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Comparison of Postoperative Analgesic Consumption of the Erector Spina Plane Block and Serratus Anterior Plane Block

Not Applicable
Conditions
Thoracic Diseases
Interventions
Procedure: Erector Spinae Plane block ( Group ı)
Procedure: Serratus Anterior Plane block ( Group ıı)
Procedure: Control Group (GROUPIII)
Registration Number
NCT03904082
Lead Sponsor
TC Erciyes University
Brief Summary

To evaluate the ability of Erector spina Plane block and Serratus Anterior Plane block to decrease postoperative pain and analgesia requirements in patients undergoing thoracotomy.

Detailed Description

Thoracic wall nerve blocks such as Erector spina Plane block and Serratus Anterior Plane block have become popular for preoperative pain control in patients undergoing thoracotomy.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
105
Inclusion Criteria

ASA I- ASA II Patients

Exclusion Criteria
  • history of allergy to the study medication
  • refusal to participate

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Erector spinae plane block group (ESP)Erector Spinae Plane block ( Group ı)Single- shot ultrasound (Esaote Mylab30) guided ESP block with 15 ml 0.25% bupivacain (Marcain 0.5%, Astra Zeneca, Turkey) at the T4 vertebral level will performed preoperatively to patients in the ESP group (Group I).
Serratus Anterior Plane Block Group (SAP)Serratus Anterior Plane block ( Group ıı)Single- shot ultrasound (Esaote Mylab30 )guided SAP block with 15 ml 0.25% bupivacain (Marcain 0.5%, Astra Zeneca, Turkey) the T4 vertebral level will performed preoperatively to patients in the SAP group( Group II).
Control GroupControl Group (GROUPIII)The Control group receive no intervetion ( Group III).
Primary Outcome Measures
NameTimeMethod
Verbal analog Pain Scores on rest and movement48 hours after surgery

A Research assistant, blinded to the group allocation, interviewed patients and collected data at 6 time intervals ( 2, 4, 6, 12, 24, 48. hours) in the 48 hours postoperatively. Patients were asked to rate their pain using verbal analog scale, where 0= no pain and 10= worst pain possible.

opioid consumption48 hours after surgery

In the recovery room, all patients will given a patient- controlled analgesia device containing morphine 0.5 mg/ml, set to deliver a 1mg bolus dose of morphine with an 15 min lockout time and 6 mg 1 h limit.Total morphine consumption during the 48 hours postoperative period will recorded at 6 time intervals ( 2, 4, 6, 12, 24, 48. hours).

Secondary Outcome Measures
NameTimeMethod
Incidences of adverse effects (like nausea and vomitting)48 hours after surgery

Incidences of nausea and vomitting during the 48 hours postoperative period will recorded at 6 time intervals (2,4,6,12,24,48. hours)

Trial Locations

Locations (1)

Ayşe Ülgey

🇹🇷

Kayseri, Talas, Turkey

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