Serratus Intercostal Block Versus Epidural Analgesia in Eventration: Prospective Observational Study

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Analgesic Efficacy of Serratus Intercostal Block Versus Epidural Analgesia in Eventration Surgery : Prospective Observational Study

Conditions
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Eventration, Regional Anesthesia, Epidural; Anesthesia, Abdominal Hernia

Intervention / Treatment
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* Procedure: undergo
* Device: ultrasound
* Drug: Local anesthetic


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: abdominal eventration repair, over 18 years old, ASA I-III. Signature of the IC. Exclusion Criteria: Allergy to Local anesthetic

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patient under serratus intercostal plane block<br>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<br>* regional anesthesia<br>* Other names: Eventroplasty;Device: ultrasound<br>* ultrasound guided<br>* Other names: Regional anesthesia;Drug: Local anesthetic<br>* local anesthetic<br>* Other names: Regional anesthesia;|
| patient under epidural analgesia<br>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<br>* regional anesthesia<br>* Other names: Eventroplasty;Device: ultrasound<br>* ultrasound guided<br>* Other names: Regional anesthesia;Drug: Local anesthetic<br>* local anesthetic<br>* Other names: Regional anesthesia;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| postoperative pain management | Pain control. NRS scale at O,6, 12 and 24 h in postoperative time | 24h | 
| postoperative quality of recovery | Quality of recovery, QoR15 scale, that includes physical and psicological item. That scale will be fill by the patient 24 h after surgery | 24h | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Intercostal nerves, epidural,abdominal hernia