Hemi-diaphragmatic Paresis After Erector Spinae Plane Block

Terminated

• Conditions: Regional Anesthesia; Carotid Endarterectomy
• Interventions: Other: ESP block

• Registration Number: NCT04706780
• Lead Sponsor: Antalya Training and Research Hospital

Brief Summary

To assess the incidence of hemi-diaphragmatic paresis following ultrasound-guided erector spinae plane (ESP) block

Detailed Description

The ultrasound (USG) guided ESP block was first defined in 2016. With the administration of local anesthesia between the transverse process of the vertebra and the erector spinae muscle, it is stated that the effect mechanism of ESP is that spread blocks the ventral and dorsal rami to the paravertebral area. The aim of the study is to assess the incidence of hemi-diaphragmatic paresis following ultrasound-guided erector spinae plane block.

Study Timeline

• Status Verified: 2021-01
• Study First Submitted: 2021-01-11
• Study First Submitted QC: 2021-01-11
• Study First Posted: 2021-01-13
• Study Start: 2021-01-20
• Primary Completion: 2021-07-07
• Study Completion: 2021-07-07
• Last Update Submitted: 2021-07-28
• Last Update Posted: 2021-07-30

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 7

Inclusion Criteria

• 18 - 85 years
• American Society of Anesthesiology (ASA) I-III
• elective carotid endarterectomy

Exclusion Criteria

• patient's refusal
• under 18 years of age or over 65 years of age
• ASA IV and above
• known allergy to local anaesthetic drugs
• the block cannot be applied due to bleeding disorders or localized skin infection at the injection site
• history of neurological and/or neuromucular disease
• history of severe bronchopulmonary disease
• a moderate to severe decrease in preoperative pulmonary function, or abnormality in preoperative chest radiography data (pleural effusion, pneumothorax, or hemidiaphragm elevation)
• emergency surgery

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
ESP block group	ESP block	Diaphragmatic excursion was measured using M-mode ultrasound during normal breathing, deep breathing and with the sniff manoeuvre.

Primary Outcome Measures

Name	Time	Method
incidence of hemi-diaphragmatic paresis	30 minutes	Diaphragmatic excursion was measured using M-mode ultrasound during normal breathing, deep breathing and with the sniff manoeuvre.

Secondary Outcome Measures

Name	Time	Method
opioid consumption	1 hour	intraoperative opioid consumption will be recorded
Postoperative Numeric Rating Scale (NRS) score	24 hours	postoperative pain assessment will be recorded using NRS score (NRS 0=no pain, NRS 10= most severe possible)
postoperative analgesia consumption	24 hours	postoperative analgesia consumption for 24 hours will be recorded
intraoperative local anesthetic consumption	1 hour	amount of intraoperative additional local anesthetic consumption will be recorded

Trial Locations

Locations (1)

Antalya Training and Research Hospital, Department of Anesthesiology and Reanimation; 🇹🇷 Antalya, Turkey