About this trial
This randomized controlled trial aims to compare the analgesic efficacy of bilateral ultrasound-guided erector spinae plane block (ESPB) versus bilateral external oblique intercostal plane (EOI) block in patients undergoing open cholecystectomy.
Patients will be randomly allocated into two groups to receive either ESPB or EOI block in addition to standard general anesthesia. The primary outcome is postoperative pain score assessed using the Numerical Rating Scale (NRS) at 2 hours after surgery. Secondary outcomes include intraoperative opioid consumption, postoperative nalbuphine requirements, time to first analgesic request, and hemodynamic changes.
This study seeks to determine the more effective regional anesthesia technique for improving perioperative analgesia in open cholecystectomy.
Eligibility criteria
Qualifiers
Adult patients aged 18-65 years.
Patients scheduled for elective open cholecystectomy.
American Society of Anesthesiologists (ASA) physical status I-II.
Patients who provide informed consent.
Disqualifiers
Patient refusal.
Known allergy to local anesthetics.
Coagulopathy or anticoagulant therapy.
Infection at the site of injection.
Trial design
Treatments tested in this trial
- Erector Spinae Plane Block
- External Oblique Intercostal Plane Block
Treatment groups
Locations
Sponsors and collaborators
Sohag University
Lead sponsor
Cairo University
Collaborator