NCT06564610

Laparoscopic Transversus Abdominis Plane Block Versus Erector Spinae Plane Block in Bariatric Surgery

Laparoscopic Transversus Abdominis Plane Block Versus Erector Spinae Plane Block in Obese Patients Undergoing Bariatric Surgery: a Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 96 (actual)
• Sponsor: Cairo University · Academic / Other
• Sex: All
• Age: 18 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

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.

Detailed description

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.

Conditions

• Pain, Postoperative
• Obesity
• Analgesia

Interventions

Type	Name	Description
PROCEDURE	Transversus abdominis block	The block will be performed by the surgeon by injecting local anesthetic at the beginning of surgery under the guidance of the laparoscope.
PROCEDURE	Erector spinae block	The block will be performed by the anesthetist by injecting local anesthetic after induction of anesthesia under the guidance of the ultrasound.
PROCEDURE	Bariatric surgery	Laparoscopic bariatric procedure will be performed
DEVICE	Endotracheal intubation	An endotracheal tube will be inserted as a part of general anesthesia to all patients
DRUG	Propofol	The patients will receive propofol for induction of anesthesia

Timeline

• Start date: 2024-08-25
• Primary completion: 2025-01-05
• Completion: 2025-01-09
• First posted: 2024-08-21
• Last updated: 2025-01-13

Locations

1 site across 1 country: Egypt