Ultrasound Guided Versus Surgical Rectus Sheath Block Versus Local Anesthesia Infiltration for Postoperative Analgesia in Patients Undergoing Total Abdominal Hysterectomy
Ultrasound Guided Versus Surgical Rectus Sheath Block Versus Local Anesthesia Infiltration for Postoperative Analgesia in Patients Undergoing Total Abdominal Hysterectomy: A Randomized Trial
Ain Shams University
90 participants
Feb 20, 2025
INTERVENTIONAL
Conditions
Summary
The aim of this work is to compare the efficacy and safety of the effectiveness and safety of ultrasound-guided surgical rectus sheath block and local anesthetic infiltration for postoperative analgesia in patients undergoing total abdominal hysterectomy.
Eligibility
Inclusion Criteria3
- Age from 18 to 65 years old.
- American Society of Anesthesiologists (ASA) physical status I - II.
- Patients scheduled for elective total abdominal hysterectomy under general anesthesia.
Exclusion Criteria4
- Hepatic, renal or cardiac disease.
- Any known allergy to local anesthetic.
- Physical or mental conditions which may vaguely measure postoperative pain following surgery.
- History of chronic use of analgesic as nonsteroidal anti-inflammatory drugs (NSAIDs) or central nervous system (CNS) depressants as antiepileptic, and bleeding disorders.
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Interventions
Patients will receive ultrasound-guided rectus sheath block (20 ml bupivacaine 0.25%) bilaterally at the end of surgery.
Patients will receive a surgical rectus sheath block (20 ml bupivacaine 0.25%) bilaterally at the time of closure.
Patients will receive local anesthesia infiltration at the end of surgery.
Locations(1)
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NCT06837532