ml.) will be injected.
No LA injection
amount of postoperative morphine consumed
Time frame: 24 hours postoperatively
First postoperative analgesics request
Time frame: 24 hours postoperatively
Postoperative pain score
pain evaluated by VAS (visual analogue score).
Time frame: at 1, 2,4 , 8, 16 and 24 hours postoperatively
Incidence of Postoperative nausea & vomiting (PONV)
Number of patients developing PONV
Time frame: 24 hours postoperatively
incidence of complications related to the block
agitation, dizziness, tinnitus, tremors, and numbness.
Time frame: 24 hours postoperatively
Plan to share: No
No publications or documents are linked to this record.
This study is completed, as verified in Dec 2024. You cannot join it, but the record below documents what was studied.
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Benha University