Rhomboid Block,erectör Spiane Block, Thoracotomy

Completed

• Conditions: Anesthesia
• Interventions: Other: rhomboid block; Other: control; Other: erector spinae block

• Registration Number: NCT04294394
• Lead Sponsor: Kocaeli Derince Education and Research Hospital

Brief Summary

Effective analgesia is very important in terms of preventing respiratory, thromboembolic complications and providing early mobilization after open thoracotomy.

Although thoracic epidural analgesia is gold standart method for this aim, it causes common side effects such as hypotension, dural puncture,motor block In recent years, with the effective use of ultrasonography, different regional anesthesia methods have been developed to prevent such complications

Detailed Description

A total of 75 patients will be included in the study in three groups: group ESPB, group RIB and control group (group K). Under general anesthesia, patients who will undergo both ESPB and RIB will be applied block with a 22 G and 100 mm block needle, accompanied by ultrasonography, and 20 ml 0.25% bupivacaine. Apart from the standard peroperative analgesia protocol applied to all three groups, no additional procedure will be performed in group control. Postoperative analgesic consumption amount, first analgesic requirement time and visual analog scale (VAS) values of the patients will be recorded.

Study Timeline

• Study Start: 2020-02-01
• Study First Submitted: 2020-03-01
• Study First Submitted QC: 2020-03-01
• Study First Posted: 2020-03-04
• Status Verified: 2021-01
• Primary Completion: 2021-01-05
• Study Completion: 2021-01-15
• Last Update Submitted: 2021-01-31
• Last Update Posted: 2021-02-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 75

Inclusion Criteria

• Patients between 18-75 years old
• ASA1,2,3 group patients
• Patients undergoing thoracotomy under general anesthesia

Exclusion Criteria

• The patient's refusal to participate in the study
• Allergy to local anesthetics

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
rhomboid block	rhomboid block	With a 6-13 Mhz linear USG probe, at the thoracal level of 6-7 vertebra in the sagittal position, in the cranio-caudal direction with a 22 G and 100 mm block needle in the medial of the scapula, after entering the facial plane between the rhomboid muscle and the intercostal muscle, 0.25% bupivacaine 20 ml of the local anesthetic solution will be given.
control group	control	For postoperative analgesia, all patients (including Rhomboid block and Erector spinae block) will be administered 100 mg tramadol and 1 gr paracetamol. No additional intervention other than this medical approach will be applied in the control group.
erector spinae group	erector spinae block	After the patient is taken in the lateral position, the probe T5 is 3 cm lateral to the spinous process, 22 G and 100 mm block needle with 6-13 Mhz linear ultrasonography and the facial plane between the transverse proces and the erector spina muscle is entered, and 20 ml of a local anesthetic solution consisting of 0.25% bupivacaine will be given.

Primary Outcome Measures

Name	Time	Method
rhomboid block versus erector spinae block in thorachotomy	the study will comlete in three month	In this study, we aimed to compare the effects of rhomboid block and erector spinae block in pain control after thoracotomy

Trial Locations

Locations (2)

Derince Eğitim Ve Araştırma Hastanesi; 🇹🇷 Kocaeli, Derince, Turkey

Tahsin Şimşek; 🇹🇷 İ̇stanbul, Turkey