A Two-Center Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Numeric Rating Scale
Study Overview
Brief Summary
The primary aim of this study was to compare the postoperative analgesic efficacy of thoracic paravertebral block with erector spinae plane block, which we use in thoracotomy surgeries. Secondary aims were to compare these groups in terms of Riker Agitation-Sedation Scale (RASS) scores, postoperative complications, postoperative opioid consumption, and patient satisfaction.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Care Provider)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Patients who will undergo thoracotomy and are between the ages of 18-65
- •have American Society of Anesthesiologists (ASA) risk classification I-II will be included in the study.
Exclusion Criteria
- •Patients who did not agree to participate in the study,
- •had an infection in the application area,
- •had coagulopathy,
- •were morbidly obese (Body mass index (BMI)>35),
- •had drug allergy,
- •had chronic pain, long-term opioid use, psychiatric illness history, and required emergency surgery were excluded from the study.
Arms & Interventions
Erektor spina plan block
The local anesthetic is injected into the fascial plane between the erector spinae muscle and the transverse processes of the vertebrae. This allows the anesthetic to spread cranially and caudally, affecting multiple spinal nerves
Intervention: Erector Spinae Plane (ESP) block admistring (Procedure)
Toracik paravertebral block
The local anesthetic is injected into the paravertebral space, which is bordered by the vertebral bodies, intervertebral discs, parietal pleura, and superior costotransverse ligament. This space contains the spinal nerves, sympathetic chain, and intercostal vessels
Intervention: Thoracic Paravertebral Block administring (Procedure)
Outcomes
Primary Outcomes
Numeric Rating Scale
Time Frame: Post-operative 30 minutes, 2 hours, 6 hours, 12 hours, 24 hours
They will be numbered from 1 to 10. If reporting a score on a scale, please include the unabbreviated scale title, the minimum and maximum values, and whether higher scores mean a better or worse outcome.
Secondary Outcomes
- Riker Agitation and Sedation Scale(Immediately after extubation)
- Patient satisfaction score:(Post-operative 30 minutes)
- 24-hour Tramadol usage:(posoperative 24 hours)
Investigators
Hülya Tosun Söner
Anesthesiology and Reanimation Spesialist
Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital