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Block and Erector Comparative Study Between Costotransverse Spinae Plane Block in Patients Undergoing Thoracotomy

Not Applicable
Not yet recruiting
Conditions
Pain Mangement of Thoracotomy
Interventions
Registration Number
NCT06301334
Lead Sponsor
Sohag University
Brief Summary

A thoracotomy requires a very painful incision, involving multiple muscle layers, rib resection and continuous motion as the patient breathes. Treatment of acute post thoracotomy pain is particularly important not only to keep the patient comfortable but also to minimize pulmonary complications

Though epidural analgesia was once considered as the gold standard for post-thoracotomy pain management, it is not recommended for pain control after thoracotomy surgery because it is associated with high potential risks of dural puncture, nerve lesions, epidural hematoma and hypotension(4). Thoracic paravertebral block (TPVB) and intercostal nerve block are well described and recognized techniques for postoperative analgesia following thoracic surgeries, such as thoracotomy and mastectomy

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
60
Inclusion Criteria
  • • Age from 18 to 75 years old.

    • Both sexes.
    • American Society of Anesthesiologists (ASA) physical status I-II-III.
    • Patient undergoing unilateral thoracotomy surgery.
Exclusion Criteria
  • • BMI more than 30 kg/m2.

    • Patients who are taking analgesics for chronic illness or have a history of substance abuse.
    • Patients who are unable to describe their postoperative pain (e.g., language barrier or neuropsychiatric disorder).
    • Patients with a history of coagulopathy.
    • Severe heart diseases.
    • Hepatic or renal insufficiency.
    • Infection at the site of infiltration

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group CTBBupivacaine 0.25% Injectable Solutionn=30): patients included in this group will receive unilateral US-guided CTB after general anesthesia. The CTB will be performed by using 20 ml bupivacaine 0.25%
Group ESPBBupivacaine 0.25% Injectable Solutionpatients included in this group will receive unilateral US-guided ESPB after general anesthesia. The ESB will be performed by using 20 ml bupivacaine 0.25%
Primary Outcome Measures
NameTimeMethod
study aims to compare the analgesic efficacy of CTB and ESPB for post-operative analgesia in patients undergoing thoracotomy.5months

study aims to compare the analgesic efficacy of CTB and ESPB for post-operative analgesia in patients undergoing thoracotomyA standardized analgesic regimen will be prescribed in the post-operative period. All patients will receive paracetamol 1 gm every 6 h as routine analgesia. If visual analogue scale (VAS) is more than 3, intravenous morphine 3mg will be administered as rescue analgesia If visual analogue scale (VAS) is more than 5

Secondary Outcome Measures
NameTimeMethod
The secondary outcome is the total postoperative morphine consumption, time of first analgesic,5months

The secondary outcome is the total postoperative morphine consumption, time of first analgesic A standardized analgesic regimen will be prescribed in the post-operative period. All patients will receive paracetamol 1 gm every 6 h as routine analgesia. If visual analogue scale (VAS) is more than 3, intravenous morphine 3mg will be administered as rescue analgesia If visual analogue scale (VAS) is more than 5

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