Serratus Intercostal Block Versus Epidural Analgesia in Eventration: Prospective Observational Study
Study Details
Study Description
Brief Summary
Adequate pain control, rehabilitation and early postoperative recovery are currently the model to follow according to the recommended guidelines.In this project the main objective is to evaluate 2 different analgesic strategies both intraoperatively and postoperatively, one based on 1. Epidural analgesia and the other 2. Echoguided serratus intercostal block prior to surgical intervention in eventration or abdominal wall repair interventions.
We conducted an observational study with a low level of intervention. Epidural analgesia prior to general anesthesia and serratus-intercostal block prior to general anesthesia) following the criteria applied in each case according to the operating room anesthesiologist until reaching the sample size and fulfilling the criteria of: abdominal eventration repair, over 18 years of age, ASA I-III. Signature of the IC.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
Adequate pain control, rehabilitation and early postoperative recovery are currently model to follow according to the recommended guidelines.In this project the main objective is to evaluate 2 different analgesic strategies both intraoperatively and postoperatively, one based on 1. Epidural analgesia and the other 2. Echoguided serratus intercostal block prior to surgical intervention in eventration or abdominal wall repair interventions.
The investigators conducted an observational study with a low level of intervention. Epidural analgesia prior to general anesthesia and serratus-intercostal block prior to general anesthesia) following the criteria applied in each case according to the operating room anesthesiologist until reaching the sample size and fulfilling the criteria of: abdominal eventration repair, over 18 years of age, ASA I-III. Signature of the IC.
We will assess the analgesia provided by both techniques and to compare the results.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Patient under serratus intercostal plane block patients who will undergo a modified bilateral ultrasound-guided BRILMA block (SIPB) using a high-frequency linear probe (6-15 Hz) and 80 mm needle. |
Procedure: undergo
regional anesthesia
Other Names:
Device: ultrasound
ultrasound guided
Other Names:
Drug: Local anesthetic
local anesthetic
Other Names:
|
| patient under epidural analgesia patients who undergo Epidural Analgesia prior to General Anesthesia and fentanyl 1 mcg/kg approx according to characteristics and needs and upon arrival at the URPA is connected to the PC Levobupi 0.125% at 6 ml / h + rescue boluses of Levobupi 0.125% 4 ml if needed in the 1st hours. |
Procedure: undergo
regional anesthesia
Other Names:
Device: ultrasound
ultrasound guided
Other Names:
Drug: Local anesthetic
local anesthetic
Other Names:
|
Outcome Measures
Primary Outcome Measures
- postoperative pain management [24h]
Pain control. NRS scale at O,6, 12 and 24 h in postoperative time
- postoperative quality of recovery [24h]
Quality of recovery, QoR15 scale, that includes physical and psicological item. That scale will be fill by the patient 24 h after surgery
Eligibility Criteria
Criteria
Inclusion Criteria:
-
abdominal eventration repair,
-
over 18 years old,
-
ASA I-III.
-
Signature of the IC.
Exclusion Criteria:
- Allergy to Local anesthetic
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Judith Andres | Valladolid | Castilla Y León | Spain | 47008 |
Sponsors and Collaborators
- Hospital del Río Hortega
Investigators
- Study Director: María T Fernandez, MD, Hospital del Río Hortega
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 22-EO132