Comparison of Erector Spinae Plane Block and Intravenous Lidocaine in Opioid-Free Anesthesia for Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Trial

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  • 1

    The study compares the efficacy of erector spinae plane block (ESPB) and intravenous lidocaine for opioid-free anesthesia in laparoscopic sleeve gastrectomy.

  • 2

    Bilateral ESPB is hypothesized to reduce postoperative opioid consumption compared to IV lidocaine within the first 24 hours after surgery.

  • 3

    The trial enrolled adult patients with obesity (BMI ≥ 35 kg/m²) scheduled for elective laparoscopic sleeve gastrectomy at a single center.

  • 4

    Statistical analyses were performed on a modified intention-to-treat basis, focusing on 24-hour postoperative opioid consumption as the primary endpoint.

  • 5

    The study received ethical approval and was registered at ClinicalTrials.gov, ensuring compliance with research standards and participant safety.

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