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Comparative Study Between Ultrasound Guided Paravertebral Plane Block and Erector Spinae Plane Block on Post-operative Analgesia After Total Abdominal Hysterectomy
Sponsor: Ain Shams University
Summary
The intent of this study is to compare the efficacy of the erector spinae plane block (ESPB) and paravertebral plane block in reducing postoperative opioid consumption and pain in patients with total abdominal hysterectomy.
Key Details
Gender
FEMALE
Age Range
30 Years - 60 Years
Study Type
INTERVENTIONAL
Enrollment
48
Start Date
2026-05-10
Completion Date
2027-04-20
Last Updated
2026-05-27
Healthy Volunteers
No
Conditions
Interventions
Paravertebral Plane Block
The spinous process of the 10th thoracic vertebra will be located under the ultrasound guided (USG) linear probe. Under aseptic precautions, a 22-G short-beveled needle will be inserted under ultrasonographic guidance using the in-plane approach and was directed medially between the transverse process (TP) and the pleura. The needle will traverse the superior costotransverse ligament and enter the paravertebral space, where 2 ml of normal saline will be injected. The tip of the needle will be in the paravertebral space, noting the pleura being pushed down. Then, 20 ml of 0.25% bupivacaine will be injected into the paravertebral space under USG visualization.
Erector Spinea Plane Block
The USG linear probe will be placed Longitudinal 3 cm lateral to T10 transverse process TP. A 22-G short-beveled needle will be inserted in the cephalad to caudal direction through the erector spinae to contact the T10 TP using the in-plane technique. After the needle made contact with TP, the plane will be confirmed by injecting 2ml of saline and depositing 20ml of 0.25% bupivacaine.
bupivicaine 0.25%
20 ml of 0.25% bupivacaine will be injected
Locations (1)
Ain Shams
Cairo, Abbasia, Egypt