An interventional study of Erector spinae plane block and Rectus sheath block in Abdominoplasty and Perioperative Analgesia, sponsored by Cairo University. Recruiting at 1 site in Egypt. Open to participants aged 21 Years to 60 Years. Per ClinicalTrials.gov, last updated 2025-01-09.
Sponsored by Cairo University · Not applicable, Interventional, and Diagnostic
The goal of this clinical trail is to determine if bilateral erector spinae plane block alone can provide good perioperative analgesia for abdominoplastic surgery patients or it is better to give combined bilateral rectus sheath and erector spinae plane blocks to achieve effective intraoperative and postoperative analgesia with minimal morphine consumption in such operations in which there is an extensive surgical dissection and a high risk of respiratory problems.
This study is randomized controlled trail in which 40 adult patients (male or female) scheduled for elective abdominoplastic surgeries during the study duration will be randomized into to equal groups to investigate the efficacy of erector spinae plane block alone versus the efficacy of combine use of erector spinae and rectus sheath plane block for intra and postoperative analgesia in abdominoplastic surgery patients.
1,190 studies on the registry are indexed under Agnosia; 508 are open to participants now.
This study's planned enrollment of 40 is below the median of 78 across 1,024 interventional studies indexed under Agnosia.
Browse Agnosia 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:
20 Adult patients scheduled for elective abdominoplastic surgeries under general anethesia
Procedure: Erector spinae plane block · Procedure: Rectus sheath block
20 Adult patients scheduled for elective abdominoplastic surgeries under general anethesia
Procedure: Erector spinae plane block
the patient will recieve ultrasound guided erector spinae plane blockbe. A 20-gauge needle will be placed between the erector spinae muscle and the thoracic transverse processes at the level of T10 using an 'in plane' technique, 20 ml of (0.25% bupivacaine and 1% xylocaine) will be injected on each side.
the patient will recieve ultrasound guided rectus sheath block. An 18-gauge needle will be introduced- in plane- just below the costal margin at an angle of approximately 45 degrees to the skin between the rectus abdominis muscle and posterior rectus sheath. 10 ml of (0.25% bupivacaine and 1% xylocaine) will be injected on each side.
Primary outcome
Visual Analogue Scale (VAS) measures pain intenesity one hour after extubation
Time frame: one hour
Secondary Outcome
Total morphine consumption during 1st 24 hours postoperatively
Time frame: first 24 hours postoperative
Secondary Outcome
Total intraoperative fentanyl consumption.
Time frame: During opration
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Cairo University