Overview
this aim of this study is to compare the analgesic effect of Erector spinae plane (ESP) block and lateral transversus abdominis plan (TAP) block in patients undergoing open appendectomy.
Description
regional technique according to randomization will be given after induction of general anesthesia Fentanyl boluses of 1 mcg/kg will be given in case of inadequate analgesia. Inadequate analgesia identified by 20% increase in the heart rate and/or systolic blood pressure from baseline measurement.
postoperative analgesia: regular paracetamol 1 g/6 hours (intravenously at first then orally once the oral feeding is resumed) and 75 mg diclofenac (intramuscularly at first then orally once the oral feeding is resumed).
If Numeric rating scale (NRS) is \> 3 intravenous titration of 2 mg morphine is given slowly to be repeated after 30 minutes if pain persisted
Eligibility
Inclusion Criteria:
- adult patients, undergoing open appendectomy.
Exclusion Criteria:
- American society of anesthesiologist-physical status \>III,
- allergy to any of the study drugs,
- coagulopathy
- local infection,
- history of chronic pain or regular opioid use;
- inability to comprehend the Numeric Rating Scale (NRS),
- pregnant or lactating women.
