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Lo studio clinico NCT07496086 per Dolore post-operatorio è in arruolamento. Consulti la vista a schede del Radar degli Studi Clinici e gli strumenti di scoperta IA per tutti i dettagli. Oppure, ponga pure una domanda qui. | ||
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External Oblique Intercostal Block Versus Transversus Abdominis Plane Combined With Rectus Sheath Block on Postoperative Pain in Laparoscopic Radical Gastrectomy 100 Randomizzato Innovativo
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La sperimentazione clinica NCT07496086 è uno studio interventistico per Dolore post-operatorio, attualmente in arruolamento. Avviato il 20 marzo 2026, prevede di arruolare 100 partecipanti. Sotto la guida di General Hospital of Ningxia Medical University, dovrebbe concludersi entro il 3 novembre 2026. I dati più recenti da ClinicalTrials.gov sono stati aggiornati l'ultima volta il 27 marzo 2026.
Sommario breve
Postoperative pain is highly prevalent following laparoscopic radical gastrectomy. Although Transversus abdominis plane block combined with rectus sheath block(TAP+RSB） can effectively alleviate this pain, it still has many limitations. The external oblique intercostal plane block (EOIB) is a novel nerve block technique that may provide well postoperative analgesia for upper abdominal surgery. Therefore, this study e...Mostra di più
Descrizione dettagliata
Laparoscopic radical gastrectomy (including subtotal and total gastrectomy) is the most commonly used surgical approach for gastric cancer. Although this technique is less invasive than traditional open surgery, more than 50% of patients still experience moderate to severe acute pain in the early postoperative period, making effective postoperative pain management essential. Regional nerve blockade techniques have be...Mostra di più
Titolo ufficiale
Effects of Ultrasound-guided External Oblique Intercostal Block Versus Transversus Abdominis Plane Combined With Rectus Sheath Block on Postoperative Pain in Laparoscopic Radical Gastrectomy
Patologie
Dolore post-operatorioAltri ID dello studio
- Lingzi-2026-2
Numero NCT
Data di inizio (effettiva)
2026-03-20
Ultimo aggiornamento pubblicato
2026-03-27
Data di completamento (stimata)
2026-11-03
Arruolamento (previsto)
100
Tipo di studio
Interventistico
FASE
N.D.
Stato
In arruolamento
Scopo principale
Trattamento
Allocazione
Randomizzato
Modello di intervento
In parallelo
Mascheramento
Doppio
Bracci / Interventi
| Gruppo/Braccio di partecipanti | Intervento/Trattamento |
|---|---|
SperimentaleEOIB After patients entering the operating room, an intravenous line was established, and External Oblique Intercostal Plane Block was performed under ultrasound guidance. | EOIB With the patient in the supine position, a high-frequency linear array probe (6-15 MHz) is used to perform a sagittal parasagittal oblique scan at the level of the 6th rib, between the right anterior axillary line and midclavicular line. The external oblique muscle, intercostal muscles, and ribs are identified. Using an in-plane technique, a 21G, 100mm block needle is inserted from a superomedial to inferolateral dir...Mostra di più |
SperimentaleTAP+RSB After patients entering the operating room, an intravenous line was established, and Transversus abdominis plane block combined with rectus sheath block was performed under ultrasound guidance. | TAP+RSB With the patient in the supine position, above the umbilicus, a linear ultrasound transducer was positioned transversely on the rectus abdominis muscle, and 15 mL of ropivacaine 0.375% was injected into both sides of the aspect between the rectus abdominis muscle and the posterior rectus sheath with a 22G 70-mm block needle using the in-plane technique. At the midaxillary line, a linear ultrasound transducer was posi...Mostra di più |
Esito primario
Esito secondario
| Misure di esito | Descrizione della misura | Arco temporale |
|---|---|---|
Cumulative opioid consumption within 24 hours postoperatively | Cumulative opioid consumption within 24 hours postoperatively. Conversion to morphine equivalent dose (mg) | 24 hours after surgery |
| Misure di esito | Descrizione della misura | Arco temporale |
|---|---|---|
Pain Intensity | Pain at rest and during coughing will be assessed using the Numerical Rating Scale (NRS, 0-10) at 2, 6, 12, 24, 48, and 72 hours postoperatively.0 represents no pain, and 10 represents the most pain. | 2, 6, 12, 24, 48, and 72 hours postoperatively |
Quality of Recovery | The 15-item Quality of Recovery scale (QoR-15) was used for assessment at 24, 48, and 72 hours postoperatively. The higher the score, the better the recovery quality | 24,48,72 hours after surgery |
sleep quality | Sleep quality was assessed using the Richards-Campbell Sleep Questionnaire (RCSQ) on postoperative nights.0 points represent very poor sleep, while 100 points represent very good sleep | 24,48,72 hours after surgery |
Assistente alla partecipazione
Criteri di eleggibilità
Età idonea
Adulto, Adulto anziano
Età minima
18 Years
Sessi idonei
Tutti
- Patients aged over 18 years
- Classified as ASA I-III
- Scheduled for elective laparoscopic radical gastrectomy under general anesthesia
- Voluntarily participated and provided written informed consent.
- Chronic opioid dependence or prior use of analgesic medications for >3 months;
- Inability to communicate due to severe dementia, language barriers, or terminal illness;
- History of central and/or peripheral nervous system disorders;
- Severe renal insufficiency (serum creatinine >442 μmol/L or requiring renal replacement therapy) or severe hepatic insufficiency (Child-Pugh class C);
- Allergy to local anesthetics.
- Expected to be transferred to ICU after surgery.
- Refuse patient control agenesia after surgery.
General Hospital of Ningxia Medical UniversityContatti principali dello studio
Contatto: lingzi Yin, Doctoral, 86-951-674-3252, [email protected]
1 Centri dello studio in 1 paesi
General hospital of Ningxia medical university, Yinchuan, China
lingzi Yin, Doctoral, Contatto, 86-951-674-3252, [email protected]
In arruolamento