Hemi-diaphragmatic Paresis After Ultrasound-guided Erector Spinae Plane Block in Carotid Endarterectomy
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 7
- 试验地点
- 1
- 主要终点
- incidence of hemi-diaphragmatic paresis
研究概览
简要总结
To assess the incidence of hemi-diaphragmatic paresis following ultrasound-guided erector spinae plane (ESP) block
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 85 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 - 85 years
- •American Society of Anesthesiology (ASA) I-III
- •elective carotid endarterectomy
排除标准
- •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
结局指标
主要结局
incidence of hemi-diaphragmatic paresis
时间窗: 30 minutes
Diaphragmatic excursion was measured using M-mode ultrasound during normal breathing, deep breathing and with the sniff manoeuvre.
次要结局
- opioid consumption(1 hour)
- Postoperative Numeric Rating Scale (NRS) score(24 hours)
- postoperative analgesia consumption(24 hours)
- intraoperative local anesthetic consumption(1 hour)
