Clinical trial NCT06014749: Serratus Intercostal Block Versus Epidural Analgesia in Eventration: Prospective Observational Study
Official title: Analgesic Efficacy of Serratus Intercostal Block Versus Epidural Analgesia in Eventration Surgery : Prospective Observational Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Eventration
Regional Anesthesia
Epidural; Anesthesia
Abdominal Hernia
Keywords: Intercostal nerves, epidural,abdominal hernia
Lead sponsor: Hospital del Rio Hortega
Sponsor class: OTHER
First posted: 2023-08-28
Enrollment: 80
Sex: ALL
Minimum age (years): 18
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: people undergoing to repair abdominal wall

Brief summary: 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: 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.

Eligibility criteria: Inclusion Criteria:

* abdominal eventration repair,
* over 18 years old,
* ASA I-III.
* Signature of the IC.

Exclusion Criteria:

* Allergy to Local anesthetic

Primary outcomes:
measure: postoperative pain management
timeFrame: 24h
measure: postoperative quality of recovery
timeFrame: 24h
Secondary outcomes:
Other outcomes:
Locations:
city: Valladolid
country: Spain
facility: Judith Andres
state: Castilla y León
Study officials:
affiliation: Hospital del Rio Hortega
name: María T Fernandez, MD
role: STUDY_DIRECTOR
References: