An interventional study of Transversus abdominis block and Erector spinae block in Pain, Postoperative, Obesity and Analgesia, sponsored by Cairo University. Completed at 1 site in Egypt. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-01-13.
Sponsored by Cairo University · Not applicable, Interventional, and Prevention
The aim of this work is to compare the analgesic efficacy of laparoscopic transversus abdominis plane block, performed by the surgeon to ultrasound-guided erector spinae plane block, performed by the anesthetist, in patients with obesity undergoing bariatric surgery.
This is a randomized controlled trial which will include patients with obesity undergoing bariatric surgery. The patients will be randomly allocated into two groups: transversus abdominis plane block group and erector spinae plane block group. The block will be performed after induction of general anesthesia. Preoperative evaluation and preparation will include history-taking, laboratory investigation, fasting recommendations, and optimization of the medical status. The two groups will receive standard induction and maintenance of anesthesia. After the end of the operation, patients will receive standard care according to the local protocols and the enhanced recovery recommendations. Patients will be monitored according to the pain-related outcomes as well as hemodynamic parameters.
5,093 studies on the registry are indexed under Pain, Postoperative; 1,140 are open to participants now.
This study's enrollment of 96 is above the median of 75 across 4,344 interventional studies indexed under Pain, Postoperative.
Browse Pain, Postoperative studies →Cairo University is the lead sponsor of 4,780 studies on the registry; 1,427 are open to participants now.
Of its 36 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.
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Exclusion Criteria:
Patients in this group will receive Transversus Abdominis block guided by the laparoscope at the beginning of surgery.
Procedure: Transversus abdominis block · Procedure: Bariatric surgery · Device: Endotracheal intubation · Drug: Propofol
Patients in this group will receive Erector Spinae block guided by the ultrasound after induction of anesthesia.
Procedure: Erector spinae block · Procedure: Bariatric surgery · Device: Endotracheal intubation · Drug: Propofol
The block will be performed by the surgeon by injecting local anesthetic at the beginning of surgery under the guidance of the laparoscope.
The block will be performed by the anesthetist by injecting local anesthetic after induction of anesthesia under the guidance of the ultrasound.
Laparoscopic bariatric procedure will be performed
An endotracheal tube will be inserted as a part of general anesthesia to all patients
The patients will receive propofol for induction of anesthesia
Numerical rating scale
This is a scale for pain assessment which ranges between 0 and 10 with the highest level of pain having score 10 and lowest level of pain having score 0
Time frame: 24 hours after surgery
Consumption of analgesia
This is the total consumption of nalbuphine by the patient measured in milligrams
Time frame: 24 hours after surgery
Heart rate
This is the number of heart beats measured as frequency of heart beats in one minute.
Time frame: 24 hours after surgery
Systolic blood pressure
This is the systolic arterial blood pressure measured in mmHg.
Time frame: 24 hours after surgery
Vomiting
This is the incidence of vomiting after surgery measured as the frequency of patients with vomiting.
Time frame: 24 hours
Diastolic blood pressure
This is the diastolic arterial blood pressure measured in mmHg.
Time frame: 24 hours
Plan to share: No
No publications or documents are linked to this record.
This study is completed, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.
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Cairo University