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IRCT20230829059295N1 IRCT 2023-09-08 Combined military hospital Comparison of trasnversus abdominis plane block and epidural in abdominal surgery Comparison of analgesic efficacy between transversus abdominis plane block and epidural following abdominal surgery 2023-03-30 anticipated 120 Complete https://irct.ir/trial/72457 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Lottery method was used for randomization of patients in to two groups i.e One group that received TAP block and the other that had epidural anesthesia. Allocation concealment was not done. N/A Post operative pain relief after abdominal surgeries. Intervention 1: Intervention group: Transversus Abdominis Plane (TAP) Block group. In the TAP block group (n=60), once the surgery was completed, a pain consultant performed the block under ultrasound guidance using standard technique furnished by NYSORA 11 . Bilateral TAP block was performed in all patients that underwent abdominal surgery and 15 ml of 1%lignocaine with adrenaline was injected on each side of the block. Intervention 2: Intervention group: Epidural analgesia group. An 18 G Smith epidural catheter Touhy needle was inserted in the epidural group (n=60) by a consultant anesthetist pre-operatively under aseptic measures with patient in the sitting position in the T6 thoracic space. Confirmation of correct placement was checked by hanging drop method and further confirmed by test dose of 5 ml 2% lignocaine with adrenaline. Once correct placement was confirmed, the catheter was secured, and surgery was started. No bolus dose of epidural was till the surgery was completed. At the end of surgery, a top-up of 10 ml of0.125% bupivacaine was given in the epidural catheter for post-op analgesia and pain relief. Yes - There is a plan to make this available What will be shared: All collected data could be provided When: Data will be available for 2 years starting from October 2023 to October 2025 To whom: Academic institutions Conditions: Interventionaal studies being done on the same topic Where to obtain: haroontariq299@gmail.com How to obtain: Please contact on the email provided to ask for detailed data Comments:
public Haroon Tariq
House No 318, Street 5, Sector B1, DHA Phase 1, Rawalpindi
Rawalpindi Pakistan 46000 +92 323 7399976 haroontariq299@gmal.com Combined Military Hospital scientific Haroon Tariq
House No 318, Street 5, Sector B1, DHA Phase 1, Rawalpindi
Rawalpindi Pakistan 46000 +92 323 7399976 haroontariq299@gmal.com Combined Military Hospital Pakistan All ASA-I and II patients Patients between ages 20-60 years Patients undergoing for elective or emergency abdominal laparotomy. 20 years 60 years Both Patients with cancer, tumors or metastatic disease, low ejection fraction, respiratory compromise, post chemotherapy and coagulation disorders, Allergic to bupivacaine or lignocaine Unwilling to be included in the study Patchy or failed epidural insertion and failure to perform TAP block after three unsuccessful attempts. Infection at site of block Treatment - Other Treatment - Other Intervention group: Transversus Abdominis Plane (TAP) Block group. In the TAP block group (n=60), once the surgery was completed, a pain consultant performed the block under ultrasound guidance using standard technique furnished by NYSORA 11 . Bilateral TAP block was performed in all patients that underwent abdominal surgery and 15 ml of 1%lignocaine with adrenaline was injected on each side of the block.. Intervention group: Epidural analgesia group. An 18 G Smith epidural catheter Touhy needle was inserted in the epidural group (n=60) by a consultant anesthetist pre-operatively under aseptic measures with patient in the sitting position in the T6 thoracic space. Confirmation of correct placement was checked by hanging drop method and further confirmed by test dose of 5 ml 2% lignocaine with adrenaline. Once correct placement was confirmed, the catheter was secured, and surgery was started. No bolus dose of epidural was till the surgery was completed. At the end of surgery, a top-up of 10 ml of0.125% bupivacaine was given in the epidural catheter for post-op analgesia and pain relief. Patient satisfaction regarding post operative pain. Timepoint: At 24 hours. Method of measurement: Likert Scale. Adverse effects of analgesia. Timepoint: Within 24 hours. Method of measurement: Patient's subjective complaints. Effect on HDU stay due to pain. Timepoint: 24 hrs, 36hrs, 48 hrs. Method of measurement: Duration of admission in HDU. Combined military hospital Approved 2023-03-30 Ethical committee of combined military hospital Tamizudin road , lalkurti rawalpindi Rawalpindi Punjab Pakistan