Comparison between External Oblique Intercostal Plane Block (EOI) and Pre-Incisional Local Infiltration on Intra and Acute Post-Operative Pain Control in Adult Patients Undergoing Bariatric Surgeries: Randomized Controlled Prospective Comparative Study

YAHYA M. HAMMAD, M.D.1; NEVAN M. EL MEKAWY, M.D.2; MOATASEM A. ERFAN, M.D.3;, ABDELRAHMAN B. MOHAMMED, M.Sc.4 And ALAA A.M. NIAZI, M.D.5

doi:10.21608/mjcu.2024.353086

Comparison between External Oblique Intercostal Plane Block (EOI) and Pre-Incisional Local Infiltration on Intra and Acute Post-Operative Pain Control in Adult Patients Undergoing Bariatric Surgeries: Randomized Controlled Prospective Comparative Study

Document Type : Original Article

Author

ABDELRAHMAN B. MOHAMMED, M.Sc.4 and ALAA A.M. NIAZI, M.D.5 YAHYA M. HAMMAD, M.D.1; NEVAN M. EL MEKAWY, M.D.2; MOATASEM A. ERFAN, M.D.3;

The Department of Anesthesia, ICU and Pain Management, Faculty of Medicine, Cairo University1, Department of Anesthesia, ICU and Pain Management and Anesthesia, Surgical ICU and Pain Management, Faculty of Medicine, Cairo University2, Department of General and Laparascopic Surgery, Faculty of Medicine, Misr University and Technology3 and Department of Anesthesia, ICU and Pain Management, Faculty of Medicine, Misr University and Technology4,5

10.21608/mjcu.2024.353086

Abstract

Abstract Background: Bariatric surgeries can cause severe pain in intra and postoperative period which can cause serious suf-fering to adult obese patients, prolong recovery, and increase opioids consumption which have a lot of risks and side effects such as respiratory depression, constipation, dizziness and dependency, Thus we used External oblique intercostal plane block as a method to reduce intraoperative and postoperative pain and opioids consumption compared to preincisional local infiltration. Aim of Study: Comparing the efficacy of External Oblique Intercostal plane block with Preincisional local infiltration in intraoperative and acute post operative pain control in adult pa-tients aged from 21-60 years underwent bariatric surgeries at Souad Kafafi Hospital. Patients and Methods: After approval of scientific and ethi-cal committees, 72 adults aged 21-60 years submitted to Gener-al Anaesthesias in Souad Kafafi Hospitals were enrolled in this study from October 2022 to April 2023. Adults were allocated in two groups: Group (A) which receive External Oblique In-tercostal plane block and Group (B) which receive Preincision-al local infiltration, intraoperative haemodynamics (HR, Mean Bp, Spo2) and fentanyl consumption were calculated after in-duction of General Anaesthesia, post operative VAS score and Morphine consumption were recorded. Results: External Oblique Intercostal plane block was ef-ficient to reduce intra and postoperative pain and opioids con-sumption in 77.7% of patients, while preincisional local infil-tration was efficient in only 44.4% of patients.
Conclusion: External Oblique Intercostal plane block pro-vided better analgesia and pain control as compared to preinci-sional local infiltration in intra and post operative period.

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